All::Psychiatry::Diseases::Generalised anxiety disorder and panic disorder

Intro

What are possible differential diagnosis of Generalised anxiety disorder?

  • hyperthyroidism
  • cardiac disease
  • medication-induced anxiety

What medications can trigger anxiety?

  • salbutamol
  • theophylline
  • corticosteroids
  • antidepressants
  • caffeine

What is the step-wise treatment for Generalised anxiety disorder?

  • 1: education about GAD + active monitoring
  • 2: low-intensity psychological interventions (individual non-facilitated self-help or individual guided self-help or psychoeducational groups)
  • 3: high-intensity psychological interventions (cognitive behavioural therapy or applied relaxation) or drug treatment
  • 4: highly specialist input

What is the first line medication for Generalised anxiety disorder?

sertraline

What is the second line medication for Generalised anxiety disorder?

Alternative SSRI or SNRI

In Generalised anxiety disorder if SSRIs and SNRI are ineffective or not tolerated what is the next step?

pregabalin