bkdaniels
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Apr 22, 2005, 7:17 PM
Post #3 of 13
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Hey vaguy, how are you doing?
Acute anxiety can effectively be treated with the passage of time, social support, and a short course of fast-acting anxiolytics, preferably a benzodiazepine. Chronic anxiety often requires a comprehensive approach utilizing psychotherapy, counseling, and a wider spectrum of anxiolytics (eg, benzodiazepines, buspirone, antidepressants).
When pathologic, it can exist as a primary disorder, or it can be associated with medical illness, neurologic syndromes, or other primary psychiatric illnesses (eg, depression, psychosis). The 3 major theories regarding the etiology of anxiety are the psychoanalytical, behavioral, and biological theories.
A patient with a classic panic attack experiences at least 4 of the following symptoms: palpitations, diaphoresis, tremulousness, shortness of breath, chest pain, dizziness, nausea, abdominal discomfort, fear of injury or going crazy, derealization (perception of altered reality), and depersonalization (perception that one's body is surreal). All anxious patients with suicidal ideation, homicidal ideation, or acute psychosis require emergent psychiatric consultation.
For excellent patient education resources, visit eMedicine's Anxiety Center. Also, see eMedicine's patient education articles, Anxiety, Panic Attacks, and Hyperventilation. www.emedicinehealth.com/articles/18885-1.asp
Best wishes,
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