Skip to main content

Biopsychosocial Approaches To Anxiety In Primary Care

  • Chapter
Biopsychosocial Approaches in Primary Care

Abstract

Anxiety is the most common emotional condition encountered in primary care settings. In fact, a majority of antianxiety drug prescriptions are written by primary care physicians in the United States. Unfortunately, however, the treatment of anxiety rendered by primary care physicians without specialized training tends to be ineffective for two reasons — 1) lack of an understanding of the biopsychosocial approach, and 2) lack of a systematic, phased treatment plan.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, 4 th Edition, Primary Care Version (DSM IV-PC), American Psychiatric Association Press, Washington, DC, 1995

    Google Scholar 

  • Baer L, Rauch SL, Ballantine HT, Martuza R, Cosgrove R, Cassem E, Giriunas I, Manzo PA, Dimino C, Jenike MA: Cingulotomy for intractable obsessive-compulsive disorder. Arch Gen Psychiatry 52:384–392, 1995

    Article  PubMed  CAS  Google Scholar 

  • Baer L, Minichiello WE: Behavior therapy for obsessive-compulsive disorder, in Jenike MA, Baer L, Minichiello WE, (eds): Obsessive-Compulsive Disorders: Theory and Management, 2nd ed. St Louis, Mo. Mosby-Year Book, 1990, pp 1117–1126

    Google Scholar 

  • Baxter, Jr LR, Schwartz JF, Bergman KS, Szuba MP, Guze BH, Mazziotta JC, Alazraki A, Selin CE, Ferng HK, Munford P, Phelps ME: Caudate glucose metabolic rate changes with both drug and behavior therapy for obsessive-compulsive disorder. Arch Gen Psychiatry 49:681–689, 1992

    Article  PubMed  CAS  Google Scholar 

  • Leigh H, Feinstein AR, and Reiser MF: The Patient Evaluation Grid: A Systematic Approach to Comprehensive Care. General Hospital Psychiatry. 2:3–9, 1980.

    Article  PubMed  CAS  Google Scholar 

  • Leigh H: The Clinical Applications of the Biopsychosocial Model, in Krakowski, AJ and Kimball CP (editors): Psychosomatic Medicine Plenum Publishing Co, New York, 1983, pp. 541–549

    Chapter  Google Scholar 

  • Leigh H & Reiser, MF: The Patient. Biological, Psychological, and Social Dimensions of Medical Practice, 3 rd Edition, Plenum, New York, 1992

    Google Scholar 

  • Lucki I: Serotonin receptor specificity in anxiety disorders. J Clin Psychiatry 57 (suppl 6): 5–10, 1996

    PubMed  Google Scholar 

  • Paul SM, Marangos PJ, Skolnick P: The benzodiazepine-GABA-chloride ionophore receptor complex: Common site of minor tranquilizer action. Biol Psychiatry 16:213–229, 1981

    PubMed  CAS  Google Scholar 

  • Schwartz JM, Stoessel PW, Baxter Jr LR, Martin KM, Phelps ME: Systematic changes in cerebral glucose metabolic rate after successful behavior modification treatment of obsessive-compulsive disorder. Arch Gen Psychiatry 53:109–113, 1996

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1997 Springer Science+Business Media New York

About this chapter

Cite this chapter

Leigh, H. (1997). Biopsychosocial Approaches To Anxiety In Primary Care. In: Leigh, H. (eds) Biopsychosocial Approaches in Primary Care. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-5957-3_3

Download citation

  • DOI: https://doi.org/10.1007/978-1-4615-5957-3_3

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-7730-6

  • Online ISBN: 978-1-4615-5957-3

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics