7- Management of Anxiety Disorders.pdf - Management of...

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Management of Anxiety Disorders Done by: Rizq M. Haddad
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Anxiety and Anxiety disorders Anxiety: subjective experience of fear and it’s physical manifestations. It is important for clinicians to be able to distinguish normal from pathological anxiety. Anxiety disorders are caused by a combination of genetic, environmental, biological and psychosocial factors. Associated with neurotransmitter imbalances, including increase activity of norepinephrine and decrease activity of GABA and Serotonin.
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Anxiety and Anxiety disorders Panic Disorder (PD) with/without Agoraphobia Phobic Disorder (social, specific) Obsessive- Compulsive Disorder (OCD) Post-traumatic Stress Disorder (PTSD) Acute Stress Disorder Generalized Anxiety Disorder (GAD) Anxiety disorder secondary to general medical condition Substance-induced anxiety disorder
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Management of Anxiety Pharmacotherapy Psychotherapy
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Pharmacotherapy Anti - depressants: Selective Serotonin Reuptake Inhibitors (SSRI) Tricyclic Antidepressatns (TCA) Monoamine Oxidase Inhibitors ( MAOI) Atypical anti - depressants Anxiolytics : Benzodiazepines Buspirone Beta blockers Anti - convulsants
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Psychotherapies Supportive psychotherapy Cognitive behavioral therapy Systematic desensitization Exposure and response prevention
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Management of Panic Disorder Pharmacotherapy The long-term treatment is SSRIs, especially paroxetine and sertaline Typically take 2-4 weeks to become effective and higher doses are required than for depression) Always start SSRIs at low dose and increase slowly because It can have side effects that may initially worsen anxiety. Benzodiazepines Effective immediately but are best used temporarily because of their risk of causing tolerance and dependency. Other Antidepressants (clomipramine, imipramine) may be used Treatment should continue for at least 8-12 months, as relapse is common after discontinuation of therapy.
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Management of Panic Disorder Psychotherapy Relaxation training Biofeedback Cognitive therapy Insight - Oriented psychotherapy For Agoraphobia when the coexisting panic disorder is treated usually it resolves.
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Management of Specific Phobia Pharmacotherapy Has not been found effective. A short course of benzodiazepines or beta blockers may be used during desensitization to help control autonomic symptoms. Psychotherapy Behavior therapy is most effective Systemic desensitization Graded exposure and flooding
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Management of Social Phobia Pharmacotherapy SSRIs Paroxetine is FDA approved for the treatment of social anxiety disorder. Beta blockers Used to control symprtoms of performance anxiety.
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  • Fall '15
  • mohamadmahmod
  • Selective serotonin reuptake inhibitor, Antidepressant, TCA, selective serotonin reuptake

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