Ministry of Health Clinical Practice Guidelines: Anxiety Disorders

Lim, Linda; Chan, Hong Ngee; Chew, Peng Hoe; Chua, Sze Ming; Ho, Carolyn Y.; Kwek, Seow Khee; Lee, Tih Shih; Loh, Patricia; Lum, Alvin; Tan, Yong Hui Colin; Wan, Yi Min; Woo, Matthew; Yap, Hwa Ling

doi:10.11622/smedj.2015088

“…Psychological treatment [Lim L., et al, 2015] 4 for an anxious patient may be in the form of simple interventions that can be employed easily even in a busy clinic setting.…”

Section: What Can I Do Practically For the Patient? 4-1 Psychological Therapymentioning

confidence: 99%

“…the following will be covered: panic disorder and panic attacks; agoraphobia; social anxiety disorder (SAD); and generalized anxiety disorder (GAD). reviewed namely, the Australian New Zealand guideline (2018) 2 , the Singapore MOH guideline (2015) 3,4 , and the Canadian guideline (2014) 5 . Useful and new information from these guidelines have been included into this article where relevant.…”

Section: Introductionmentioning

confidence: 99%

Anxiety Disorders - Assessment and Management in General Practice

Kyrios

¹

,

Mouding²,

Nedeljkovic³

2021

SFP

3

0

View full text Add to dashboard Cite

The objective of this article is to provide an update on the diagnosis, assessment, and management of anxiety disorders in adults. This article covers the following disorders: panic disorder, panic attacks, specific phobia, social anxiety disorder and generalized anxiety disorder. Selective mutism and separation anxiety disorder, being childhood anxiety disorders, will not be covered. Obsessive compulsive disorder and post-traumatic stress disorder, which are not categorized as anxiety disorders in DSM-5, will not be covered.Anxiety and related disorders are common mental health disorders but are under-diagnosed and undertreated. Most cases of anxiety disorders present first to the primary care physician and can be managed in primary care.It is important to take a detailed history of the patient's symptoms and their severity and duration, enquire about psychosocial stressors, as well as symptoms that may be suggestive of a medical condition and also to assess suicidality. A combined approach of psycho-education, relaxation training, and medications give the best results. SSRIs are first line pharmacologic treatment for most anxiety disorders. There is a need to stress that benzodiazepines have no role in the longterm treatment of anxiety disorders. They should not be given for more than 2 to 4 weeks. Treatment for generalized anxiety disorder should be for at least 32 weeks as high relapse rates are reported after discontinuing medications.

show abstract

“…Three recently published CPGs on anxiety disorders were reviewed namely, the Australian New Zealand guideline (2018) 2 , the Singapore MOH guideline (2015) 3,4 , and the Canadian guideline (2014) 5 . Useful and new information from these guidelines have been included into this article where relevant.…”

Section: -Obsessive-compulsivementioning

confidence: 99%

Anxiety Disorders - Assessment and Management in General Practice

Soo¹

2019

SFP

2

0

View full text Add to dashboard Cite

The objective of this article is to provide an update on the diagnosis, assessment, and management of anxiety disorders in adults. This article covers the following disorders: panic disorder, panic attacks, specific phobia, social anxiety disorder and generalized anxiety disorder. Selective mutism and separation anxiety disorder, being childhood anxiety disorders, will not be covered. Obsessive compulsive disorder and post-traumatic stress disorder, which are not categorized as anxiety disorders in DSM-5, will not be covered.Anxiety and related disorders are common mental health disorders but are under-diagnosed and undertreated. Most cases of anxiety disorders present first to the primary care physician and can be managed in primary care.It is important to take a detailed history of the patient's symptoms and their severity and duration, enquire about psychosocial stressors, as well as symptoms that may be suggestive of a medical condition and also to assess suicidality. A combined approach of psycho-education, relaxation training, and medications give the best results. SSRIs are first line pharmacologic treatment for most anxiety disorders. There is a need to stress that benzodiazepines have no role in the longterm treatment of anxiety disorders. They should not be given for more than 2 to 4 weeks. Treatment for generalized anxiety disorder should be for at least 32 weeks as high relapse rates are reported after discontinuing medications.

show abstract

“…Three recently published CPGs on anxiety disorders were reviewed; namely, the Australian New Zealand guideline (2018), 2 the Singapore MOH guideline (2015), 2,3 and the Canadian guideline (2014). 4 Useful and new information from these guidelines have been included into this article where relevant.…”

Section: Introductionmentioning

confidence: 99%

Anxiety Disorders - Assessment and Management in General Practice

2022

SFP

0

View full text Add to dashboard Cite

The objective of this article is to provide an update on the diagnosis, assessment, and management of anxiety disorders in adults. This article covers the following disorders: panic disorder, panic attacks, specific phobia, social anxiety disorder, and generalised anxiety disorder. Childhood anxiety disorders such as selective mutism and separation anxiety disorder will not be covered. Obsessive compulsive disorder and post-traumatic stress disorder, which are not categorised as anxiety disorders in DSM-5, will not be covered as well.Anxiety and related disorders are common mental health disorders but are under-diagnosed and undertreated. Most cases of anxiety disorders present first to the primary care physician and can be managed in primary care.It is important to take a detailed history of the patient's severity and duration of symptoms, enquire about psychosocial stressors and symptoms that may be suggestive of a medical condition, as well as assess suicidality. A combined approach of psychoeducation, relaxation training, and medications give the best results. SSRIs are first-line pharmacologic treatment for most anxiety disorders. There is a need to stress that benzodiazepines have no role in the long-term treatment of anxiety disorders. They should not be given for more than two to four weeks. Treatment for generalised anxiety disorder should be for at least 32 weeks as high relapse rates are reported after discontinuing medications

show abstract

Ministry of Health Clinical Practice Guidelines: Anxiety Disorders

Cited by 17 publications

References 0 publications

Anxiety Disorders - Assessment and Management in General Practice

Anxiety Disorders - Assessment and Management in General Practice

Anxiety Disorders - Assessment and Management in General Practice

Anxiety Disorders - Assessment and Management in General Practice

Contact Info

Product

Resources

About