Generalised anxiety disorder in adults. Implementing NICE guidance. 2011. NICE clinical guideline 113. Updated guidance. This guideline updates and replaces ‘ Management of anxiety ’, NICE clinical guideline 22. ( published December 2004; amended April 2007 )
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Implementing NICE guidance
NICE clinical guideline 113
For all known and suspected presentations of GAD:
For people with GAD with marked functional impairment or that has not improved after step 2 interventions offer either:
Do not offer antipsychotics for GAD in primary care.
Do not offer benzodiazepines except as a short-term crisis measure.
The revised recommendations are unlikely to result in a significant change in resource use in the NHS at a national level.
Because of variations in practice across the country, organisations may incur costs or savings depending on their circumstances.
Using the stepped-care model allows less intensive low-cost psychological interventions to be used first and if people do not improve then to step up to SSRI medication or more expensive highly intensive psychological interventions.
Early intervention and the use of the stepped-care approach will lead to a more effective use of resources.
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