Re. Hales et al., A TREATMENT ALGORITHM FOR THE MANAGEMENT OF ANXIETY IN PRIMARY-CARE PRACTICE, The Journal of clinical psychiatry, 58, 1997, pp. 76-80
Patients frequently present to primary care physicians with somatic sy
mptoms that mask an underlying anxiety disorder. As a result, unnecess
ary diagnostic tests are ordered, and inappropriate medications are pr
escribed. Psychiatrists may help improve their primary care colleagues
' ability to identify and treat these anxiety disorders. This paper re
views the adverse effects of untreated anxiety in managed care setting
s and outlines a treatment algorithm that psychiatrists may wish to us
e to assist primary care physicians in the cost-efficient, pharmacolog
ic treatment of anxiety disorders in their patients.