Anxiety (Generalized Anxiety Disorder)

Reviewed 06/2017
 


BASICS

DESCRIPTION

  • A condition characterized by persistent, excessive, and difficult-to-control worry associated with significant symptoms of motor tension, autonomic hyperactivity, and/or disturbances...

DIAGNOSIS

HISTORY

  • Diagnosis is primarily made through history taking. Pathologic anxiety must be distinguished from normal anxiety reactions.

  • DSM-5 criteria are as follows:

    • ▪ Symptoms of excessive anxiet...

TREATMENT

GENERAL MEASURES

  • Assess for suicidality given increased risk.

  • Identify and treat coexisting substance abuse and other psychiatric conditions.

  • Psychoeducation recommended for all patients

  • Start e...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Follow up within 2 to 4 weeks from starting new medications.

  • Medications should be continued past the initial period of response and probably for...

REFERENCES

Hilbert  K, Leuken  U, Beesdo-Baum  K. Neural structures, functioning and connectivity in generalized anxiety disorder and interaction with neuroendocrine systems: a systematic review. J A...

SEE ALSO

Algorithms: Depressive Episode, Major; Anxiety 

CODES

ICD10

  • F41.9 Anxiety disorder, unspecified

  • F41.1 Generalized anxiety disorder

  • F41.8 Other specified anxiety disorders

  • F41.0Panic disorder without agoraphobia

  • F41.3 Other mixed anxiety disorders

ICD9

  • 300...

CLINICAL PEARLS

  • Psychiatric comorbidities, especially depression, are extremely common with GAD; patients are at increased risk for suicidality.

  • CBT and SSRIs (possibly in combination) are the treatmen...

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