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Clinical Management of Anxiety Disorders

Treatment of anxiety disorders:

various psychotherapeutic techniques

cognitive-behavioural therapy (CBT)

psychodynamic approaches

psychopharmacotherapy

benzodiazepines (alprazolam, clonazepam) - for several weeks (potential for abuse, development of tolerance and addiction)

Buspirone - little abusive potential; especially GAD, not effective in panic disorder; longer use is necessary

beta-blocking drugs - for the short treatment of performance anxiety, especially somatic symptoms like tremor

antihistaminics

various types of antidepressants - SRIs (clomipramine, citalopram, fluoxetine, fluvoxamine, paroxetitle, sertraline), MOAIs (tranylcypromifle), RIMA (moclobemide) and SNRI (venlafaxine); well tolerated, no abuse potential

Recommendation: to start the treatment with a brief course of benzodiazepines as well as with antidepressants for a longer period and to combine the drug treatment with various types of psychotherapy.

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