Degruy F
Department of Family Practice and Community Medicine, University of South Alabama College of Medicine, Mobile.
Am Fam Physician. 1994 Mar;49(4):860-6.
Anxiety and depression frequently coexist in the same patient. The physician should rule out secondary causes of the symptoms, assign a diagnostic category if possible and assess the relative severity and chronicity of primary symptoms and associated complaints. Supportive counseling is always indicated for these patients, and pharmacotherapy is often helpful as well. A number of therapeutic agents, including tricyclic antidepressants, azapirones and benzodiazepines, have been shown to be useful either alone or in combination. Careful monitoring of all symptoms and prudent adjustment of the medication regimen is imperative to ensure adequate resolution of symptoms.
焦虑和抑郁常常在同一患者身上并存。医生应排除症状的继发性原因，尽可能确定诊断类别，并评估主要症状及相关主诉的相对严重程度和慢性程度。对这些患者始终需要给予支持性咨询，药物治疗通常也会有所帮助。包括三环类抗抑郁药、阿扎哌隆类和苯二氮䓬类在内的多种治疗药物已被证明单独使用或联合使用均有效。对所有症状进行仔细监测并谨慎调整药物治疗方案，对于确保症状得到充分缓解至关重要。
