M.D. Anxiety disorders are the most prevalent of psychiatric disorders, and occur two to three times more frequently in women than in men. They influence quality of life, lead to costly medical workups, and cause general deterioration in overall health and well-being. Clinicians are often unaware of the impact of these disorders, although symptoms of anxiety motivate women to seek medical and psychiatric care. To manage anxiety disorders in a primary care practice, clinicians must recognize both the overt and veiled manifestations of anxiety disorders, rule out medical conditions that mimic them, and have a working knowledge of the pharmacologic and psychosocial treatment options available. However, the stigma of having a psychiatric illness remains the most formidable treatment barrier for individuals who could be helped.
Numerous people suffering from anxiety disorders never seek treatment.
They may fear having a diagnosis of an emotional problem. They may believe they have a personal defect or they are uninformed regarding treatment possibilities. In the evaluation of the anxious patient, medical conditions that mimic anxiety must first be ruled out. Also, it is important to identify anxiety that is induced by such substances as amphetamines, alcohol, caffeine and cocaine. In addition, medical illnesses themselves often engender uneasiness, worry and even panic.