REVIEW – October 2002

Diagnosis and treatment of anxiety disorders in primary care

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Abstract

Anxiety disorders are prevalent and serious conditions. Up to 25% of population may experience significant anxiety symptoms during lifetime. The main anxietydisorders are panic disorder, generalized anxiety disorder and social anxiety disorder, however, in general practice quite common are less distinct anxiety states and mixed symptoms of anxiety and depression. Most patients suffering form anxiety seek help from their family physician. Often there is a substantial delay until anxiety disorder is recognized and properly treated.
This results in poor prognosis and the high cost of medical  resources related to diagnostic procedures and frequent visits, and the health risks of chronic anxiety. Early interventions using evidence-based pharmacological and psychological treatments usually lead to significant improvement or recovery in most of the patients. The current review presents contemporary views on the neurobiology of anxiety disorders, as well as diagnostic algorithm and evidence-based guidelines for their effective management.