(BQ) Part 2 book “ABC of anxiety and depression” has contents: Anxiety and depression - long-term conditions, bereavement and grief, brief psychological interventions for anxiety and depression, psychosocial interventions in the community for anxiety and depression, looking after ourselves, and other contents. | Chapter 6 Anxiety and Depression: Long-Term Conditions Sarah Alderson and Allan House Leeds Institute of Health Sciences, University of Leeds, Leeds, UK OVER VIEW • Patients with long-term conditions have a high prevalence of comorbid depression and anxiety. • Presentation of anxiety and depression in people with long-term conditions (LTCs) can by atypical. • Causes of anxiety and depression include societal factors and other negative life events, as well as the long-term condition. • Patient, professional, organisational and societal factors are barriers to effective diagnosis and management of anxiety and depression in LTCs. • The management of depression and anxiety in patients with long-term conditions may be improved through the adoption of common principles of ‘chronic disease management’ and ‘collaborative care’. Depression and anxiety are common in people who have long-term physical conditions (LTCs) and can be more difficult to detect and treat. Less attention has been given to anxiety, but anxiety and depression often coexist, and mixed presentations are common in primary care. Anxiety symptoms can have significant overlap with those of the physical illness, particularly chest pain in those with cardiac disease and shortness of breath in chronic obstructive pulmonary disease (COPD) and asthma. Case study: Hanif Hanif is 78 years old and came to England 40 years ago. He set up a business and was proud to buy number 60 Broad Street. He has had diabetes for at least 20 years, and wasn’t surprised to be told he had this condition as it seems everyone in his family eventually gets it. He tries to follow a diet and does take his tablets, unlike his wife who was diagnosed about 14 years ago and doesn’t seem to bother. He was so angry when it was he who had a heart attack 4 years ago – it just came out of the blue when he was digging in the garden. The hospital staff were wonderful, but after he was sent home, he felt no one really bothered about him, and .
