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Prim Care. 2007 Sep;34(3):475-504, v-vi.

Recent advances in the understanding and treatment of anxiety disorders.

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  • Residency Training Program in Family Medicine, Department of Family Medicine, Franklin Square Hospital Center, Baltimore, MD 21237, USA. steve.shearer@medstar.net


Anxiety disorders usually are chronic or recurrent disorders characterized by stress sensitivity and a fluctuating course. Both psychopharmacologic and cognitive-behavioral treatments are well-established, evidence-based treatments for panic disorder, social anxiety disorder, generalized anxiety disorder, and obsessive-compulsive disorder. Exposure-based behavioral treatment is well established as evidence-based treatment for specific phobias. Primary care physicians can make a significant impact on patients' lives by identifying and educating about anxiety disorders, directing patients to appropriate self-help resources, choosing evidence-based drug treatment when indicated, and making referrals for specialist care.

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