Managing Anxiety Without Benzodiazepines

Abstract

The diagnosis and management of anxiety are everyday tasks of the GP and outpatient doctor, involving full history-taking, compiling a list of personality assets and weaknesses, discussion, reassurance, explanation, advice, (possibly) modification of the family and social environment and simple psychological techniques. The problem should be fully explored and the meaning of the symptoms for the patient ascertained. Particular attention should be given to complications like depression, phobias, hypochondriacal misinterpretation, hysterical utilisation and neurasthenia. A personalised plan for each patient should be devised with built-in psychological and physical outlets for tension. Antidepressants and thioridazine are sometimes needed but there is normally no place for benzodiaiepines. Anxiety may be totally managed within primary care