Anxiety

  • Conduct a patient centered interview
    • To elicit the common symptoms associated with anxiety as per the most current DSM criteria
    • To elicit the contextual and other factors contributing to the anxiety symptoms and probe for/describe impact of anxiety on patient’s function.
    • To differentiate between situational anxiety and anxiety disorders e.g. GAD, OCD, phobias, PTSD
    • To develop a differential diagnosis for anxiety symptoms or conditions that may present with anxiety
    • Identify high risk groups and risk factors for anxiety disorders
    • Propose non-pharmacologic and pharmacologic management options for patients with anxiety, including therapy choices, drug classes, common side effects and timeline for efficacy
    • Identify locally available resources that can provide support or help with ongoing management of this chronic condition.

Core Resources

Anxiety One Pager.pdf

‘Tam M, Creek K. Anxiety One-Page Primer. DFCM Open. 2013. Avaialble at: hyyps://dfcmopen.com. Attribution-NonCommercial-NoDerivs CC BY-NC-ND

Canadian Network for Mood and Anxiety Treatments (CANMAT) 2023 Update on Clinical Guidelines for Management of Major Depressive Disorder in Adults

Lam, R. W., Kennedy, S. H., Adams, C., Bahji, A., Beaulieu, S., Bhat, V., … Milev, R. V. (2023). Canadian Network for Mood and Anxiety Treatments (CANMAT) 2023 Update on Clinical Guidelines for Management of Major Depressive Disorder in Adults. Réseau canadien pour les traitements de l’humeur et de l’anxiété (CANMAT) 2023 : Mise à jour des lignes directrices cliniques pour la prise en charge du trouble dépressif majeur chez les adultes.

Generalized Anxiety Disorder

Locke AB, Kirst N, Shultz CG. Diagnosis and management of generalized anxiety disorder and panic disorder in adults. Am Fam Physician. 2015;91(9):617-624. doi: d11959 [pii].

Youth Mental Health Anxiety and Depression

Centre for Effective Practice. Youth Mental Health: Anxiety and Depression. Published June 2017.

Supplemental Resources

Quick-Reference-Psychiatric-Medications-2016.pdf

Preston J. Psy.D and P.A. Distributors. Quick Reference to Psychiatric Medications®. 2015. Available at: http://psyd-fx.com/

 Optimizing Care to Improve Outcomes

Stein MB, Craske MG. Treating Anxiety in 2017Optimizing Care to Improve Outcomes. JAMA.2017;318(3):235–236. doi:10.1001/jama.2017.6996