Question

A 40-year-old man with chronic worry, restlessness, muscle tension and sleep disturbance for over 6 months is diagnosed with generalised anxiety disorder. He has no substance misuse. What is the most appropriate first-line management?

Accepted Answer

Cognitive behavioural therapy and/or an SSRI

Answer

Benzodiazepines as long-term monotherapy

Answer

High-dose antipsychotic medication

Answer

No treatment; normalise his anxiety

Answer

St John's wort and herbal remedies only

Practice question

A 40-year-old man with chronic worry, restlessness, muscle tension and sleep disturbance for over 6 months is diagnosed with generalised anxiety disorder. He has no substance misuse. What is the most appropriate first-line management?