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Generalised anxiety disorder — MCCQE Part 1 MCQ

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EasyAnxietyGeneralised anxiety disorderMCCQE Part 1

A 40-year-old woman has persistent worry about multiple topics (finances, health, family), difficulty controlling worry, muscle tension, insomnia, irritability x 8 months. No panic attacks. Most appropriate initial treatment?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: C — SSRI or SNRI (escitalopram or venlafaxine) plus CBT

GAD: CANMAT recommends SSRIs/SNRIs + CBT first-line. Benzodiazepines effective but not first-line (dependence risk). Buspirone adjunctive. Duration >=6 months of excessive worry.

Reference: CANMAT Anxiety Guidelines