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Related Experiment Videos

Anxiety and alcoholism.

M I Linnoila1

  • 1Division of Intramural Clinical and Biological Research, National Institute on Alcohol Abuse and Alcoholism, Bethesda, Md. 20892.

The Journal of Clinical Psychiatry
|November 1, 1989
PubMed
Summary

Anxiety disorders, particularly panic attacks, are common in alcohol dependence. Effective treatments include specific antidepressants and benzodiazepines for withdrawal symptoms, but not for alcohol dependence itself.

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Area of Science:

  • Psychiatry
  • Neuroscience
  • Addiction Medicine

Background:

  • Alcohol dependence frequently co-occurs with mental health conditions like anxiety, depression, and insomnia.
  • Panic attacks, with or without agoraphobia, are particularly common in individuals with alcohol use disorder.
  • Recognizing and managing anxiety disorders is crucial for comprehensive patient care.

Purpose of the Study:

  • To review the prevalence and treatment of anxiety disorders in patients with alcohol dependence.
  • To discuss the role of pharmacotherapy in managing panic disorder and alcohol withdrawal symptoms.

Main Methods:

  • Literature review of studies on anxiety disorders and alcohol dependence.
  • Analysis of treatment guidelines and clinical evidence for pharmacologic interventions.

Main Results:

  • Panic disorder is highly prevalent in alcohol-dependent populations.
  • Recommended treatments for panic disorder include monoamine oxidase inhibitors, tricyclic antidepressants, and alprazolam.
  • Benzodiazepines are effective for managing alcohol withdrawal symptoms, including noradrenergic and hypothalamic-pituitary-adrenocortical overactivity, seizures, and delirium tremens.

Conclusions:

  • Anxiety disorders require specific clinical attention in patients with alcohol dependence.
  • Pharmacological treatments exist for panic disorder and alcohol withdrawal, but benzodiazepines are not indicated for treating alcohol dependence itself.

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