The Primary Care Toolkit for Anxiety and Related Disorders

Time-efficient tools for all primary care providers

Primary care physicians know from experience how many patients come to them needing help with anxiety and related disorders. These disorders have a lifetime prevalence rate of 30%, but they often appear in a much higher proportion of primary care visits.

Time pressure challenges every primary care provider who responds to these disorders. The Primary Care Toolkit for Anxiety and Related Disorders, carefully aligned with the DSM-5, gives you the tools to help you treat your patients promptly and effectively.

Quickly find the information and strategies you need using summaries of diagnostic criteria and pharmacological therapies, severity assessments, treatment summaries, and case studies. Efficiently screen, diagnose, and manage common anxiety and related disorders with visit-by-visit guides for mild, moderate, and severe disorders.

An accompanying CD puts the best, most effective diagnostic tools at your fingertips—ready to be printed and used by you and your patients—including patient self-report forms and questionnaires, symptom checklists, functional impairment assessment scales, and more.

The Primary Care Toolkit helps prepare you for the seven anxiety and related disorders that primary care physicians see most often:

Generalized anxiety disorderPanic disorderAgoraphobiaSocial anxiety disorderObsessive-compulsive disorderPosttraumatic stress disorderAdjustment disorderWhether you are a family physician, ER doctor, pharmacist, nurse or nurse practitioner, or medical student, the information and resources in The Primary Care Toolkit for Anxiety and Related Disorders will enhance your clinical primary care knowledge and skills.

Table of contents
Cover	1
Contents	6
Toolkit Overview	12
Tools for Primary Care Practice	22
Practice Case Study Index	26
Section I: Anxiety and Related Disorders	28
1 Introduction	30
2 Assessment	43
3 Management	52
Section II: Anxiety Disorders	70
4 Generalized Anxiety Disorder	72
5 Panic Disorder	84
6 Agoraphobia	98
7 Social Anxiety Disorder	112
Section III: Obsessive-Compulsive and Related Disorders	128
8 Obsessive-Compulsive Disorder	130
Section IV: Trauma- and Stressor-Related Disorders	148
9 Posttraumatic Stress Disorder	150
10 Adjustment Disorder	166
Appendices	180
Appendix I Factors to Consider When Assessing Anxiety Symptoms	182
Appendix II Differentiating Anxiety, Obsessive-Compulsive, and Trauma- and Stressor-Related Disorders	183
Appendix III Suicide Assessment Questionnaire	184
Appendix IV Suicide Risk Factors Summary	185
Appendix V GAD-7	187
Appendix VI Patient Self-Report Screening Tool for Mental Illnesses	188
Appendix VII Patient Health Questionnaire-9 (PHQ-9)	192
Appendix VIII Symptom Assessment Checklist	194
Appendix IX Functional Impairment Assessment Scale	195
Appendix X Pharmacological Therapies	197
Appendix XI DSM-5 Diagnostic Criteria for Generalized Anxiety Disorder 300.02 (F41.1)	209
Appendix XII Generalized Anxiety Disorder Treatment Guide Summary	210
Appendix XIII Criteria for Panic Attack	211
Appendix XIV DSM-5 Diagnostic Criteria for Panic Disorder 300.01 (F41.0)	212
Appendix XV Panic Disorder Self-Report Scale	213
Appendix XVI Panic Disorder Severity Scale Self-Report Form	217
Appendix XVII Panic Disorder Treatment Guide Summary	221
Appendix XVIII DSM-5 Diagnostic Criteria for Agoraphobia 300.22 (F40.00)	222
Appendix XIX Patient-Directed Agoraphobia Self-Report Tool	223
Appendix XX Severity Measure for Agoraphobia—Adult	224
Appendix XXI DSM-5 Diagnostic Criteria for Social Anxiety Disorder (Social Phobia) 300.23 (F40.10)	226
Appendix XXII Social Phobia Diagnostic Questionnaire (SPDQ)	227
Appendix XXIII Social Phobia Inventory (SPIN)	230
Appendix XXIV Social Anxiety Disorder Treatment Guide Summary	232
Appendix XXV DSM-5 Diagnostic Criteria for Obsessive-Compulsive Disorder 300.3 (F42)	234
Appendix XXVI Brief Obsessive-Compulsive Scale (BOCS)	236
Appendix XXVII Level 2—Repetitive Thoughts and Behaviors—Adult	242
Appendix XXVIII Obsessive-Compulsive Disorder Treatment Guide Summary	245
Appendix XXIX DSM-5 Diagnostic Criteria for Posttraumatic Stress Disorder 309.81 (F43.10)	246
Appendix XXX Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5)	249
Appendix XXXI Posttraumatic Stress Disorder Treatment Guide Summary	252
Appendix XXXII DSM-5 Diagnostic Criteria for Adjustment Disorder 309 (F43.2)	254
Additional Resources	256
About the Author	257

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