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Generalised anxiety disorder — CCFP MCQ

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HardMental healthGeneralised anxiety disorderCCFP

A 34-year-old meets criteria for generalized anxiety disorder. She has no suicidality, psychosis, mania or acute substance intoxication, and symptoms are impairing work and sleep. She asks for a long-term treatment plan. Which approach best reflects Canadian guidance?

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Correct answer: C — Offer CBT and consider an SSRI or SNRI with lifestyle support

Explanation lettering: B = shown as A · E = shown as B · A = shown as C · C = shown as D · D = shown as E

A is correct. For non-acute anxiety, CAMH recommends psychoeducation, healthy sleep and substance-use measures, cognitive behavioural therapy where available, and consideration of an SSRI or SNRI. B risks dependence and adverse effects without offering a comprehensive plan. C is not routine first-line treatment. D is not indicated by this presentation. E may be relevant to individual safety but does not treat the disorder. Agree a follow-up interval and assess comorbid depression, substance use and safety throughout care.

Reference: Centre for Addiction and Mental Health: Anxiety—treatment: https://www.camh.ca/en/professionals/treating-conditions-and-disorders/anxiety-disorders/anxiety---treatment