Michael Quach, MD
Board Certified Psychiatrist
Integrative Psychiatry for Men

Anxiety

The lifetime prevalence of anxiety disorders is about 25%.  Anxiety disorders include panic disorder, generalized anxiety disorder, social anxiety disorder, separation anxiety disorder, specific phobia, agoraphobia, and selective mutism.  The core syndromes of anxiety include mental symptoms (worries, ruminations), physical symptoms (sweating, trembling), traumatic re-experiencing symptoms (flashbacks), phobic avoidance, compulsions, and dissociative symptoms. 

Anxiety disorders are highly co-morbid with each other, depressive disorders, bipolar disorders, substance use disorders, and Cluster C personality disorders.  Anxiety disorders substantially increase the suicide risk, by about 18 times the national average.

There are effective medications used to treat anxiety.  They include SSRIs such as Zoloft, Paxil, Lexapro and Prozac, SNRIs such as Effexor, Buspar, Beta Blockers, TCAs, MAOIs, Gabapentin, Hydroxyzine, and Benzodiazepines such as Ativan, Klonopin, Xanax, and Valium.

Effective psychotherapies for anxiety disorders include: Cognitive Behavioral Therapy, Cognitive Restructuring, Exposure Therapy, Relaxation Training, Breathing Retraining, Psychodynamic Therapy, Supportive Therapy, Stress Reduction, Psychoeducation, Social Skills Training, and Assertiveness Training.


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