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Anxiety in medically ill patients.
Rajnish Mago1, John-Paul Gomez, Namita Gupta
1Thomas Jefferson University, 833 Chestnut Street, Suite 210 E, Philadelphia, PA 19107, USA. rajnish.mago@jefferson.edu
Current Psychiatry Reports
|October 13, 2009
Summary
Anxiety disorders are common, especially in medically ill patients, negatively impacting health outcomes. Differentiating primary from secondary anxiety is crucial for effective management with medication and psychotherapy.
Area of Science:
- Psychiatry
- Internal Medicine
- Clinical Psychology
Background:
- Anxiety disorders and symptoms are highly prevalent in the general population.
- Prevalence is significantly higher in medically ill individuals.
- Anxiety negatively impacts medical illness outcomes and increases healthcare utilization.
Purpose of the Study:
- To highlight the importance of identifying the etiology of anxiety in medically ill patients.
- To emphasize the critical need to differentiate between primary and secondary anxiety.
- To outline current management strategies for anxiety in this population.
Main Methods:
- Review of existing literature on anxiety disorders in medically ill patients.
- Analysis of diagnostic considerations, focusing on differentiating primary vs. secondary anxiety.
- Summary of evidence-based treatment modalities.
Main Results:
- Anxiety disorders significantly complicate medical conditions.
- Accurate etiological diagnosis is essential for appropriate treatment.
- Effective management strategies include pharmacotherapy and psychotherapy.
Conclusions:
- Differentiating primary and secondary anxiety is paramount in medically ill patients.
- Pharmacological treatments like benzodiazepines and SSRIs are key.
- Cognitive-behavioral therapy (CBT) is a vital psychotherapeutic approach.
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