Segments in this Video

Antianxiety Agents Overview (01:13)


People with fight or flight mechanism abnormalities suffer constant anxiety, making it difficult to cope with everyday life. Psychotherapy and antianxiety medications help treat anxiety disorders.

Anxiety Disorders (02:41)

Generalized anxiety disorder (GAD) occurs when excessive worrying interferes with daily life over six months. Panic disorder is characterized by panic attacks. View symptoms for each.

Phobic Disorders (01:15)

A phobia is an irrational fear resulting in conscious avoidance of the feared object, activity, or situation. The sufferer is often aware of the phobia but cannot control it. Left untreated, phobias can lead to GAD, depression, or substance abuse.

Obsessive Compulsive Disorder (01:12)

Individuals with OCD feel compelled to perform certain ritual acts over and over to relieve anxiety. This problem may be a neurological dysfunction.

Interventions (01:37)

Interventions identify and change the patient's maladaptive behavior, improving coping skills. Additional goals are preventing secondary psychiatric or medical conditions, minimizing adverse medication effects, and preventing relapse. An interdisciplinary team of healthcare professionals works with patients and families. Phobias can be responsive to cognitive therapy.

Treating Obsessive Compulsive Disorder (01:06)

Psychotherapy and medications reduce the number and extent of OCD rituals. It may not be possible to eliminate all symptoms. Anxiolytic and antidepressant medications may help treat anxiety disorders.

Antianxiety Medications (02:56)

Benzodiazepines have been the mainstay anxiolytics and include diazepam, alprazolam, and lorazepam. Short term use is recommended. Activation of inhibitory neurotransmitter GABA causes sedative effects. Buspirone has similar effects to benzodiazepines, but does not cause dependency. Paxil, an SSRI, is approved for social anxiety.

Medications for Panic Disorders (02:16)

Antidepressants, including TCAs, SSRIs, and MAOIs are used to prevent panic attacks. They may be given in conjunction with a benzodiazepine to control anticipatory anxiety, and with a beta-adrenergic antagonist like propranolol to control heart palpitations and physical symptoms.

Medications for Phobic Disorders (00:15)

Phobias are susceptible to TCAs, MAOIs, and propranolol, in conjunction with sensitive and supportive cognitive and behavioral psychotherapies.

Medications for OCD (01:10)

SSRIs such fluvoxamine, fluoxetine, sertraline and paroxetine are recommended as first line drugs for OCD symptoms. Clomipramine, a TCA, is usually used for individuals not responding to SSRIs. Discontinue MAOIs at least 2 weeks before starting another drug to prevent fatal interactions.

Side Effects (06:22)

Patients should avoid operating machinery or alcohol on benzodiazepines. Elderly patients and patients with abnormal heart rates should be monitored on TCAs. SSRIs may interfere with medication metabolism, causing toxicity. View food and drug interactions for MAOIs. Anti-psychotics prescribed for PTSD related anxiety include risperidone, olanzapine, ziprasidone, or quetiapine.

Credits: Antianxiety Agents: Psychotropic Medications (00:29)

Credits: Antianxiety Agents: Psychotropic Medications

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Antianxiety Agents: Psychotropic Medications

Part of the Series : Psychotropic Medications
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This video discusses the signs and symptoms of generalized anxiety disorder, panic disorder, phobic disorders, and obsessive-compulsive disorder. It discusses the classes of medicines used to treat each disorder, possible side effects, and precautions to take. It also considers the use of psychotherapy in treatment.

Length: 23 minutes

Item#: BVL120747

ISBN: 978-1-63521-684-4

Copyright date: ©2014

Closed Captioned

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