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Although less empirical attention has been directed toward improving treatment of anxiety disorders in primary care, Stanley et al. [28] found 8 sessions of CBT delivered in a co-located model, superior to usual care for generalized anxiety disorder. Additionally, a collaborative care approach that packaged brief CBT with pharmacotherapy ...
The Daily Assessment of Symptoms – Anxiety (DAS-A) questionnaire was specifically developed to detect reduction of anxiety symptoms in patients with generalized anxiety disorder (GAD) during the first week of treatment. [1] It is also meant to help those suffering from certain symptoms identify and recognize that they are experiencing anxiety.
Post-traumatic stress disorder (PTSD) may develop following exposure to an extremely threatening or horrific event.It is characterized by several of the following signs or symptoms: unwanted re-experiencing of the traumatic event—such as vivid, intense, and emotion-laden intrusive memories—dissociative flashback episodes, or nightmares; active avoidance of thoughts, memories, or reminders ...
Virtual Vietnam was used as a graduated exposure therapy treatment for Vietnam veterans meeting the qualification criteria for PTSD. A 50-year-old Caucasian male was the first veteran studied. The preliminary results concluded improvement post-treatment across all measures of PTSD and maintenance of the gains at the six-month follow up.
However, guidelines suggest using sertraline first due to its cost-effectiveness compared to other SSRIs used for generalized anxiety disorder and a lower risk of withdrawal compared to SNRIs. If sertraline is found to be ineffective, then it is recommended to try another SSRI or SNRI.
Evidence-based, trauma-focused psychotherapy is the first-line treatment for PTSD. [8] [9] [6] Psychotherapy is defined as a treatment where a therapist and patient build a therapeutic relationship and focus on the patient's thoughts, attitudes, affect, behavior, and social development to lessen the patient's psychopathologies and functional impairment.
Generalized Anxiety Disorder scale (GAD-7) [57] Hamilton Rating Scale for Anxiety (HAM-A) Unlike most other psychological symptom scales listed in this section, clinicians use this scale to help evaluate the mental health of people, usually under treatment, who have been diagnosed with an anxiety disorder; it is not used with the general ...
Scores correlate with the Beck Anxiety Inventory (r= .72) and the anxiety subscale of the SCL-90 (r=.74). [2] Discriminative validity Too excellent AUC for detecting generalized anxiety disorder was .91, for panic disorder AUC= .85 for panic disorder, AUC=.83 for social anxiety disorder, and AUC=.83 for PTSD. [2] Validity generalization Good