A 35-year-old woman presents with excessive worry about multiple life domains for over 6 months, associated with muscle tension and sleep disturbance....

Question

A 35-year-old woman presents with excessive worry about multiple life domains for over 6 months, associated with muscle tension and sleep disturbance. She has no panic attacks or obsessions. Function is impaired. What is the most appropriate first-line treatment strategy for generalised anxiety disorder (GAD)?

Accepted Answer

Cognitive behavioural therapy (CBT) and/or an SSRI or SNRI

Answer

Short-term benzodiazepines only

Answer

Antipsychotic monotherapy

Answer

Tricyclic antidepressant monotherapy

Answer

No treatment is indicated; this is normal stress

ca-mccqe1 MCQ (SBA): Generalised anxiety disorder management