Generalised anxiety disorder and panic disorder in adults: management

National Institute for Health and Care Excellence

Key priorities for implementation

  • The key priorities for implementation have been chosen from the updated recommendations on the management of generalised anxiety disorder (GAD)

Step 1: All known and suspected presentations of GAD

  • Identification
    • identify and communicate the diagnosis of GAD as early as possible to help people understand the disorder and start effective treatment promptly
    • consider the diagnosis of GAD in people presenting with anxiety or significant worry, and in people who attend primary care frequently who:
      • have a chronic physical health problem or
      • do not have a physical health problem but are seeking reassurance about somatic symptoms (particularly older people and people from minority ethnic groups) or
      • are repeatedly worrying about a wide range of different issues

Step 2: Diagnosed GAD that has not improved after step 1 interventions

  • Low-intensity psychological interventions for GAD
    • for people with GAD whose symptoms have not improved after education and active monitoring in step 1, offer one or more of the following as a first-line intervention, guided by the person's preference:
      • individual non-facilitated self-help
      • individual guided self-help
      • psychoeducational groups

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