Hollander E, Cohen L J
Department of Psychiatry, Mount Sinai School of Medicine, Queens Hospital Center, Jamaica, N.Y. 11432.
J Clin Psychiatry. 1994 Feb;55 Suppl:27-31.
Most patients with anxiety disorders can be effectively treated with the use of specific pharmacologic and psychological approaches. Nevertheless, some anxiety patients remain refractory to standard treatments. For these patients, reappraisal and a systematic approach can be helpful. A common problem in patients with "treatment-resistant" anxiety is the use of inadequate doses or inadequate duration of medication treatment. Alternatively, the diagnosis may need to be reconsidered, and comorbid diagnoses carefully assessed. Comorbid psychiatric, medical, and neurologic conditions may complicate the treatment of anxiety or require additional specific treatments. Finally, alternative pharmacologic approaches for specific types of anxiety can yield successful outcomes.
大多数焦虑症患者可通过使用特定的药物和心理方法得到有效治疗。然而，一些焦虑症患者对标准治疗仍无反应。对于这些患者，重新评估和采用系统的方法可能会有所帮助。“难治性”焦虑症患者的一个常见问题是药物治疗剂量不足或疗程不够。或者，可能需要重新考虑诊断，并仔细评估合并症诊断。合并的精神、医学和神经疾病可能会使焦虑症的治疗复杂化，或需要额外的特定治疗。最后，针对特定类型焦虑症的替代药物治疗方法可能会取得成功。
