Anxiety Disorders: A Pocket Guide For Primary Care (Current by John Vanin, James Helsley, D.M. Morgan

By John Vanin, James Helsley, D.M. Morgan

This pocket consultant is designed to assist the first care practitioner realize, diagnose, and deal with nervousness problems in a hectic medical perform. It offers an easy-to-follow, step by step procedure, and provides sensible issues according to either genuine patient-care adventure and evaluation of present clinical literature. The consultant contains beneficial chapters on psychopharmacology, psychopharmacotherapy, and psychologic remedy for the nervousness disorders.

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Extra resources for Anxiety Disorders: A Pocket Guide For Primary Care (Current Clinical Practice)

Sample text

Would you say that being anxious or uncomfortable around other people is a problem in your life? Yes No 4. Did you have a period of one week or more when you lost interest in most things like work, hobbies, and other things you usually enjoyed? Yes No 5. Some people have terrible experiences happen to them, like being attacked or threatened with a weapon; being in a fire or a bad traffic accident; being sexually assaulted; or seeing someone being badly injured or killed. Has anything like this ever happened to you?

Vol. 1. Philadelphia: Lippincott Williams & Wilkins, 2005:1720–1728. 2. Grillon C. Anxiety disorders: psychophysiological aspects. In: Sadock BJ, Sadock VA, eds. , vol. 1. Philadelphia: Lippincott Williams & Wilkins, 1728–1739. BRIEF PSYCHIATRIC HISTORY AND MENTAL STATUS EXAMINATION 37 3. American Psychiatric Association. , text revision. Washington, DC: American Psychiatric Association, 2000. 4. American Psychiatric Association. Practice Guidelines for Psychiatric Evaluation of Adults, 1995.

The primary care practitioner wants to avoid underdosing and an unsatisfactory response, but also must monitor for overdosing that may result in toxicity. A common clinical error is the treatment of specific symptoms instead of treating the underlying disorder or syndrome. Sometimes this may seem like the right clinical approach at the time, and at other times this approach may be secondary to frustration. 7. Factors affecting variability of medication doses and effects • • • • • • • • • • • • Physiology Age Gender Culture Illness/severity Comorbidity Drug metabolizing enzymes Renal function GI function/food Concomitant use of other drugs/interactions Active metabolites Pharmacogenetics (study of the genetic basis for differences in drug effects) Adapted from ref.

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