oa SA Pharmaceutical Journal - Worry, anxiety and tension - importance, identification and management in primary care : clinical

Volume 73, Issue 9
  • ISSN : 2221-5875
  • E-ISSN: 2220-1017



Worry is abnormal if it is excessively distressing or persistent. <br>A total of 25% of primary care visits relate to anxiety and depression. <br>Enquiry about symptoms is central to more effective identification. <br>Populations with a higher risk for anxiety include children, women in the post-partum period, the chronically ill and the elderly. <br>Comprehensive evaluation and examination is essential for appropriate management. <br>SSRIs are recommended first-line treatments for anxiety disorders. <br>Benzodiazepines may be helpful for short-term relief of symptoms. <br>CBT may be particularly helpful for relapse prevention. <br>Referral to a specialist is necessary in cases of failure to respond to treatment and in those of complex co-morbidity.

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