Treatment of Anxiety Disorders in a Psychology Clinic

2015 ◽  
Vol 18 ◽  
Author(s):  
Francisco J. Labrador ◽  
Francisco J. Estupiñá ◽  
Mónica Bernaldo-de-Quirós ◽  
Ignacio Fernández-Arias ◽  
Pablo Alonso ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Panic Disorder ◽  
Anxiety Disorders ◽  
Social Phobia ◽  
Average Cost ◽  
Average Duration ◽  
College Education ◽  
Cost Of Treatment ◽  
Empirically Supported ◽  
Not Otherwise Specified

AbstractPeople with anxiety disorders demand psychological attention most often. Therefore, it seems important to identify both the characteristics of the patients who demand help and the clinical variables related to that demand and its treatment. A cohort of 292 patients who requested help at a university clinical facility was studied. The typical profile of the patient was: being female, young, unmarried, with some college education, and having previously received treatment, especially pharmacological one. The three most frequent diagnoses of anxiety, which include 50% of the cases, were: Anxiety Disorder not otherwise specified, Social Phobia, and Panic Disorder with Agoraphobia. Regarding the characteristics of the intervention, the average duration of the assessment was 3.5 sessions (SD = 1.2), and the duration of the treatment was 14 sessions (SD = 11.2). The percentage of discharges was 70.2%. The average cost of treatment was around €840. The results are discussed, underlining the value of empirically supported treatments for anxiety disorders.

scholarly journals Anxiety in middle adulthood: effects of age and time on the 14-year course of panic disorder, social phobia and generalized anxiety disorder

2008 ◽  
Vol 39 (4) ◽  
pp. 615-624 ◽  
Author(s):  
H. J. Ramsawh ◽  
S. D. Raffa ◽  
M. Orlando Edelen ◽  
R. Rende ◽  
M. B. Keller
Keyword(s):  
Anxiety Disorder ◽  
Panic Disorder ◽  
Anxiety Disorders ◽  
Social Phobia ◽  
Generalized Anxiety Disorder ◽  
Short Interval ◽  
Outcome Variable ◽  
Generalized Anxiety ◽  
Over Time

BackgroundMuch about the long-term course of anxiety disorders is unknown. The present study utilizes a naturalistic, longitudinal, short-interval follow-up design to elucidate the course of anxiety disorders over 14 years in a largely middle-aged adult sample recruited from out-patient psychiatry and primary care facilities.MethodThe sample consisted of 453 participants with a diagnosis of panic disorder (PD), social phobia (SP) and/or generalized anxiety disorder (GAD). Anxiety symptom ratings were tracked using weekly psychiatric status ratings (PSRs). Controlling for demographic and clinical variables, the course of PD, GAD and SP were examined using longitudinal growth models, with the most severe PSR at each follow-up point as the main outcome variable.ResultsPSRs significantly decreased in severity over time in each of the three disorders. In the interaction effects models, age×time had a significant effect on course for PD and GAD, but not for SP, in that older age was associated with lower PSRs over time.ConclusionsThe present findings suggest that the severity of anxiety disorders declines over time, although this decline is modest and depends on the specific disorder being assessed. Older individuals with PD and GAD have a better prognosis than their younger counterparts, as their course is characterized by a steeper decline in severity. The present findings provide important information about the course of anxiety disorders in mid-life.

Overview of Anxiety Disorders

2018 ◽  
Author(s):  
Jon E Grant
Keyword(s):  
United States ◽  
Anxiety Disorder ◽  
Panic Disorder ◽  
Anxiety Disorders ◽  
Separation Anxiety ◽  
The United States ◽  
Specific Phobia ◽  
Separation Anxiety Disorder ◽  
Generalized Anxiety ◽  
Psychosocial Impairment

Anxiety disorders are the most common psychiatric disorders among adults in the United States. Although anxiety disorders generally result in significant psychosocial impairment, most adults do not seek treatment until many years after the onset of the anxiety disorder. The treatment literature for anxiety disorder has grown tremendously since the 1980s, and both psychotherapy and medications may prove beneficial for people with anxiety disorders. This review presents a general overview of the anxiety disorders. This review contains 7 tables, and 33 references. Key words: agoraphobia, anxiety disorder, generalized anxiety disorder, panic disorder, separation anxiety disorder, social anxiety disorder, specific phobia, treatment of anxiety

Rates of Depressive and Anxiety Disorders in a Residential Mother–Infant Unit for Unsettled Infants

2007 ◽  
Vol 41 (10) ◽  
pp. 836-842 ◽  
Author(s):  
Jane Phillips ◽  
Louise Sharpe ◽  
Stephen Matthey
Keyword(s):  
Anxiety Disorder ◽  
Major Depression ◽  
Anxiety Disorders ◽  
Psychiatric Morbidity ◽  
Depression Scale ◽  
Self Report ◽  
Not Otherwise Specified ◽  
History Of ◽  
A Current ◽  
Infant Behaviour

Objective: Depression and anxiety are known to be common among women presenting to residential mother–infant programmes for unsettled infant behaviour but most studies have used self-report measures of psychological symptomatology rather than diagnostic interviews to determine psychiatric diagnoses. The aim of the present study was to determine rates of depressive and anxiety disorders and rates of comorbidity among clients of the Karitane residential mother–infant programme for unsettled infant behaviour. Method: One hundred and sixty women with infants aged 2 weeks–12 months completed the Edinburgh Postnatal Depression Scale and were interviewed for current and lifetime history of depressive and anxiety disorders using the Structured Clinical Interview for DSM-IV diagnosis (Research version). Results: A total of 25.1% of the sample met criteria for a current diagnosis of major depression, 31.7% had met criteria for major depression since the start of the pregnancy, and 30.5% of clients met criteria for a current anxiety disorder. Of note were the 21.6% who met criteria for generalized anxiety disorder or anxiety disorder not otherwise specified (worry confined to the topics of the baby or being a mother). High levels of comorbidity were confirmed in the finding that 60.8% of those with an anxiety disorder had experienced major or minor depression since the start of their pregnancy and 46.3% of those who had experienced depression since the start of their pregnancy also met criteria for a current anxiety disorder. Conclusions: There are high levels of psychiatric morbidity among clients attending residential mother–infant units for unsettled infant behaviour, highlighting the importance of providing multifaceted interventions in order to address both infant and maternal psychological issues.

scholarly journals A study on prevalence and co-morbidity of bipolar and anxiety disorders in chronic headache patients

2017 ◽  
Vol 5 (7) ◽  
pp. 3038 ◽  
Author(s):  
Sivaji M. ◽  
Manickavasagam J. ◽  
Indumathi Sundaramurthi ◽  
Gopinathan S.
Keyword(s):  
Anxiety Disorder ◽  
Panic Disorder ◽  
Anxiety Disorders ◽  
Psychiatric Disorders ◽  
Depressive Episode ◽  
Chronic Headache ◽  
Rating Scale ◽  
Separation Anxiety Disorder ◽  
Co Morbidity ◽  
Headache Patients

Background: Co morbidity between headache and psychiatric disorders is more prevalent in chronic headache patients. The bipolar disorders and anxiety disorders are predominant in migraine and TTH respectively. This co morbidities have a poor reflection and impact on quality and outcome of chronic headache patients and results in worst prognosis and poor response to medical treatment.Methods: The chronic headache patients especially migraine and tension type of headache were analyzed with following materials such as the structured psychiatric clinical interview with ICD-10 mental and behavioural disorder, DSM-5 criteria. HAM-A, HAM-D, BDI-2, BPRS, young mania rating scale, Yale-Brown Obsessive Compulsive Scale (Y-BOCS) and panic disorder scale.Results: Various subsets of bipolar disorder and anxiety disorder were found as follows: 74% of migraineurs are associated with psychiatric disorders in which bipolar affective disorder 6%, depressive episode 48%, dysthymia 30%, GAD 10% and Panic disorder 6%. 52% of TTH are associated with psychiatric disorders as follows: major depressive episode 52%, GAD 30%, separation anxiety disorder 6%, PTSD 7%, OCD 3% and panic disorder 2%.Conclusions: From previous and future studies the headache can be identified according to subsets of headache with psychiatric disorders make easier to provide appropriate pharmacological and psychological treatment which may reduce the chronicity and intractability of headache.

Patterns of Personality Pathology in Patients with Generalized Anxiety Disorder, Panic Disorder with and without Agoraphobia, and Social Phobia

2001 ◽  
Vol 15 (1) ◽  
pp. 60-71 ◽  
Author(s):  
Ingrid R. Dyck ◽  
Katharine A. Phillips ◽  
Meredith G. Warshaw ◽  
Regina T. Dolan ◽  
M. Tracie Shea ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Panic Disorder ◽  
Social Phobia ◽  
Generalized Anxiety Disorder ◽  
Personality Pathology ◽  
Generalized Anxiety

Plasma neuropeptide Y in anxiety disorders: findings in panic disorder and social phobia

1996 ◽  
Vol 59 (3) ◽  
pp. 183-188 ◽  
Author(s):  
Murray B Stein ◽  
Richard L Hauger ◽  
Ken S Dhalla ◽  
Mariette J Chartier ◽  
Gordon J.G Asmundson
Keyword(s):  
Panic Disorder ◽  
Anxiety Disorders ◽  
Social Phobia ◽  
Neuropeptide Y

scholarly journals Social Anxiety Disorder

2013 ◽  
Vol 19 (3) ◽  
pp. 5
Author(s):  
S Seedat
Keyword(s):  
Anxiety Disorder ◽  
Social Anxiety ◽  
Anxiety Disorders ◽  
Social Phobia ◽  
Social Anxiety Disorder ◽  
Epidemiological Studies ◽  
Font Size ◽  
Specific Phobias

<div style="left: 70.8662px; top: 324.72px; font-size: 15.45px; font-family: serif; transform: scaleX(0.971046);" data-canvas-width="419.81549999999993">According to epidemiological studies, rates of social anxiety disorder</div><div style="left: 70.8662px; top: 344.72px; font-size: 15.45px; font-family: serif; transform: scaleX(1.11655);" data-canvas-width="424.26750000000004">(SAD) or social phobia range from 3% to 16% in the general</div><div style="left: 70.8662px; top: 364.72px; font-size: 15.45px; font-family: serif; transform: scaleX(0.987995);" data-canvas-width="69.1185">population.</div><div style="left: 139.985px; top: 365.947px; font-size: 9.00733px; font-family: serif; transform: scaleX(0.952064);" data-canvas-width="16.423109999999998">[1,2]</div><div style="left: 156.408px; top: 364.72px; font-size: 15.45px; font-family: serif; transform: scaleX(0.977187);" data-canvas-width="334.422">Social phobia and specific phobias have an earlier age</div>of onset than other anxiety disorders.

Anxiety Symptoms

2017 ◽  
pp. 206-231
Author(s):  
David Watson ◽  
Michael W. O’Hara
Keyword(s):  
Anxiety Disorder ◽  
Social Anxiety ◽  
Panic Disorder ◽  
Social Phobia ◽  
Convergent Validity ◽  
Discriminant Validity ◽  
Specific Phobia ◽  
Incremental Validity ◽  
Self Report ◽  
Symptom Measures

This chapter reviews the convergent, discriminant, criterion, and incremental validity of symptoms of the DSM-5 anxiety disorders; these include panic disorder, agoraphobia, social anxiety disorder/social phobia, specific phobia, and generalized anxiety disorder (GAD). Symptom measures of social anxiety/social phobia, panic disorder, claustrophobia, and GAD generally displayed impressive construct validity in these data. Specifically, they tended to show strong convergent validity and significant discriminant validity across both self-report and interview-based measures; moreover, they displayed substantial criterion validity and impressive incremental validity in relation to conceptually linked DSM diagnoses. One problem, however, is that they generally showed poor diagnostic specificity; that is, although they correlated substantially with their target diagnoses, they often displayed equally strong relations with at least some other internalizing disorders. In contrast, self-report measures of agoraphobia and specific phobia (particularly the latter) generally exhibited unimpressive criterion and incremental validity in these analyses.

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