Types - Generalized, social, panic

	Timing
Generalized	Months/years (trait temperament)
Social	Stressor precedent
Panic	Minutes

Epidemiology - females mostly
Etiology - genetics

Tx - Social (CBT); Meds(most common)-BZD (withdrawal/sz - needs taper!), Antidepressants (Adolescent caution!), BB (elderly caution!); Meds (most helpful for long term)-BuSpar


Meds:
Common side effects:

• Blurred vision, nausea (rest & digest)
• Fatigue (Beta blocker)
• HA (Buspirone)
• Confusion (cloudy thinking - rest &digest)
• Nightmares (Buspirone)

Severe side effects:

• It's like Rest & Digest (relaxation mechanism) going too much (severe/adverse Side effects): drowsy (rest!), dizzy (rest!), increased saliva (digest!), blurred vision (dim light sleepiness!), difficult with cognition (!!!), decreased libido (rest!), unsteady gait
• Anaphylaxis: swelling of face, sob, rash
• Psych (antidepressants in youth): suicidal thoughts
• Metabolic issue: jaundice

1.     BB

•  Propanolol (Inderal); Atenolol (Tenormin); Nadelol (Corgard) 
• Pre-treatment EKG for baseline
• Side effects:
• Fatigue, dizziness, weakness, decreased BP or HR (think: beta blocker is like a damping break on the machine of the heart = the heart can't increase BP or HR => leading to fatigue & weakness. Of course, the heart can't work as fast leading to weakness
• Tx: 
• always start with lowest dose
• elder caution!

2.     BuSpar = Boost Spa = relaxing for Anxiety

BuSpar = Boost Spa
Side effects:

• Dizziness, HA (if tapered too quickly); Nausea -----Mnemonics: if get up to leave from boost spa (BuSpar) too quickly, it will cause you to have orthostatic low blood pressure & middle ear vertigo (dizziness, HA, nausea)
• Nervousness/Excitement/Insomnia ----Mnemonics: if you leave Boost Spa (BuSpar), you may get nervous rebound, thus insomnia - can't sleep, at times get paradoxical excitement

~By Qt