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Anxiety disorders

Anxiety disorders

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Anxiety disorders

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  1. Anxiety disorders

  2. Definition • GAD syndrome of ongoing anxiety about events or thoughts that the patient recognises as excessive and inappropriate

  3. Diagnostic criteria • Xs anxiety/worry occurring more days than not about a number of events and activities for > 6/12 • Difficult to control worry • Associated with 3 or more of • Restlessness • Easily fatigued • Poor concentration • Irritability • Sleep disturbance • Muscle tension

  4. Autonomic arousal symptoms • Palpitations • Sweating • Trembling • Dry mouth

  5. Symptoms involving chest and abdomen • Breathing difficulty • Feeling of choking • Chest pain • Nausea or abdominal distress

  6. Symptoms involving mental state • Dizziness • Unsteady, faint, light headedness • Feeling that objects are unreal (derealisation) • Feeling of loss of control • Fear of dying

  7. General symptoms • Hot flushes of cold chills • Numbness or tingling sensations • Muscle tension aches and pains • Restlessness inability to relax • Lump in throat difficulty swallowing

  8. Exclusions • Panic disorder • Phobic anxiety disorder • OCD • Hypochondriacal disorder

  9. Useful treatments • Psychological • CBT • Anxiety management training • Self help books and CD’s • Pharmacological • SSRI’s • TAD’s • Avoid benzodiazepaines

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