TY - JOUR T1 - Brief Intervention for Anxiety in Primary Care Patients JF - The Journal of the American Board of Family Medicine JO - J Am Board Fam Med SP - 175 LP - 186 DO - 10.3122/jabfm.2009.02.080078 VL - 22 IS - 2 AU - Peter Roy-Byrne AU - Jason P. Veitengruber AU - Alexander Bystritsky AU - Mark J. Edlund AU - Greer Sullivan AU - Michelle G. Craske AU - Stacy Shaw Welch AU - Raphael Rose AU - Murray B. Stein Y1 - 2009/03/01 UR - http://www.jabfm.org/content/22/2/175.abstract N2 - To address the difficulty of assessing and managing multiple anxiety disorders in the primary care setting, this article provides a simple, easy-to-learn, unified approach to the diagnosis, care management, and pharmacotherapy of the 4 most common anxiety disorders found in primary care: panic, generalized anxiety disorders, social anxiety disorders, and posttraumatic stress disorder. This evidence-based approach was developed for an ongoing National Institute of Mental Health-funded study designed to improve the delivery of evidence-based medication and psychotherapy treatment to primary care patients with these anxiety disorders. We present a simple, validated method to screen for the 4 major disorders that emphasizes identifying other medical or psychiatric comorbidities that can complicate treatment; an approach for initial education of the patient and discussion about treatment, including provision of some simple cognitive behavioral therapy skills, based on motivational interviewing/brief intervention approaches previously used for substance use disorders; a validated method for monitoring treatment outcome; and an algorithmic approach for the selection of initial medication treatment, the selection of alternative or adjunctive treatments when the initial approach has not produced optimal results, and indications for mental health referral. ER -