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Related Experiment Videos

Anxiety and neurological disorders.

M G Wise1, J R Rundell

  • 1Department of Psychiatry, University of California, Davis, Sacramento, CA 95817, USA.

Seminars in Clinical Neuropsychiatry
|June 23, 1999
PubMed
Summary

Anxiety disorders are common in patients with neurologic conditions but often overlooked. This review addresses diagnostic challenges and treatment for anxiety in neurological patients.

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Area of Science:

  • Neurology
  • Psychiatry
  • Clinical Psychology

Background:

  • Anxiety disorders are highly prevalent in patients with neurologic disorders, often exceeding mood disorders.
  • Despite their frequency, anxiety disorders in neurologic conditions have been understudied.
  • Diagnostic criteria in the Diagnostic and Statistical Manual (DSM)-III-R and DSM-IV have contributed to this neglect.

Purpose of the Study:

  • To highlight the diagnostic challenges of anxiety disorders in patients with neurologic conditions.
  • To review the existing literature on the relationship between anxiety and neurologic disorders.
  • To discuss differential diagnosis and treatment options for anxiety in neurologic populations.

Main Methods:

  • Literature review of studies examining anxiety disorders in patients with neurologic conditions.
  • Analysis of diagnostic criteria (DSM-III-R, DSM-IV) and their impact.
  • Discussion of clinical presentation, differential diagnosis, and therapeutic strategies.

Main Results:

  • Anxiety disorders are frequently comorbid with neurologic disorders.
  • Diagnostic hierarchies and exclusion criteria in DSM versions have hindered accurate diagnosis.
  • There is a need for improved diagnostic approaches and targeted treatments.

Conclusions:

  • Accurate diagnosis and treatment of anxiety disorders in neurologic patients are crucial.
  • Clinical guidelines should be revised to better accommodate these patients.
  • Further research is needed to understand the neurobiological underpinnings and optimize interventions.

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