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Anxiety Disorders A Pocket Guide For Primary Care

:	John Vanin, James Helsley
:	Anxiety Disorders A Pocket Guide For Primary Care
:	Humana Press
:	9781597452632
:	1
:	CHF 47.50
:

:	Klinische Fächer
:	English

:	266
:	Wasserzeichen/DRM
:	PC/MAC/eReader/Tablet
:	PDF

This pocket guide is designed to help the primary care practitioner recognize, diagnose, and manage anxiety disorders in a busy clinical practice. It presents an easy-to-follow, step-by-step approach, and offers practical points based on both real patient-care experience and review of current medical literature. The guide includes helpful chapters on psychopharmacology, psychopharmacotherapy, and psychologic treatment for the anxiety disorders.

	Series Editor’s Introduction	6
	Foreword	8
	Preface	10
	Acknowledgments	14
	Table of Contents	16
	Contributors	18
	Overview of Anxiety and the Anxiety Disorders	19
	Anxiety Disorders	21
	Biopsychosocial Factors	24
	Understanding Fear And Anxiety	25
	Anxiety: Neurons And Neurochemistry	27
	How A Neuron Works	28
	Serotonin System	28
	Norepinephrine (Noradrenergic) System	28
	gama-Aminobutyric Acid	29
	Treatment Of Anxiety Disorders	29
	History of Treatment	29
	Primary Care Assessment	29
	Treatment Modalities	30
	Psychotherapy	31
	Pharmacotherapy	31
	Education	32
	Principles of Psychopharmacotherapy	32
	When to Seek Assistance from a Mental Health Professional	33
	References	35
	Brief Psychiatric History and Mental Status Examination	37
	Evaluating Anxiety Disorders	37
	Diagnosis of Anxiety Disorders	38
	Screening for Anxiety Disorders	41
	Anxiety Disorders and General Medical Disorders	44
	Brief Psychiatric Evaluation	45
	Psychiatric History	47
	Anxiety Disorder Screening Instruments	48
	Primary Care Psychiatric Evaluation Guideline (PCPEG)	51
	Chief Complaint/Reason for Evaluation	51
	History of Present Illness	51
	Past History	51
	Current Medications	52
	Allergies	52
	Substance Use	52
	Personal/Social History	52
	Family History	52
	Review of Systems	52
	Physical Examination	52
	Mental Status Examination	53
	Functional Assessment/Differential Diagnosis	53
	Treatment Plan	53
	References	54
	Psychopharmacology	57
	Neurotransmitters	58
	Receptors	59
	Serotonergic System	59
	Serotonin Receptors	60
	Noradrenergic System	61
	Dopaminergic System	61
	Cholinergic System	62
	Gabaergic System	63
	Glutamatergic System	63
	Neuropeptides	64
	Pharmacokinetics and Pharmacodynamics	65
	Pharmacokinetics	66
	Absorption	67
	Distribution	73
	Metabolism	74
	Elimination	74
	Multiple Dosing and Steady State	75
	Pharmacodynamics	76
	Tolerance	77
	Dose-Effect Relationship Variability	77
	Summary	79
	References	79
	Psychopharmacotherapy	81
	History of Anxiolytics	81
	Treatment	83
	Pharmacotherapy	84
	Antidepressants	84
	Selective Serotonin Reuptake Inhibitors	84
	Pregnancy and Lactation	96
	Serotonin-Norepinephrine Reuptake Inhibitors	99
	Benzodiazepines	102
	Clinical Characteristics	104
	Mechanism of Action	105
	Pharmacokinetics	106
	Adverse Effects	107
	Drug Interactions	107
	Tolerance	108
	Physical Dependence, Discontinuation, and Abuse	108
	Pregnancy	110
	Azapirones: Buspirone	113
	Action	114
	Pharmacokinetics	114
	Clinical Use	115
	Adverse Effects	115
	Tricyclic Antidepressants	116
	Pharmacokinetics	117
	Clinical Use	118
	Adverse Effects and Risks	118
	Metabolism and Drug Interactions	120
	Pregnancy and Lactation	121
	Monoamine Oxidase Inhibitors	121
	Use in Anxiety Disorders	122
	Side Effects and Interactions	122
	Hydroxyzine	123
	Adverse Effects	124
	Other Medications for Common Anxiety Disorders	124
	Generalized Anxiety Disorder	124
	Social Anxiety Disorder	125
	Panic Disorder	125
	Obsessive-Compulsive Disorder	125
	Posttraumatic Stress Disorder	125
	Summary	126
	References	126
	Psychotherapy	131
	Psychotherapeutic Approaches	132
	Insight-Oriented Psychotherapy	132
	Person-Centered Psychotherapy	132
	Behavior Therapy	133
	Cognitive Therapy	133
	Efficacy and Effectiveness of Psychotherapy in Treating Anxiety Disorders	133
	Cognitive Behavior Therapy Approach for Treating Anxiety Disorders	138
	Evaluation and Education	138
	Skills Acquisition	139
	Exposure Therapy	140
	Collaboration Between Primary Care practitioners And Psychotherapists	141
	Making the Referral	142
	Medication Management	142
	Monitoring Progress in Psychotherapy	143
	Summary	145
	References	146
	Adjustment Disorder with Anxiety	147
	Associated Features	148
	Epidemiology	149
	Course and Prognosis	149
	Etiology	149
	Differential Diagnosis	150