Abordaje integral de los trastornos de ansiedad generalizada y crisis de pánico en atención primaria de salud.

Abstract

Anxiety is part of a normal process of adaptation to the environment, but in some circumstances it can become excessive in intensity and duration, affecting the normal functionality of the person presenting it. It consists of a series of psychic and somatic symptoms that can be reactive to a stressful event or masked in the context of a pathology. Different medical illnesses and the use of substances can present with anxious symptomatology, for which a correct anamnesis and a medical examination are necessary, as well as the accomplishment of the necessary complementary tests. Bearing in mind the diagnostic criteria of different psychiatric disorders, both anxiety disorders and other disorders that may occur with acute anxiety; Panic disorder is the prototype of acute anxiety. The present review describes the comprehensive management of generalized anxiety disorder and panic attacks in primary care, for which information from several scientific studies was collected, together with the criteria of the diagnostic manual DSM-v and cie-10. Where it is recommended that the treatment is essentially psychological and pharmacological (benzodiazepines, with other options according to the clinic), patients with panic attacks often arrive in primary care, for which the use of anxiolytics is recommended, according to several studies favoring the prescription of benzodiazepines as first-line treatment.