Jan 3, 2021
Written/Researched: Caleb Dusdal
Peer Review: Sophia Park
https://thegenerehlist.ca/ccfp-topics-page/episode-nine-anxiety
Objective One
For a patient with multiple unexplained symptoms or behaviours,
look for anxiety as a primary or contributing cause.
Objective Two
When a patient presents with symptoms of anxiety, clearly
distinguish between distress (e.g. fear, nervousness, worry) and an
anxiety disorder.
Objective Three
In a patient presenting with acute symptoms of panic (e.g.,
shortness of breath, palpitations, hyperventilation), do not
attribute the symptoms to anxiety without first excluding serious
medical pathology (e.g., pulmonary embolism, myocardial infarction)
from the differential diagnosis, especially in patients with
established anxiety disorder.
Objective Four
When working up a patient with symptoms of anxiety, and before
making the diagnosis of an anxiety disorder,
a) Exclude serious medical pathology
b) Identify
- other co-morbid psychiatric conditions
- abuse
- substance use
c) Assess the risk of suicide
d) Discuss functional impact with the patient
Objective Five
When an anxiety disorder is suspected, assess and classify
according to established diagnostic criteria, as treatment will
vary according to the classification.
Objective Six
In patients with known anxiety disorders, do not assume all new
symptoms are attributable to the anxiety disorder.
Objective Seven
When planning management of anxiety, offer appropriate treatment,
which may include one or a combination of the following:
• Self-management techniques
• Regular office follow-up
• Community resources
• Structured therapies (Cognitive Behavioral Therapy,
psychotherapy)
• Judicious use of pharmacotherapy
Objective Eight
When managing anxiety or an anxiety disorder do not use medication
as a sole treatment.
Objective Nine:
When assessing and managing anxiety, discuss the use of alcohol and
substances as harmful self-medication.