van Balkom Anton J L M, Beeres Martin P J, Scholten Willemijn D
Amsterdam UMC, afd. Psychiatrie, Amsterdam.
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Ned Tijdschr Geneeskd. 2024 Feb 6;168:D7921.
In this article, we will address 10 questions about anxiety that are relevant to doctors who encounter this in their practice. This often occurs in the primary care setting, where individuals with anxiety frequently present with somatic complaints. A focused medical history, including questions about the use and withdrawal of psychoactive substances, can assist in the diagnostic process. Psychoeducation may be sufficient, otherwise cognitive-behavioral therapy can be conducted. In cases of non-response, serotonergic antidepressants represent a treatment option. Half of the individuals with anxiety symptoms experience remission, while the other half have a recurrent or chronic course, which may be accompanied by comorbid depression.
在本文中，我们将探讨与在临床实践中遇到焦虑症的医生相关的10个关于焦虑症的问题。这在初级保健环境中经常发生，焦虑症患者常常伴有躯体不适前来就诊。详细的病史询问，包括关于精神活性物质的使用和戒断问题，有助于诊断过程。心理教育可能就足够了，否则可以进行认知行为疗法。对于无反应的病例，血清素能抗抑郁药是一种治疗选择。一半有焦虑症状的个体症状会缓解，而另一半则有复发或慢性病程，可能伴有共病抑郁症。
