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Anxiety is a common mental disorder featuring excessive worry, fear, and apprehension, significantly affecting daily life. People with anxiety disorders experience persistent and intense anxiety, interrupting their everyday functioning.
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Anxiety in Later Life.

Ruchi Aggarwal1, Mark Kunik1, Ali Asghar-Ali1

  • 1The authors are with the Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston. Dr. Aggarwal is also with the Mental Health Careline, Michael E. DeBakey Veterans Affairs Medical Center (VAMC), Houston. Dr. Asghar-Ali is also with the South Central Mental Illness Research, Education and Clinical Center, and Dr. Kunik is also chief of the Behavioral Health and Implementation Program, VA Health Services Research and Development (HSR&D) Center for Innovations in Quality, Effectiveness, and Safety, Michael E. DeBakey VAMC.

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Anxiety disorders in older adults present uniquely, complicating diagnosis and treatment. This review offers recommendations for clinicians managing diverse anxiety conditions in this population.

Keywords:
anxietygeneralized anxiety disordergeriatric psychiatrypanic disordersocial anxiety disorderspecific phobias

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Area of Science:

  • Geriatric Psychiatry
  • Clinical Psychology
  • Neuroscience

Background:

  • Anxiety disorders are common in older adults, presenting similarly to younger adults but with unique manifestations.
  • Specific challenges include fear of falling and anxiety associated with neurocognitive disorders.
  • Subthreshold anxiety symptoms in older adults also warrant clinical attention.

Purpose of the Study:

  • To summarize the literature on anxiety disorder presentations in later life.
  • To provide key recommendations for clinicians diagnosing and treating anxiety in older populations.

Main Methods:

  • Literature review of anxiety disorders in older adults.
  • Synthesis of current research on diagnosis and treatment.
  • Development of clinical recommendations.

Main Results:

  • Anxiety disorders in older adults encompass common types (GAD, panic, phobias, social anxiety) and unique forms (fear of falling, neurocognitive disorder-related anxiety).
  • Diagnosis and treatment are more complex in this demographic.
  • Subthreshold symptoms are prevalent and manageable.

Conclusions:

  • Clinicians require specialized knowledge to address the diverse spectrum of anxiety disorders in older adults.
  • Effective management strategies are crucial for improving the quality of life for aging individuals with anxiety.
  • Further research and clinical guidelines are needed to support this growing population.