Anxiety disorders can exist in isolation but more commonly occur with other anxiety and depressive disorders.
Please click the relevant flowchart box to be taken directly to textual information:
may have similar symptoms as anxiety or enhance anxiety symptoms include:
When a medical condition is the suspected cause of anxiety symptoms, initiate treatment for the medical disorder - once this has been stabilised, consider treating any remaining anxiety symptoms.
that help to distinguish primary depression from anxiety disorders are:
Depressive episodes are accompanied by clinically significant distress or impairment in social, occupational or other important areas of functioning.
See Full Local Depression pathway.
NB: It is important to be aware that if the person with anxiety also has substance use problems and depression, they are more at risk of suicide or self-harm.
The following screening tools may be useful:
Perform a mental health assessment to review the person's mental state and associated functional, interpersonal, and social difficulties.
The Contact Centre may be contacted for advice at any stage:
Tel: 08000 151 499
Recent reviews of serious incidents have identified potential system and process changes which could improve the quality and responsiveness of care for people who require secondary care mental health services.
It would be helpful if GPs could please share any information in relation to substance misuse with GHC, particularly when a patient is injecting, as this aids clinical risk assessment and management. It is also really helpful if referrals into mental health services contain an appropriate risk assessment.
In all instances when a patient dies unexpectedly, especially if the cause of death is suspected suicide, GPs should inform GHC as soon as possible. This will allow GHC to quickly put in place support for those bereaved and minimise the risk of appointment letters etc. being sent to the deceased.
Contact: email@example.com (Assistant Director of Governance & Compliance, GCHNHSFT)