Tag-arkiv: anxiety disorders

Guideline for behandling af børn med angstlidelser

JAACAPSekretariatet for Referenceprogrammer (SfR) under Sundhedsstyrelsen afholdte onsdag den 28. november 2007 en høring om Referenceprogram for voksne med angstlidelser. (Referenceprogram er det saame som guideline). I referenceprogrammet anbefaler man bl.a. af der udarbejdes et Referenceprogram for børn med angstlidelser. Indtil det projekt måske bliver realiseret, kan jeg anbefale at man læser American Academy of Child and Adolescent Psychiatry udgave, såkaldte Practice Parameters, der kan hentes fra deres hjemmesider Anxiety Disorders (P-ANX) Vol 46 Feb 2007 . Anbefalingerne blev udgive i tidsskriftet Journal of the American Academy of Child & Adolescent Psychiatry:

Practice Parameter for the Assessment and Treatment of Children and Adolescents With Anxiety Disorders
ABSTRACT
This revised practice parameter reviews the evidence from research and clinical experience and highlights significant advancements in the assessment and treatment of anxiety disorders since the previous parameter was published. It highlights the importance of early assessment and intervention, gathering information from various sources, assessment of comorbid disorders, and evaluation of severity and impairment. It presents evidence to support treatment with psychotherapy, medications, and a combination of interventions in a multimodal approach.

Journal of the American Academy of Child & Adolescent Psychiatry. 46(2):267-283, February 2007. Eller se PubMed.

For en tysk oversigt over en diskussion af evidensbaseret behandling af angstlidelser hos børn, se: Die psychotherapeutische Behandlung von Angststörungen im Kindes- und Jugendalter – Was ist evidenzbasiert? af Silvia Schneider & Tina In-Albon, Klinische Kinder- und Jugendpsychologie, Universität Basel, i Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie, Volume 34, Number 3, 191-202 / 2006. Engelsk abstrakt medfølger.

Paul Salkovskis: Anxiety Disorders: What Now?

At the World Congress of Behavioural of Cognitive Therapy (WCBCT), Barcelona 2007, professor Poul Salkovskis spoke about Anxiety Disorders: What Now?

Poul Salkovskis is Professor of Clinical Psychology and Applied Science, Institute of Psychiatry, Kings College London, University of London and Clinical Director of the Maudsley Hospital Centre for Anxiety Disorders and Trauma.

I recorded the presentation and you can listen to it by clicking the mp3 player below.

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Playtime 49 minutes. Recorded 13th July 2007, at WCBCT 2007

Ny metode for praktiserende læger til at screene for angst

Praktiserende læger ser ofte patienter med angstlidelser i deres privatpraksis uden at der har været enkle og effektive screeningsmetoder. I et nyligt publiceret studie fra USA undersøgte man patienter, der opsøgte privatpraktiserende læger. Det viste sig at 19,5 procent af patienterne havde en angstlidelse og af dem med en angstlidelse fik 41 procent ingen behandling mod deres angstlidelse. Den mest almindelige angstlidelse var posttraumatic stress disorder (PTSD) hos 8.6 procent af patienterne, efterfulgt af generaliseret angst (GAD) hos 7.6 procent, panikangst hos 6.8 procent og social angst hos 6.2 procent. OCD var ikke med i undersøgelsen. Diagnose for en angstlidelse var forbundet med forværret funktionel status, flere syge dage og ture til lægen. Kroenke m.fl. udviklede et enkelt 7 punkts spørgeskema kaldet the Generalized Anxiety Disorder (GAD)-7 scale, hvilket de mener læger kan anvende til nemt at spotte patienter med angstlidelser.

Kilde: Anxiety Disorders in Primary Care: Prevalence, Impairment, Comorbidity, and Detection, Annals of Internal Medicine, 6 March 2007 | Volume 146 Issue 5 | Pages 317-325.

Intensive Cognitive Behavioural Treatment for children

At the ADAA 27th Annual Conference 2007 (ADAA is The Anxiety Disorders Association of America) two completed research programs for Obsessive-Compulsive Disorder treatment were presented:

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Combined Therapy for Anxiety Disorders

A most read article about combined pharmacotherapy and cognitive-behavioural therapy for anxiety disorders (including OCD) has been published in Journal of Current Opinion in Psychiatry and on the website Medscape. Læs resten

How Psychotherapy and Medications Transform the Brain during Anxiety Treatment

Medscape and Tulane University (US) published a while ago a very interesting online educational program about anxiety (and OCD): Taming the Anxious Mind: How Psychotherapy and Medications Transform the Brain.

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Virtual Reality Therapy

Psychologist Dr. Deborah Serani, specialized in trauma and depression has written an interessting article about the futur in therapy and what it will bring. The treatment involves exposing a patient to a virtual environment containing the feared situation rather than taking the patient into the actual environment or having the patient imagine the anxiety promoting situation.
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