Anxiety disorders
Recognising generalised anxiety, panic and social anxiety disorder, excluding the medical mimics, and treating with CBT and SSRIs while avoiding long-term benzodiazepines, with older people and pregnancy covered.
Tier 1Condition
Written with AI assistance and fact-checked against the sources below. For exam study, not clinical decisions. How notes are made
At a glance
- The commonest mental disorders in Australia: about 17% of people aged 16 to 85 had an anxiety disorder in the past 12 months (ABS National Study of Mental Health and Wellbeing 2020 to 2022). They are more common in women and often coexist with depression and substance use.
- In medical practice they turn up as unexplained symptoms: palpitations, chest pain, breathlessness, dizziness, paraesthesia, abdominal pain.
- Exclude medical mimics and substances before making the diagnosis, especially with onset after 40 or atypical features.
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Sources
- Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for the treatment of panic disorder, social anxiety disorder and generalised anxiety disorder (historical, kept for reference)AU/NZRANZCP (Australian and New Zealand Journal of Psychiatry 2018;52:1109-72), 2018, no longer current guidance
- Generalised anxiety disorder and panic disorder in adults: management (CG113)National Institute for Health and Care Excellence, 2011, reviewed 2024
- Social anxiety disorder: recognition, assessment and treatment (CG159)National Institute for Health and Care Excellence, 2013
- Mental Health Care in the Perinatal Period: Australian Clinical Practice GuidelineAU/NZCentre of Perinatal Excellence (COPE), NHMRC approved, 2023
- Assessing Fitness to Drive: psychiatric conditionsAU/NZAustroads and National Transport Commission, 2022
- National Study of Mental Health and Wellbeing 2020-2022AU/NZAustralian Bureau of Statistics, 2023
- Last updated
- 14 November 2026
What changed
- 14 November 2026 Personal emails, About story and Australian-style copy