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Anxiety disorders in primary care

M K Shear1, H C Schulberg

  • 1Department of Psychiatry, University of Pittsburgh School of Medicine, PA 15213, USA.

Bulletin of the Menninger Clinic
|January 1, 1995
PubMed
Summary

Anxiety disorders are common in primary care, but often missed. This review highlights the need for better recognition and treatment strategies for anxiety in general medical settings.

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Area of Science:

  • Psychiatry
  • General Medicine
  • Primary Care

Background:

  • Anxiety disorders are frequently encountered in primary care settings.
  • Primary care providers (PCPs) face challenges in recognizing and effectively treating anxiety disorders.
  • Anxiety symptoms can manifest differently in primary care compared to specialized mental health settings.

Purpose of the Study:

  • To review the prevalence of anxiety in the community and primary care.
  • To describe the presentation of anxiety disorders in primary care.
  • To provide strategies for improving recognition and treatment of anxiety and depression by PCPs.

Main Methods:

  • Literature review on anxiety disorder prevalence.
  • Analysis of anxiety disorder presentation in primary care.
  • Synthesis of evidence-based treatment strategies for PCPs.

Main Results:

  • Anxiety disorders are as common in primary care as in mental health settings.
  • Specific clinical presentations in primary care may obscure diagnosis.
  • Effective screening and treatment protocols can be implemented by PCPs.

Conclusions:

  • There is a critical need to enhance the capacity of primary care to manage anxiety disorders.
  • Dissemination of evidence-based recognition and treatment approaches to primary care is essential.
  • Improved primary care management of anxiety can reduce patient suffering and healthcare costs.

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