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afya GeneralisedAnxietyDisorder

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20160425222451 Ben  
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Xs worry in different situations with heightened tension

''Mx GAD''
1. educate and monitour
2. low level psychological intervention (self help directed or non-facilitated, group work)
3. High level psych (CBT, applied relaxation) or drugs (SSRI - 1st sertraline - warn about self harm risk if <30 and see weekly for 1/12)
4. specialist

''Mx Panic attack''
1. recognise and diagnose
2. primary  care - CBT or drugs (SSRI for 12/12, if not improved Impiramine or Clomipramine) 
3. consider alternative
4. refer specialist