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anxiety - Coggle Diagram

- - - - current physical or emotonal stress
      - Hx of physical or emotional trauma or stress
      - Fhx
      - chronic pain, cancer, CHD, arthritis, CVD, COPD
      - Female
      - substance abuse
  - - - OTC ore prescribed medications that can cause anxiety e.g.
      - salbutamol, theophylline, beta blockers, herbal medication St
      - Johns wort, ginseng
      - alcohol or illicit drug use
- - - - Review people aged under 30 years receiving an SSRI or SNRI within 1 week of first prescribing, and monitor the risk of suicidal thinking and self-harm weekly for the first month.
      - Review all other people after 4–6 weeks treatment (or earlier if they are considered at high risk), taking into account factors including severity, and duration of symptoms, as well as the degree of distress and functional impairment.
      - Consider using anxiety screening questionnaires such as GAD-2 and compare with previous score
      - Check adherence to any treatment and inquire about adverse effects. - adjust dose/switch drug as necessary based on adverse effects and progress
      - Reassess the need for referral or specialist advice.
      - Be alert to suicidal ideation and assess suicide risk, especially if the person has comorbid depression.
      - Re-evaluate the required frequency of follow up based on: persons preference, severity, comorbid conditions, change/response since last review and symptoms.
- - - - Situational anxiety, adjustment disorder,depression, panic
      - disorder, social phobia, OCD, PTSD, somatoform disorders,
      - anorexia