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A Complex Case of Undiagnosed Generalised Anxiety Disorder with Episodic Panic Attacks

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Abstract

This case study explores the assessment and management of generalised anxiety disorder (GAD) and has been chosen due to the unique diagnostic challenges, multiple drug allergies and potential drug interactions that characterised the case, as well as the broader impact the client’s diagnosis of GAD on her family.

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References

  1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5. 5 ed. Washington, DC: American Psychiatric Association; 2013.

    Book  Google Scholar 

  2. Murck H. Magnesium and affective disorders. Nutr Neurosci. 2002;5(6):375–89.

    Article  CAS  PubMed  Google Scholar 

  3. Poleszak E. Benzodiazepine/GABA(A) receptors are involved in magnesium-induced anxiolytic-like behavior in mice. Pharmacol Rep. 2008;60(4):483–9.

    CAS  PubMed  Google Scholar 

  4. Poleszak E, Wlaz P, Wróbel A, Fidecka S, Nowak G. NMDA/glutamate mechanism of magnesium-induced anxiolytic-like behavior in mice. Pharmacol Rep. 2008;60(5):655–63.

    CAS  PubMed  Google Scholar 

  5. Abumaria N, Yin B, Zhang L, Li X-Y, Chen T, Descalzi G, Zhao L, Ahn M, Luo L, Ran C, Zhuo M, Liu G. Effects of elevation of brain magnesium on fear conditioning, fear extinction, and synaptic plasticity in the infralimbic prefrontal cortex and lateral amygdala. J Neurosci. 2011;31(42):14871–81.

    Google Scholar 

  6. Lui J, Galfalvy H, Cooper T, Oquendo M, Grunebaum M, Mann J, Sublette M. Omega-3 polyunsaturated fatty acid status in major depression with comorbid anxiety disorders. J Clin Psychiatry. 2013;74(7):732–8.

    Article  Google Scholar 

  7. Buydens-Branchey L, Branchey M, Hibbeln JR. Associations between increases in plasma n-3 polyunsaturated fatty acids following supplementation and decreases in anger and anxiety in substance abusers. Prog Neuropsychopharmacol Biol Psychiatry. 2008;32:568–75.

    Google Scholar 

  8. Kiecolt-Glaser JK, Belury MA, Andridge R, Malarkey WB, Glaser R. Omega-3 supplementation lowers inflammation and anxiety in medical students: a randomized controlled trial. Brain Behav Immun. 2011;25:1725–34.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Sarris J, McIntyre E, Camfield D. Plant-based medicines for anxiety disorders, part 2: areview of clinical studies with supporting preclinical evidence. CNS Drugs. 2013;27(4):301–19.

    Article  CAS  PubMed  Google Scholar 

  10. Lovibond SH, Lovibond PF. Manual for the depression anxiety stress scales. 2 ed. Sydney: Psychology Foundation; 1995.

    Google Scholar 

  11. Burckhardt C, Anderson K. The Quality of Life Scale (QOLS): reliability, validity, and utilization. Health Qual Life Outcomes. 2003;1:60.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Paterson C. Patient-centred outcome measurement. In: Macpherson H, Hammerschlag R, Lewith G, Schnyer R, editors. Acupuncture research: strategies for establishing an evidence base. London: Churchill Livingstone; 2007.

    Google Scholar 

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Author information

Authors and Affiliations

  1. Lemongrove Road Holistic Health, Penrith, NSW, Australia

    Jane Hutchens

Authors
  1. Jane Hutchens
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Correspondence to Jane Hutchens .

Editor information

Editors and Affiliations

  1. School of Psychology, University of Wollongong, Wollongong, New South Wales, Australia

    David Camfield

  2. School of Psychology, Charles Sturt University, Bathurst, New South Wales, Australia

    Erica McIntyre

  3. Department of Psychiatry Faculty of Medicine, The University of Melbourne, Melbourne, Australia

    Jerome Sarris

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Hutchens, J. (2017). A Complex Case of Undiagnosed Generalised Anxiety Disorder with Episodic Panic Attacks. In: Camfield, D., McIntyre, E., Sarris, J. (eds) Evidence-Based Herbal and Nutritional Treatments for Anxiety in Psychiatric Disorders. Springer, Cham. https://doi.org/10.1007/978-3-319-42307-4_11

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  • DOI: https://doi.org/10.1007/978-3-319-42307-4_11

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-42305-0

  • Online ISBN: 978-3-319-42307-4

  • eBook Packages: MedicineMedicine (R0)

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