Question

A 28-year-old woman presents with excessive worry, muscle tension and poor sleep for over 6 months. She reports feeling anxious most days about everyday events and finds it hard to control. There are no panic attacks, psychosis or major depression. What is the most appropriate initial management?

Accepted Answer

Offer high-intensity psychological therapy such as CBT for generalised anxiety disorder

Answer

Start long-term benzodiazepines as first-line

Answer

Prescribe antipsychotic medication

Answer

Admit her involuntarily under the Mental Health Act

Answer

Reassure only and arrange no follow-up

Practice question

A 28-year-old woman presents with excessive worry, muscle tension and poor sleep for over 6 months. She reports feeling anxious most days about everyday events and finds it hard to control. There are no panic attacks, psychosis or major depression. What is the most appropriate initial management?