Review ArticleInternational Journal of Community Medicine and Public Health

Publication:
Approach to psychotherapy in generalized anxiety disorder in the primary health care

Int J Community Med Public Health. 2021;8(2):954-958.DOI10.18203/2394-6040.ijcmph20210080

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Abstract

Although medications have shown great efficacies in managing generalized anxiety disorder (GAD), recent evidence shows that patients tend to psychotherapy as their first-line of management due to the frequency of side effects resulting from the prolonged use of these medications. Psychotherapy is defined as the using certain and defined psychological modalities for the management of an emotional or mental illness on the condition that the aim and deadline of the therapy have been pre-determined. In this review, we present a brief about the psychological management of patients with GAD. We have identified three psychological modalities for the management of GAD as previous studies have compared them to the usual care by pharmacological modalities or a placebo. These include cognitive-behavioral (CBT), interpersonal, and supportive therapies. We found that management of GAD using CBT, interpersonal or supportive therapies is significantly efficacious in reducing GAD symptoms and increase the possibilities of recovery in addition to reducing the recovery or relapse rates. By doing this, we expect that the managed patient’s quality of life would be improved. We also recommend that the management approach should be case-sensitive for each patient depending on the patient’s status, the severity of the disease, and the responsiveness of the patient.

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Affiliations

  1. Department of Psychiatry, Al-Amal Mental Health and Addiction Treatment Hospital, Jeddah, Saudi Arabia
  2. Primary Health Care, Qatif central hospital, Qatif, Saudi Arabia
  3. Department of Family Medicine, King Saud Medical City, Riyadh, Saudi Arabia
  4. College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
  5. College of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
  6. College of Medicine, Wroclaw Medical University, Wroclaw, Poland
  7. College of Medicine, Umm Al-Qura University, Saudi Arabia
  8. College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
  9. Transformation Management, King Fahad General Hospital, Jeddah, Saudi Arabia
  10. Department of Emergency Medicine, Hera General Hospital, Mecca, Saudi Arabia

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