After the clinician has established the presence of a general medical condition known to be associated with significant anxiety symptoms, he/she should undertake a careful and comprehensive assessment of the factors necessary to link the two conditions. Although there are no absolute guidelines, certain associations are helpful in establishing this connection. Are the onset of the symptoms temporally related? Is there a temporal association between the exacerbation or remission of the general medical condition and the enhancement or abatement of anxiety symptoms? Do anxiety symptoms disappear when the primary medical condition is treated? Are features that are atypical of a primary anxiety disorder present such as the usual age of onset, the initial presentation, type of onset, or an absence of family history? The clinician should also judge whether the disturbances that are present may be better accounted for by the presence of a primary anxiety disorder, a substance induced anxiety disorder, or an adjustment disorder brought on by the diagnosis of a primary medical condition.
Conversely, the patients with primary anxiety disorders often presented with a history of other psychiatric symptoms including phobia, conversion symptoms, etc. and were much more likely to historically have suffered a recent major psychosocial stress or loss. Patients with primary anxiety disorders often had acutely developing symptoms as compared to the insidiously developing anxiety of medically ill patients. It was rare for these patients to have a history of anxiety persisting for more than two years.
Address: 5636 Lemon Ave.
Dallas TX 75209
Phone: +1 214 5203694