Treatment Resistant Generalized Anxiety Disorder


1. Introduction
Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition TextRevision

section on anxiety disorders includes many major disorders: generalized anxiety disorder (GAD), obsessivecompulsive disorder (OCD), panic disorder, specific phobia, social anxiety disorder (SAD), and posttraumatic stress disorder (PTSD) (DSMIVTR, 2000). Anxiety disorders are the foremost prevalent of all psychiatric disorders, with an estimated prevalence of twenty-two to a hundred and eightieth worldwide (Wittchen & Jacobi, 2005). Specific phobias have a lifetime prevalence of twelve.5%; the lifetime prevalence for GAD, OCD, panic disorder, SAD, and PTSD are five.7%, 1.6%, 4.7%, 12.1%, and 6.8%, respectively (Kessler et al., 2005). Anxiety disorders principally begin at an early age, considerably impair multiple areas of development and life, and are related to varied adverse consequences like school failure, unemployment and underemployment, educational underachievement, interactional and marital issues, and excessive use of health care facilities (Demyttenaere et al., 2004; Wittchen & Jacobi, 2005). though anxiety disorders are highly treatable disease the majority of the patients are underdiagnosed or don't receive adequate treatment. The goal for the treatment of hysteria disorders is why is generic seroquel so expensive achieving and sustaining remission complete resolution of symptoms and restoration of presymptomatic functioning level. However, a major range of patients don't absolutely reply to an adequate trial of 1st line treatment with an serotonin reuptake inhibitors (SRIs) . for instance, a minimum of four-hundredth to 60% of OCD patients still exhibit symptoms once treatment (Pallanti walmart price for seroquel & Quercioli, *point9*


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