Book contents
- Behavioral Emergencies for the Emergency Physician
- Behavioral Emergencies for the Emergency Physician
- Copyright page
- Contents
- Contributors
- Preface
- Section 1. General considerations for psychiatric care in the emergency department
- Section 2. Evaluation of the psychiatric patient
- Section 3. Psychiatric illnesses
- Chapter 8 The patient withdepression in the emergency department
- Chapter 9 Assessment of the suicidal patient in the emergency department
- Chapter 10 The patient with somatoform disorders in the emergency department
- Chapter 11 The patient with anxiety disorders in the emergency department
- Chapter 12 The patient with post-traumatic stress disorder in the emergency department
- Chapter 13 The patient with psychosis in the emergency department
- Chapter 14 Personality disorders in the acute setting
- Chapter 15 The patient with factitious disorders or malingering in the emergency department
- Chapter 16 The patient with delirium and dementia in the emergency department
- Chapter 17 The patient with excited delirium in the emergency department
- Chapter 18 Medical illness in psychiatric patients in the emergency department
- Chapter 19 Acute care ofeating disorders
- Chapter 20 Management of the emergency department patient with co-occurringsubstance abuse disorder
- Section 4. Treatment of the psychiatric patient
- Section 5. Special populations
- Section 6. Administration of psychiatric care
- Index
Chapter 11 - The patient with anxiety disorders in the emergency department
from Section 3. - Psychiatric illnesses
Published online by Cambridge University Press: 05 April 2013
Edited by
Book contents
- Behavioral Emergencies for the Emergency Physician
- Behavioral Emergencies for the Emergency Physician
- Copyright page
- Contents
- Contributors
- Preface
- Section 1. General considerations for psychiatric care in the emergency department
- Section 2. Evaluation of the psychiatric patient
- Section 3. Psychiatric illnesses
- Chapter 8 The patient withdepression in the emergency department
- Chapter 9 Assessment of the suicidal patient in the emergency department
- Chapter 10 The patient with somatoform disorders in the emergency department
- Chapter 11 The patient with anxiety disorders in the emergency department
- Chapter 12 The patient with post-traumatic stress disorder in the emergency department
- Chapter 13 The patient with psychosis in the emergency department
- Chapter 14 Personality disorders in the acute setting
- Chapter 15 The patient with factitious disorders or malingering in the emergency department
- Chapter 16 The patient with delirium and dementia in the emergency department
- Chapter 17 The patient with excited delirium in the emergency department
- Chapter 18 Medical illness in psychiatric patients in the emergency department
- Chapter 19 Acute care ofeating disorders
- Chapter 20 Management of the emergency department patient with co-occurringsubstance abuse disorder
- Section 4. Treatment of the psychiatric patient
- Section 5. Special populations
- Section 6. Administration of psychiatric care
- Index
Summary
Anxiety disorders are among the most common psychiatric presentations to the emergency department (ED). The ability to differentiate anxiety symptoms and disorders from acute life-threatening conditions is paramount in providing treatment that is thorough, safe, and accurate. This can be particularly challenging when dealing with the time constraints faced in the ED, and financial limitations encountered in the un-insured and the underinsured patients. The Panic Screen Score (PSS) is one tool available for evaluation of ED patients presenting with unexplained chest pain which may be used to help determine prevalence as well as guide referral for further mental health evaluations. There is evidence to support both the efficacy and effectiveness of cognitive behavioral therapy (CBT) as an acute treatment for adult anxiety disorder. In cases where pharmacological therapy is necessary in the ED and even more rarely, upon discharge, short-acting benzodiazepines such as Lorazepam and Alprazolam can be used.
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- Behavioral Emergencies for the Emergency Physician , pp. 76 - 82Publisher: Cambridge University PressPrint publication year: 2013
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