Things to note:- It may be necessary to manage crisis,
- Psychotherapy,
- Many patients can be treated as outpatients, but some patients may need admission.
Medical Treatment:Indicated where the symptoms interfere with normal daily functions.
Where drugs / alcohol dependence or a major depressive episode is concomitant, an Antidepressant, for example, A SSRI may be a more appropriate choice agent.
Acute management For an acute episode or for intense prolonged anxiety-
Benzodiazepines, e.g:
* Diazepam, oral, 2- 5 mg per dose.
- Repeat up to 12 hours if required.
- Therapy duration: up to 2 weeks, within 6 weeks, to zero.
Maintenance therapy SSRI, e.g:
* Fluoxetine, oral, 20-40 mg per day. Initiated specialist.
- Therapy duration: variable even if the condition tends to be chronic.
- Extended treatment with medicine should be supervised by a specialist.
When to refer: - Ongoing treatment symptoms.