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NICE clinical guideline 113 Generalised anxiety disorder and panic disorder (with or without agoraphobia) in adults: management in primary, secondary and community care Ordering information You can download the following documents from www.nice.org.uk/guidance/CG113 The NICE guideline (this document) – all the recommendations. A quick reference guide – a summary of the recommendations forhealthcare professionals. ‘Understanding NICE guidance’ – a summary for patients and carers. The full guideline – all the recommendations, details of how they were developed, and reviews of the evidence they were based on. For printed copies of the quick reference guide or ‘Understanding NICE guidance’, phone NICE publications on 0845 003 7783 or email publications@nice.org.uk and quote: N2409 (quickreference guide) N2410 (‘Understanding NICE guidance’).

Issue date: January 2011

NICE clinical guidelines are recommendations about the treatment and care of people with specific diseases and conditions in the NHS in England and Wales.

This guidance represents the view of NICE, which was arrived at after careful Generalised anxiety disorderexpected to consideration of the evidenceavailable. Healthcare professionals are take it fully into account when judgement. anddecisionsnot override theexercising their (withhealthcare professionals to panic disorder clinicaltheof orHowever,inthe guidance does individual responsibility make appropriate to the circumstances of individual patient, consultation with the patient and/or guardian or carer, and adults without agoraphobia) ininformed by the summary of product characteristics of any drugs they are considering.

Managementthis guidance is the responsibility of local and Implementation of in primary, secondary commissioners and/or providers. Commissioners responsibility to community care inand providers are remindedofthat it is theirto avoid unlawful implement the guidance, their local context, in light their duties Thisupdates and replaces NICE clinical guideline 22
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discrimination and to have regard to promoting equality of opportunity. Nothing in this guidance should be interpreted in a way that would be inconsistent with compliance with those duties.

NICE clinical guideline 113
Developed by the National Collaborating Centre for Mental Health and the National CollaboratingCentre for Primary Care

This guidance updates and replaces NICE clinical guideline 22 (published December 2004; amended April 2007). New and updated recommendations are included on the management of generalised anxiety disorder in adults. Recommendations are marked [2004], [2004, amended 2011] or [new 2011]. [2004] indicates that the evidence has not been updated and reviewed since 2004.[2004, amended 2011] indicates that the evidence has not been updated and reviewed since 2004 but a small amendment has been made to the recommendation. [new 2011] indicates that the evidence has been reviewed and the recommendation has been updated or added.

Contents
Introduction ...................................................................................................... 4Person-centred care ........................................................................................ 6 Key priorities for implementation ...................................................................... 7 1 Guidance ................................................................................................ 10 1.1 Principles of care for people with generalised anxiety disorder (GAD)...