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[My patient is anxious - what's next?]
S Weidt1, A Brühl, A Delsignore
1Klinik für Psychiatrie und Psychotherapie, Universitätsspital Zürich. steffi.weidt@usz.ch
Praxis
|April 12, 2012
Summary
Anxiety disorders often present with physical symptoms, delaying diagnosis. Early identification and evidence-based treatments like cognitive-behavioral therapy and SSRIs can lead to symptom remission.
Area of Science:
- Psychiatry
- General Practice
- Clinical Psychology
Background:
- Anxiety disorders are prevalent conditions significantly impacting quality of life.
- Patients frequently exhibit somatic complaints, leading to delayed psychiatric referrals.
- Early identification and intervention are crucial for effective management.
Purpose of the Study:
- To highlight key aspects for earlier identification of anxiety disorders.
- To emphasize the importance of timely and adequate treatment initiation.
- To discuss evidence-based therapeutic strategies for anxiety disorders.
Main Methods:
- Review of clinical presentation of anxiety disorders in primary care.
- Discussion of diagnostic challenges and referral pathways.
- Overview of evidence-based treatments including psychotherapy and pharmacotherapy.
Main Results:
- Somatic complaints are common initial presentations of anxiety disorders.
- Timely identification can be facilitated by recognizing specific clinical indicators.
- Cognitive-behavioral therapy and SSRIs are effective first-line treatments.
Conclusions:
- Early recognition of anxiety disorders in non-psychiatric settings is essential.
- Integrated treatment approaches combining psychoeducation, CBT, and pharmacotherapy improve outcomes.
- Complete symptom remission is achievable with appropriate evidence-based interventions.
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1. Benzodiazepines:
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