By John Vanin, James Helsley, D.M. Morgan
This pocket consultant is designed to aid the first care practitioner realize, diagnose, and deal with anxiousness issues in a hectic medical perform. It offers an easy-to-follow, step by step method, and provides useful issues according to either genuine patient-care event and evaluation of present clinical literature. The advisor comprises useful chapters on psychopharmacology, psychopharmacotherapy, and psychologic therapy for the nervousness disorders.
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Additional info for Anxiety Disorders: A Pocket Guide For Primary Care (Current Clinical Practice)
Serotonin can both cause and relieve anxiety, depending on the area of the brain and the receptor subtype involved. 5-HT2A receptors mediate most anxiety producing effects, and 5-HT1A receptors are involved in antianxiety effects and perhaps adaptive responses . 2. Serotonin (5-HT) receptors and subtypes 5-HT1 receptor • 5-HT1A, B, D, E, F 5-HT1A—clinical relevance includes anxiolytic effect 5-HT2 receptor • 5-HT2A, B, C 5-HT2C—clinical relevance includes regulation of anxiety 5-HT3 receptor 5-HT4 receptor—clinical relevance includes modulation of anxiety 5-HT5 receptor • 5-HT alpha, beta 5-HT6 receptor 5-HT7 receptor—possible regulation of circadian rhythms; acute stress may alter expression Adapted from refs.
Citation of the source is appreciated. The level of detail varies as one utilizes this guideline, depending on the patient’s problem and the skills and clinical judgment of the practitioner. Much of the evaluation is standard with regard to a comprehensive general medical evaluation, with an emphasis on the standard principles of psychiatric diagnosis, mental status examination, and treatment planning. The mental health aspects are based on the American Psychiatric Association’s Practice Guideline for Psychiatric Evaluation of Adults .
ANXIETY DISORDERS AND GENERAL MEDICAL DISORDERS One must keep in mind that general medical disorders can cause symptoms of an anxiety disorder, and primary anxiety disorders can mimic a general medical disorder. The effects of medications prescribed for a general medical condition as well as over-thecounter, herbal, and other nonprescribed substances can mimic an anxiety disorder. The treatment of a general medical disorder can complicate the course and treatment of anxiety disorders and vice BRIEF PSYCHIATRIC HISTORY AND MENTAL STATUS EXAMINATION 27 versa.