Mental health articles

OF mental health care and mentally ill

anxiety

Treatment efficacy: generalized anxiety disorder

Treatment efficacy: generalized anxiety disorder The NHS Centre for Reviews and Dissemination’s meta-analysis of the comparative efficacy of treatments for generalized anxiety disorder (2002e) found that both CBT and pharmacotherapy (predominantly drugs classed as benzodiazepines) are ‘effective treatments for GAD and that both yielded relatively large effect sizes on measures of anxiety severity at posttreatment’. […]

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Case study: generalized anxiety disorder

Case study: generalized anxiety disorder Andrew was a 49-year-old tradesman who reported feeling worked up, tense and worried for most of his waking day. He had difficulty sleeping, particularly getting off to sleep. His chief complaint was that he was unable to stop worrying about ‘stupid little things’ that, he considered, most people would take […]

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Treatment efficacy: health anxiety

Unfortunately, neither The NHS Centre for Reviews and Dissemination nor the Cochrane Database of Systematic Reviews databases have examined the efficacy of treatments for health anxiety. However, a review of the clinical trials registered on the Cochrane Controlled Trials Register suggests that CBT approaches are effective. Two recent clinical trials (Bouman and Visser 1998; Visser […]

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generalized anxiety disorder definition and diagnosis

Definition and diagnosis Generalized anxiety disorder is diagnosed using DSM IV (APA 1994) criteria if the following are seen: 1Excessive anxiety and worry (apprehensive expectation), occurring more days than not for at least six months, about a number of events or activities (such as work or school performance). 2The person finds it difficult to control […]

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What is Generalized anxiety disorder?

Generalized anxiety disorder (GAD) is characterized by apprehensive worry and physical symptoms of restlessness, fatigue, impaired concentration, irritability, muscle tension and/or insomnia. The main cognitive symptom of worry is defined by Wells and Butler: ‘Worry occurs as a chain of thoughts, which have a negative affect component. It is concerned with future events where there […]

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Anxiety disorders in older adults

Anxiety disorders are as common in older adults as they are in younger populations (10–15%) with substantial numbers presenting to primary care (10–18%). There is evidence that anxiety disorders are recognised and treated even less often than depression, with the physiological symptoms (Box 15.5) being frequently over-investigated. Generalised anxiety disorder and specifi c phobias are […]

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Finitions of anxiety and symptoms

Marks  suggests that fear can be seen as a ‘usually unpleasant response to realistic danger’, whereas anxiety is ‘similar to fear but without objective source of danger’. A phobia is fear of a situation, which is out of proportion to the actual danger and cannot be explained or reasoned away. Panic is a sudden upsurge […]

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Definitions of anxiety and related concepts

 Marks (1987: 5) suggests that fear can be seen as a ‘usually unpleasant response to realistic danger’, whereas anxiety is ‘similar to fear but without objective source of danger’. A phobia is fear of a situation, which is out of proportion to the actual danger and cannot be explained or reasoned away. Panic is a […]

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general anxiety disorder symptoms

Generalised anxiety disorder (GAD) results in 27% of people being referred to apsychiatrist for consultation by their general practitioner (GP). Eight per cent of patients seen in the psychiatric out-patient clinic will presentwith GAD. It is more prevalent in females than males. GAD can be acute or chronic,the latter being prevalent for a period of […]

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Anti-anxiety and sedative-hypnotic drugs

Benzodiazepines are the most widely prescribed group of drugs in the world although in recent years their popularity has waned because of their potential to cause tolerance and dependence. Benzodiazepines have a wide range of uses including anxiety, anxiety-related phobias, alcohol withdrawal and sleep disorders. They are also widely used in the treatment of acute […]

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