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Chapter 40. Generalized Anxiety Disorder, Panic Disorder, and Social Anxiety Disorder

Student Questions

Propranolol is an effective treatment for which of the following anxiety disorders?

A. Generalized anxiety disorder

B. Panic disorder

C. Social anxiety disorder

D. Performance anxiety

Answer: D

Option A: Incorrect. Propranolol is not effective for management of GAD.

Option B: Incorrect. Propranolol is not effective for management of panic disorder.

Option C: Incorrect. Propranolol is not effective for management of SAD.

Option D: Correct. Propranolol is effective for management of performance anxiety and should be administered 1 hour before a performance situation.

Which of the following medications is not an appropriate initial treatment for a 29-year-old woman with GAD and no other comorbidities?

A. Pregabalin

B. Quetiapine

C. Sertraline

D. Venlafaxine

Answer: B

Option A: Incorrect. Pregabalin has been shown to be safe and effective in treating GAD.

Option B: Correct. Quetiapine has demonstrated benefit in GAD but SGAs have significant side effects such as extrapyramidal symptoms and metabolic disturbances that limit their use.

Option C: Incorrect. Sertraline has been shown to be safe and effective in treating GAD.

Option D: Incorrect. Venlafaxine has been shown to be safe and effective in treating GAD and the XR formulation is FDA approved for use in GAD.

A 23-year-old male with SAD has significant improvement in anxiety after 16 weeks of treatment with escitalopram. How long should he remain on escitalopram?

A. Discontinue now

B. Additional 3 months

C. Additional 8 months

D. Additional 1–2 years

Answer: C

Option A: Incorrect. Discontinuing treatment will increase the risk of relapse for SAD.

Option B: Incorrect. Patients should be treated for at least 12 months; therefore, 3 additional months is inadequate.

Option C: Correct. In order to prevent relapse, patients should be treated for at least 1 year or 8 additional months following treatment response.

Option D: Incorrect. While some patients may require lengthened treatment, 1 to 2 additional years after 4 months of treatment is not required for all patients.

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