Anxiety Disorders

Reference: Davidson 23rd; P-137
সলভ ক্লাসের জন্য আলোচনা পোস্ট দেখুন - [আলোচনা পোস্টের লিঙ্ক]

Mood disorders Mood or affective disorders include:
 unipolar depression: one or more episodes of low mood and associated symptoms
 bipolar disorder: episodes of elevated mood interspersed with episodes of depression
 dysthymia: chronic low-grade depressed mood without sufcient other symptoms to count as ‘clinically signicant’ or ‘major’ depression.

Explanation: Antidepressants are the drugs of first choice. The therapeutic dose is usually higher for anxiety disorders than for depression

Explanation: The specific benzodiazepine antagonist flumazenil (0.5 mg IV, repeated if needed) increases conscious level in patients with benzodiazepine overdose

In the immediate aftermath of a significant trauma, the main aim is to provide support, direct advice and the opportunity for emotional catharsis (routine debriefing may actually be harmful).
In established PTSD, structured psychological approaches (CBT, eye movement desensitisation and reprocessing (EMDR) and stress management) are effective. Antidepressant drugs are moderately effective.

Reference: Davidson 23rd; P-137