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Anxiety and Related Disorders by Ágnes Szirmai

By Ágnes Szirmai

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Girls fear more than boys do The commonest fears expressed by Kenyan children in Nairobi (urban setting) are:  Being confronted by bad news  Not being able to breathe  Being mugged  Getting burned by fire  Falling from a high place  Burglar breaking into the house  Death  Getting poor grades  being battered or watching a relative being battered (domestic violence) 10. Post traumatic stress disorder (PTSD)     Children over the age of 3-4 years did not become amnestic for traumatic events and did not show psychic numbing, nor did they have intrusive flashbacks.

Antidepressants in the treatment of GAD have shown improvement in joint symptoms in about 2-4 weeks and, unlike benzodiazepines, mainly improves psychiatric symptoms of anxiety. Because anxious patients are particularly sensitive to the activating effects of some antidepressants, it is generally recommended that treatment be started with half the dose recommended for treatment of depression, with dose titration in 1-2 weeks. The optimal dose of antidepressant for the treatment of GAD is similar to that used in the treatment of depression.

Doses up to 150 mg/day are needed for symptom control. Antidepressants in the treatment of GAD have shown improvement in joint symptoms in about 2-4 weeks and, unlike benzodiazepines, mainly improves psychiatric symptoms of anxiety. Because anxious patients are particularly sensitive to the activating effects of some antidepressants, it is generally recommended that treatment be started with half the dose recommended for treatment of depression, with dose titration in 1-2 weeks. The optimal dose of antidepressant for the treatment of GAD is similar to that used in the treatment of depression.

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