RT Journal Article
SR Electronic
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
FD American Board of Family Medicine
SP 175
OP 186
DO 10.3122/jabfm.2009.02.080078
VO 22
IS 2
A1 Roy-Byrne, Peter
A1 Veitengruber, Jason P.
A1 Bystritsky, Alexander
A1 Edlund, Mark J.
A1 Sullivan, Greer
A1 Craske, Michelle G.
A1 Welch, Stacy Shaw
A1 Rose, Raphael
A1 Stein, Murray B.
YR 2009
UL http://www.jabfm.org/content/22/2/175.abstract
AB 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.