Brown T M, Baron D A
National Institute of Mental Health, Biological Psychiatry Branch, National Institute of Mental Health, Bethesda, Md.
J Am Osteopath Assoc. 1992 Jan;92(1):95-101.
This paper presents a clinical overview of syndromal anxiety and its treatment as seen in a family practice setting, where many patients with anxiety disorders are first seen. Panic disorder, social phobia, agoraphobia, and generalized anxiety disorder are the ones most often seen by such physicians. Treatment options include psychotherapy, behavioral-cognitive therapy, and pharmacotherapy. The primary care physician may choose from the benzodiazepines or the heterocyclic antidepressants or both. The monoamine oxidase inhibitors have also proved very useful in the treatment of panic disorder and social phobia, but probably should be used only by physicians with experience with this type of medication.
本文介绍了在家庭医疗环境中所见到的综合征性焦虑及其治疗的临床概述,许多焦虑症患者首次就诊于此。惊恐障碍、社交恐惧症、广场恐惧症和广泛性焦虑症是这类医生最常遇到的病症。治疗选择包括心理治疗、行为认知疗法和药物治疗。初级保健医生可以选择苯二氮䓬类药物或杂环类抗抑郁药,或两者并用。单胺氧化酶抑制剂在治疗惊恐障碍和社交恐惧症方面也已证明非常有效,但可能仅应由有这类药物使用经验的医生使用。