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Treatment of Anxiety ( GAD and Panic )

In this article , we will discuss the methods of treatment of Anxiety disorders including Generalized Anxiety disorder ( GAD ) and Panic disorder .
So, let's answer that question :

What is the course of treatment of Anxiety and Panic disorders ?



1. Psychotherapy:

To ventilate all his conflicts & through suggestion, reassurance & guidance getting him to overcome his anxiety, group psychotherapy may be used.

2. Environmental & social manipulations:

to remove the patient from the disturbing factors.

3. Slow breathing to reduce phvsical symptoms of anxiety :

- Breath in for 4 seconds & out for 4 seconds & pause for 4 seconds
before breathing in again.
- Practice 20 min at the morning or night.
- It is used before & during situations that make you anxious.

4. Drugs:

A) Generalized anxiety disorders

Benzodiazepines
- Diazepam 2-10 mg / 8 hr but should be reduced & tailed off after 3 weeks, otherwise dependence may occur.

Non benzodiazepines:
- Buspirone (Buspar) 5-10 mg bid.

Antidepressants e.g. amitriptvline 10-100 mg at night.

SSRls e.g. fluoxetine (prozac) 20m)d.
Propranolol (Inderal) 30-60 mg / day controls autonomic manifestations.

B) Panic disorders

Tricyclic anti-depressant
e.g. clomipramine (Anafranil 25 mg tab) 100-150 mg/D

Selective serotonine reuptake inhibitors (SSRls)
- Fluoxetine (Prozac) 20 mg/D
- Citalopram (Cipram) 20 mg/D
- Sertraline (Lustural) 50 mg/D

Benzodiazepines
- Alprazolam (Xanax®) 0.25-0.5 mg/d

Non benzodiazepines e.g. Buspirone (Buspar)
Beta-blockers (Propranolol)
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Tamer Mobarak

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