Prevention and treatment of mental disorders Chinese guide to the Institute of psychiatry at anxiety disorder group as the main members: "anxiety disorder" (hereinafter referred to as the "guide") writing group, after two years of effort, to complete the "guide" of the preparation. Subsequently, it took more than half a year's time, launched the "prevention Chinese anxiety disorders: practical guide." (hereinafter referred to as "Jane"). Published schizophrenia, bipolar disorder, depression, dementia, attention deficit hyperactivity disorder and anxiety disorder earlier release of post traumatic stress disorder "guide", have only one version. Therefore, the "simple" writing can be counted as an innovative attempt. I think, "guide" can also have multiple versions, suitable for different readers and different occasions, to meet the actual needs of different. Among them, "simple" is necessary, because the "simple" has the following two characteristics: one is reduced.
"Prevention of anxiety disorders. Chinese practical guide" follows the style of general at home and abroad, including epidemiology, etiology, prevention status and related factors, prevention and treatment, guideline implementation chapters, the content, of course is very important for the comprehensive understanding of disease prevention, but for clinical medicine handsome instant service, is far hydrolysis not nearly thirsty. "Jane" is mainly include diagnosis in clinical work, the most practical and most treatment two. "Guide" in the text, including many related mechanism and the evidence based medical evidence, to explain why to do so; and "Jane" is the focus that how to practice, stressed that the operation of the text.
A panic disorder, panic disorder diagnosis 1 1.1 overview 1.2 clinical manifestations of 1.3 essentials of diagnosis and differential diagnosis of panic disorder in 1.4 of 2 treatment of 2.1 treatment target for 2.2 principle 2.3 treatment strategies of 2.4 treatment of 2.4.1 drugs for 2.4.2 therapy 3 panic disorder treatment standardization program two, generalized anxiety disorder, and 1 generalized anxiety disorder diagnosis 1.1 overview 1.2 clinical manifestations of 1.3 diagnosis 1.4 2 differential diagnosis of generalized anxiety disorder treatment of 2.1 treatment target for 2.2 principle 2.3 treatment strategies of 2.4 treatment of 2.4.1 drugs for 2.4.2 therapy 3 generalized anxiety disorder treatment standardization program three, social anxiety disorder and 1 social anxiety disorder diagnosis in 1.1 of 112 clinical manifestations of 1.3 diagnosis 1.4 points of differential diagnosis of the 2 social anxiety disorder treatment of 2.1 treatment target for 2.2 principle 2.3 treatment strategies of 2.4 treatment of 2.4.1 drugs for 2.4.2 therapy 3 treatment of social anxiety disorder standardized procedures in Appendix 1 of ICD-10, CCMD-3 anxiety disorder (PDGAD.SAD) diagnosis standard Appendix 2 anxiety disorder treatment drug list
Illustration: (1) the early diagnosis and early treatment: early drug treatment and psychological treatment is important for prognosis, can avoid the development of social anxiety disorder related to co morbidity and improve the quality of life. Once the doubt or non specialist suspected patients with social anxiety disorder, should seek early diagnosis of psychiatric physician; once diagnosed with social anxiety, should not hesitate to seek early treatment. (2) select appropriate treatment programs: for social anxiety disorder, combined with drug and psychological therapy is the most effective treatment. Some patients with social anxiety disorder were unwilling to use drugs, but also for the treatment of social anxiety disorder, meta-analysis suggests, though medicine treatment is quick, but the long-term effects need further demonstration; psychological treatment although slow, but long-term efficacy and stability, lasting. The symptom severity from mild to moderate, the patient is willing to accept the psychological treatment, psychological treatment should be preferred. Some patients because of busy work or the field can not be other reasons for psychological treatment, drug treatment is preferred. SAD is due to multiple factors common clinical syndrome, so the choice of treatment is the most important principle is differ from man to man. If social anxiety disorder and major depressive disorder, a serious attempt to Dutch act or with dependence on psychoactive substances were chosen and treated. (3) the treatment plan and treatment: acute treatment of social anxiety disorder (including the CBT psychotherapy and drug treatment) usually lasted for 8 ~ 12 weeks after drug treatment, or (and) psychological treatment for at least 6 months. Stabilization of symptoms after six months, may be appropriate to reduce the dose of the drug and prolonged psychological treatment interval, uninterrupted psychological therapy to maintain the efficacy of low dose or interval is sufficiently long time.
"Prevention of anxiety disorders." Chinese Practical Guide: guidelines for the prevention and treatment of mental disorders China series
Medical Science @ 2017