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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.
Abstract:
The spectrum of anxiety disorders occurring in later life is diverse and includes the same disorders that occur with younger adults-such as generalized anxiety disorder, panic disorder, specific phobias, and social anxiety disorder-but also unique presentations, including a fear of falling and the anxiety often seen in various neurocognitive disorders. Therefore, diagnosis and treatment are arguably more challenging in older populations. In addition, many older adults have subthreshold symptoms that can benefit from proper management. This article summarizes the literature on anxiety disorder presentations in later life and offers key recommendations to assist clinicians working with this growing population.
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