Essay: Treatment of Generalized Anxiety Disorder
Upon diagnosis of the GAD disorder, early treatment is very important because it has potential of preventing the development of secondary depression and treatment resistance. While treating any anxiety disorder patient the undetected anxiety of depression must checked and considered for complete and a more compelling treatment. Treatment approach to the GAD patients is achieved through both non-pharmacological and pharmacological approaches.
Although there have not been much of the experimentation of psychotherapy relating to the treatment of the DSM-IV or DSM-III-R Generalized Anxiety Disorder patients in a controlled environment of hospital, much has been done in possible psychotherapy fields to shade light on the intervention measure. For instance the most appropriate approach is the CBT (cognitive behavioral therapy), behavioral therapy, applied relaxation, anxiety management and analytical psychotherapy. Empirically, it is observed that up to 50% of the patients using the CBT usually considerably improve at the 6-months follow-up. While CBT and applied relaxation results to 50% to 60% effectiveness (Fisher and Durham, 1999; Ladouceur et al., 2000; and Ost and Breitholtz, 2000).
Much medication subscribed for GAD patients has drastically changed over decades. Historically, in 1992 benzodiazepines was favored for first line therapy, but changed by 1997 where SSRIs were more frequently recommended for GAD condition. Thus, the therapy shifted from treatment of non-comorbid GAD with benzodiazepines to increased use of antidepressants. The shift is in the sense of risks of the dependence associated with agents of benzodiazepines. More advancement and far reaching interventions have been reached in this field that needs expansion.
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