Anxiety Disorders in Adults: A Clinical Guide by Vladan Starcevic MD PhD

By Vladan Starcevic MD PhD

All of the grownup anxiousness issues (panic disease, generalized nervousness ailment, social anxiousness ailment, particular phobias, obsessive-compulsive ailment and posttraumatic rigidity ailment) is gifted in a separate bankruptcy of this quantity. because the wealthy description of every disease is a prerequisite for his or her attractiveness, realizing and prognosis, the e-book makes a speciality of medical positive factors, psychopathology and the corresponding conceptual concerns. there's additionally an emphasis of etiological components, pathogenetic tactics, and pharmacological and mental remedies of every anxiousness ailment, as enough therapy relies crucially at the clinician's figuring out of the origins of those stipulations and the methods fascinated by their prevalence. the quantity is guided by way of a realistic have to current the anxiousness problems as they take place and as they're handled within the "real world." As such, this paintings is meant to be a state of the art reference for medical perform, aiming to stability and combine what's at present recognized approximately anxiousness issues and their therapy. It comprises descriptions of the suitable diagnostic and healing tactics, sensible information, and remedy thoughts for the widely encountered scientific occasions. The ebook is most beneficial to psychiatrists, fundamental care physicians, medical psychologists, different psychological medical experts, and physicians in education. it's also of curiosity to a common viewers.

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As for agoraphobia, it is far more frequently encountered as part of panic disorder than as a condition unrelated to panic disorder. , 1995). , 1991, 1994). Also, the higher prevalence of panic disorder among women was consistently found in different countries. 5-3:1 (Katerndahl and Realini, 1993). This suggests that women are more likely to seek help for panic disorder, either because panic disorder is more severe in women (especially when agoraphobia co-occurs with panic disorder) or because they are generally more likely to seek help for health-related problems.

1988). Such a common co-occurrence of panic disorder with depression has important implications in that panic patients need to be monitored for any symptoms and signs of depression and adequately treated if they develop depression. , 1994). The impairment in patients who suffer from both panic disorder and depression is greater than that in those who suffer from either condition alone (Scheibe and Albus, 1994); moreover, the presence of depression affects negatively the course and outcome of panic disorder (Scheibe and Albus, 1994).

TABLE 2-12. Sequential Three-Step Process in Organic Work-up of Panic Patients 1. Diagnostic investigations for all panic patients 1. Routine physical examination 2. Routine laboratory testing (complete blood count, electrolytes, calcium, glycemia) 3. Thyroid function tests (levels of serum T3, T4, and TSH) 2. Additional diagnostic investigations for panic patients with recurrent, specific, and/or severe symptoms, such as chest pain, abnormalities in cardiac rhythm, dizziness, and depersonalization phenomena 1.

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