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“When we ask patients do they want treatment, they say ‘yes,’” he said. “It’s just the reality of a busy clinical practice,” Zimmerman said.īut finding better ways to screen patients for anxiety is important, because Zimmerman said studies show more than three-fourths of patients with anxiety say they want to be treated. This means that many patients with anxiety are missed. 3 Despite the numbers, social phobia was frequently overlooked, he said. That covers a lot ground: he led a study of 373 depressed patients that found 17.1% had panic disorder, 33% had social phobia, 13.4% had posttraumatic stress disorder (PTSD), and 15% had general anxiety disorder. In reality, anxiety affects about 50% of patients with depression, Zimmerman said.
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1įor patients to meet the criteria of the anxious distress specifier, they must have 2 of the following 5 symptoms across an episode: 1) feeling keyed up or tense, 2) feeling unusually restless, 3) difficulty concentrating because of worry, 4) fear that something awful might happen, and 5) a feeling that one might lose control of himself/herself. The addition of the anxiety distress specifier in the DSM-5 has simplified the task of identifying those patients whose anxiety must be considered in their treatment plan, said Mark Zimmerman, MD, director of outpatient psychiatry and the Partial Hospital Program at Rhode Island Hospital, and a professor of psychiatry at Brown Medical School.ĭuring a presentation at the US Psychiatric and Mental Health Congress in New Orleans, Louisiana, Zimmerman said studies show that the presence of a comorbid disorder or specific symptom were the most important factors driving treatment decisions when clinicians picked an antidepressant, and anxiety was the symptom they cited most frequently (19.9%).
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But before the Diagnostic and Statistical Manual for Mental Health Disorders, Fifth Edition ( DSM-5) was published in 2013, the presence of anxiety in some patients may have been missed. Major depressive disorder (MDD) frequently appears with other disorders and comorbidities experts say it’s more the rule than the exception.