Neuropsicologia ansiedad

Anxiety
Management of anxiety (panic disorder, with or without agoraphobia, and generalised anxiety disorder) in adults in primary, secondary and community care

Clinical Guideline 22
December 2004 Developed by the National Collaborating Centre for Primary Care

Clinical Guideline 22 Anxiety: management of anxiety (panic disorder, with or without agoraphobia, and generalised anxietydisorder) in adults in primary, secondary and community care Issue date: December 2004 This document, which contains the Institute's full guidance on Anxiety: management of anxiety (panic disorder, with or without agoraphobia, and generalised anxiety disorder) in adults in primary, secondary and community care, is available from the NICE website (www.nice.org.uk/CG022NICEguideline). An abridged versionof this guidance (a 'quick reference guide') is also available from the NICE website (www.nice.org.uk/CG022quickrefguide). Printed copies of the quick reference guide can be obtained from the NHS Response Line: telephone 0870 1555 455 and quote reference number N0763. Information for the Public is available from the NICE website or from the NHS Response Line (quote reference number N0764 for aversion in English and N0765 for a version in English and Welsh).

The distribution list for the quick reference guide to this guideline is available from www.nice.org.uk/CG022distributionlist This guidance is written in the following context: This guidance represents the view of the Institute, which was arrived at after careful consideration of the evidence available. Health professionals areexpected to take it fully into account when exercising their clinical judgement. The guidance does not, however, override the individual responsibility of health professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer.

National Institute for Clinical Excellence MidCity Place 71 High Holborn London WC1V 6NAwww.nice.org.uk ISBN: 1-84257-847-2 Published by the National Institute for Clinical Excellence December 2004 © National Institute for Clinical Excellence, December 2004. All rights reserved. This material may be freely reproduced for educational and not-for-profit purposes within the NHS. No reproduction by or for commercial organisations is allowed without the express written permission of theNational Institute for Clinical Excellence.

Contents
Which NICE guideline?..................................................................................4 Key priorities for implementation.................................................................5 Key messages about anxiety disorders.......................................................8 1 2 3 4 5 6 7 Guidance.................................................................................................9 Notes on the scope of the guidance ...................................................32 Implementation in the NHS ..................................................................33 Key research recommendations .........................................................34 Other versions of this guideline..........................................................35 Related NICE guidance.........................................................................36 Review date ...........................................................................................36

Appendix A: Grading scheme.....................................................................37 Appendix B: The Guideline Development Group......................................38 Appendix C: The Guideline Review Panel .................................................40 Appendix D: Technical detail on the criteria for audit ..............................41 Appendix E: The algorithms .......................................................................50

Which NICE guideline?

What are the patient’s symptoms? Low mood or loss of...