The Primary Care Toolkit for Anxiety and Related Disorders


The Primary Care Toolkit for Anxiety and Related Disorders

Primary care physicians know from experience how many patients come to them needing help with anxiety and related disorders: these disorders have a lifetime prevalence rate of 30%, but they often seem to be present in a much higher proportion of primary care visits.
Time pressure challenges every primary care provider who responds to these disorders. The Primary Care Toolkit for Anxiety and Related Disorders--carefully aligned with the DSM-5--gives you the tools to help you treat your patients promptly and effectively.

Quickly find the information and strategies you need using summaries of diagnostic criteria and pharmacological therapies, severity assessments, treatment summaries, and case studies. Efficiently screen, diagnose, and manage common anxiety and related disorders, using visit-by-visit guides for mild, moderate, and severe disorders.

An accompanying CD puts the best, most effective diagnostic tools at your fingertips, ready to be printed and used by you and your patients: patient self-report forms and questionnaires, symptom checklists, functional impairment assessment scales, and more.

The Primary Care Toolkit helps prepare you for the 7 anxiety and related disorders that primary care physicians see most often: Generalized anxiety disorder, panic disorder, agoraphobia, social anxiety disorder, obsessive-compulsive disorder, posttraumatic stress disorder, and adjustment disorder.

Whether you are a family physician, an ER doctor, a pharmacist, a nurse or nurse practitioner, or a medical student, the information and resources in The Primary Care Toolkit for Anxiety and Related Disorders will add to your clinical primary care knowledge and skills.

Table of Contents

Table of Contents
Cover 1
Contents 6
Toolkit Overview 12
Tools for Primary Care Practice 22
Practice Case Study Index 26
Section I: Anxiety and Related Disorders 28
1 Introduction 30
2 Assessment 43
3 Management 52
Section II: Anxiety Disorders 70
4 Generalized Anxiety Disorder 72
5 Panic Disorder 84
6 Agoraphobia 98
7 Social Anxiety Disorder 112
Section III: Obsessive-Compulsive and Related Disorders 128
8 Obsessive-Compulsive Disorder 130
Section IV: Trauma- and Stressor-Related Disorders 148
9 Posttraumatic Stress Disorder 150
10 Adjustment Disorder 166
Appendices 180
Appendix I Factors to Consider When Assessing Anxiety Symptoms 182
Appendix II Differentiating Anxiety, Obsessive-Compulsive, and Trauma- and Stressor-Related Disorders 183
Appendix III Suicide Assessment Questionnaire 184
Appendix IV Suicide Risk Factors Summary 185
Appendix V GAD-7 187
Appendix VI Patient Self-Report Screening Tool for Mental Illnesses 188
Appendix VII Patient Health Questionnaire-9 (PHQ-9) 192
Appendix VIII Symptom Assessment Checklist 194
Appendix IX Functional Impairment Assessment Scale 195
Appendix X Pharmacological Therapies 197
Appendix XI DSM-5 Diagnostic Criteria for Generalized Anxiety Disorder 300.02 (F41.1) 209
Appendix XII Generalized Anxiety Disorder Treatment Guide Summary 210
Appendix XIII Criteria for Panic Attack 211
Appendix XIV DSM-5 Diagnostic Criteria for Panic Disorder 300.01 (F41.0) 212
Appendix XV Panic Disorder Self-Report Scale 213
Appendix XVI Panic Disorder Severity Scale Self-Report Form 217
Appendix XVII Panic Disorder Treatment Guide Summary 221
Appendix XVIII DSM-5 Diagnostic Criteria for Agoraphobia 300.22 (F40.00) 222
Appendix XIX Patient-Directed Agoraphobia Self-Report Tool 223
Appendix XX Severity Measure for Agoraphobia—Adult 224
Appendix XXI DSM-5 Diagnostic Criteria for Social Anxiety Disorder (Social Phobia) 300.23 (F40.10) 226
Appendix XXII Social Phobia Diagnostic Questionnaire (SPDQ) 227
Appendix XXIII Social Phobia Inventory (SPIN) 230
Appendix XXIV Social Anxiety Disorder Treatment Guide Summary 232
Appendix XXV DSM-5 Diagnostic Criteria for Obsessive-Compulsive Disorder 300.3 (F42) 234
Appendix XXVI Brief Obsessive-Compulsive Scale (BOCS) 236
Appendix XXVII Level 2—Repetitive Thoughts and Behaviors—Adult 242
Appendix XXVIII Obsessive-Compulsive Disorder Treatment Guide Summary 245
Appendix XXIX DSM-5 Diagnostic Criteria for Posttraumatic Stress Disorder 309.81 (F43.10) 246
Appendix XXX Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5) 249
Appendix XXXI Posttraumatic Stress Disorder Treatment Guide Summary 252
Appendix XXXII DSM-5 Diagnostic Criteria for Adjustment Disorder 309 (F43.2) 254
Additional Resources 256
About the Author 257