Psychiatry Fast Five Quiz: What Do You Know About Anxiety Disorders?

Stephen Soreff, MD

Disclosures

November 02, 2016

Anxiety disorders may contribute to morbidity and mortality through neuroendocrine and neuroimmune mechanisms or by direct neural stimulation (eg, hypertension or cardiac arrhythmia). However, one must carefully rule out any underlying neuroendocrine and neuroimmune causes for the anxiety disorder. For example, hyperthyroidism may result in anxiety.

Chronic anxiety may be associated with increased risk for cardiovascular morbidity and mortality. Thus, patients with anxiety should have regular health check-ups. Phobias are highly comorbid. Most comorbid simple (specific) and social phobias are temporally primary, while most comorbid agoraphobia is temporally secondary. Comorbid phobias are generally more severe than pure phobias. Social phobia is also frequently comorbid with major depressive disorder and atypical depression, which results in increased disability.

For more on the prognosis of anxiety disorders, read here.

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