A 27-year-old woman with a history of generalised anxiety disorder presents to her family physician with worsening worry, insomnia and muscle tension ...

Question

A 27-year-old woman with a history of generalised anxiety disorder presents to her family physician with worsening worry, insomnia and muscle tension for 4 months. She has tried self-help strategies without success. According to best-practice Canadian guidelines, what is the most appropriate first-line management?

Accepted Answer

Offer cognitive behavioural therapy and/or start an SSRI

Answer

Initiate long-term benzodiazepine therapy

Answer

Prescribe antipsychotic medication

Answer

Provide reassurance only and review in 6 months

Answer

Start propranolol as monotherapy

ca-mccqe1 MCQ (SBA): Generalised anxiety disorder