CURRENT Diagnosis &Treatment: Family Medicine, 5e >Anxiety Disorders

Jeannette E. South-Paul, Samuel C. Matheny, Evelyn L. Lewis+

Table 57–5.Referral interventions and indications for use.

Type of Intervention Description Indications

Psychotherapy
Privacy, complicated patient
Insight, empowerment, support
Individual
Social skills, support, vicarious learning
Interactive, common interest
Group
Enabling, dysfunctional family
Therapeutic environment and patient
Family

Follow oscillation movement of object (pencil) thinking of trauma

Eye movement desensitization and reprocessing (EMDR) Posttraumatic stress disorder
Mixed results

Hypnosis Relaxation induction; suggestions Suggestible patient

EMG, ECG, EEG monitoring of physiologic parameters to alter

Biofeedback Headaches, tension, blood flow, etc
activity; cost is a limiting factor

Stress inoculation/anxiety management Multifaceted, comprehensive cognitive behavioral therapy All anxiety disorders

Assertiveness training Learn skills to be firm, not nasty Dependent, unassertive, aggressive patients

Noninvasive, painless method of brain stimulation via electrical

Transcranial magnetic stimulation (TMS) Applications are in their infancy
current using changing magnetic fields

ECG, electrocardiogram; EEG, electroencephalogram; EMG, electromyogram.

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