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Anxiety and neurological disorders.
1Department of Psychiatry, University of California, Davis, Sacramento, CA 95817, USA.
Seminars in Clinical Neuropsychiatry
|June 23, 1999
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.
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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