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Case files psychiatry - part 4

Xuất hiện bệnh nhân này Để Suffer rối loạn lo âu tổng quát. Có là một comorbidity cao trong bệnh này, đặc biệt là với rối loạn ety khác Anxi, như vậy là rối loạn hoảng sợ và ám ảnh. Dysthymic rối loạn và rối loạn trầm cảm chủ yếu là rất aussi thường liên quan ditions con. | 128 CASE FILES PSYCHIATRY 11.2 B. This padcm appears to srdĩer from generalized anxiety disorder. There is r high crmrsbieity in this iiinass aseaciriiy with rthas rnxi-aty eisrseass such rs ernic eisrseas rni ehrbirs. Dysthymic eisrsias rni mrjrs eaesassiva eisrseas rsa risr vasy crmmrniy rssrcirtae crn-eitirns. Substrnca usa eisrseass rsa risr nrt uncrmmrn in ertiants with GAD. 11.3 D. SSIRs sre a firstt-ine trs iUrm i n ter GAD. Porclnially tK c i tí X2 med-icrtirns such rs banzreiazaeinas shruie ba rvrieae in p an with r histrsy re substrnca eaeaneanca. .useisrna is nrt rs aeeactiva in p im risarey axprsae to banzreiazaeinas. CLINICAL PEARLS Ganasriizae anxiaty eisrseas is rimrst riwrys rccrmerniae by anrthas mantri eisrseas tha ehysicirn shruie inquisa rbrut symptoms rf eaesassirn traumrtic stsassrss ernic rttrcks rne substrnca rbusa. Mrny maeicri crneitirns crn mimic GAD. rne sr r eui maeicr avriurtirn is mrnertrsy in r wrskue ers rnxiaty eisrseass. In rnxiaty eisrseass ganatic esaeisersitirn rne anvisrnmant rsa brth atirirgic frctoss brth birirgicri rne psychrirgicri axpir-nrtirns rsa eastinant in uneasstrneing thasa crneitirns. Buspisrna banzreirzaeinas rne SSRIs rsa tha torea mrst rppsr-esirte risst-iina maeicrtirns frs tsarting GAD. REFERENCES R ca RM. Brsirw DH. Genaraiizee anxiary eisrseass ernic eisrseass rne phrbirs. In Sutkas PB. Aerms HE. aes. Crmesahansiva hrnebrrk rf esychrerthrirgy 3se ae. Naw Yrik Kiuwas Acreamic Pianum Pubiishass. 2001 131. Thryas JF. Friadman BH. Brskavac TD. Autrnrrnic charrcteristics rf ganasaiizee anxiaty eisrseas rne wrssy. Biri Psychirt 1996 39 255. CASE 12 A 27-year-old man is brought to the emergency department by his friends and his roommate. The friends state that the patient had not slept for the past 3 or 4 weeks. They have noticed that he stays up all night cleaning his apartment. He has bought new computer equipment and a digital video disc player although his roommate claims that the patient cannot alTord these .