Clinical experience in patient management with anxiety disorder

Clinical experience in patient management with anxiety disorder

P.V. Aronov¹, G.N. Belskaya¹, I.A. Nikiforov² 

¹Research Center of Neurology, Moscow

²Federal Scientific and Clinical Center of the Federal Medical Biological Agency of Russia, Moscow 

These days, the number of patients with anxiety disorders has been growing, which has become the most common group of mental and behavioral disorders. The overwhelming number of such patients turn not to psychiatrists, but to internists, as somatic disorders commonly come to the fore. In this regard, doctors of various specialties should have knowledge concerning this pathology for timely detection and correction, while in more complex cases, should refer patients to psychotherapists and psychiatrists. The article presents 3 clinical cases of patients with various manifestations of anxiety and the choice patterns of patient management. The article also brings an example presenting the successful use of modern anxiolytics (buspirone, tofisopam) in the complex therapy. The features of the action spectrum of buspiron cause its wide clinical use of "small" psychiatry: in various asthenic disorders, including in the setting of postcovid syndrome; in anxiety disorders associated with stress, including mild variants of panic disorder and generalized anxiety disorder; in the presence of expectation neurosis in patients with a somatic disorder; in as part of the therapy of organic anxiety disorder, in the treatment of anxiety in elderly patients.

Keywords: anxiety disorders, panic disorder, anxiolytics, COVID-19, stress, neurotic level, psychopathological conditions, antidepressants, buspirone, tofisopam.

For citation: Aronov P.V., Belskaya G.N., Nikiforov I.A. Clinical experience in patient management with anxiety disorder. RMJ. 2023;3:35–38.