Anxiety

Data gathering

  • Red flags – harming self/suicide
  • Others – mood, sleep, physical symptoms, avoid certain situations, thought disorder, hallucinations
  • Examine – BP, pulse, CV exam, mental state

 

Clinical management

  • Investigations
    • Bloods – TFTs
    • ECG
  • Explanation
    • Anxiety is the unpleasant feeling when you feel worried about something that may or may not happen – can result in physical symptoms – some people find it hard to control their worries and it can become constant and start to affect daily life
  • Treatment
    • CBT
    • Medications – SSRIs (6mo), propranolol, benzodiazepines
    • Self help, exercise
    • Refer psychiatry
  • Safety net/follow up – see again in 1/12