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New NICE guidance on the treatment of generalised anxiety disorder (GAD) and panic disorder (with or without agoraphobia)

In January, the National Institute for Health and Clinical Excellence (NICE) published their new evidence-based clinical guideline on the care and treatment of adults with generalised anxiety disorder (GAD) or panic disorder (with or without agoraphobia).  This guideline updates and replaces their 2004 one (which was itself amended in 2007).  The full 56 page guideline is available as a PDF and in Word format.  It also comes as a 24 page "Quick reference guide" for health professionals, and as a 16 page "Treating generalised anxiety disorder and pan

Handouts & questionnaires for improved assessment & monitoring of panic disorder

For quite some time, I've used Katherine Shear's "Panic Disorder Severity Scale (PDSS)" as my main way of assessing and monitoring the severity of panic disorder.  I've recently woken up to the fact that there is a specifically designed "Self Report" version of this scale.  It is copyrighted, but Dr Shear has given permission for clinicians to use the scale freely in their practice and for researchers to use it in non-industry settings.  For other uses of the scale, Dr Shear should be contacted.  Click on "Panic Disorder Severity Scale - Self Report (PDSS-SR)"  to download a PDF of this excellent assessment measure 

Handouts & questionnaires for increasing access to psychological therapies (IAPT) outcomes toolkit, an upgrade

Over nearly 35 years of practice as a doctor and psychotherapist I've assembled a collection of 300 to 400 handouts and questionnaires that I use in my work.  I'm gradually uploading most of these handouts to this website so people can use any that they'd like to.  The collection is searchable in the Good Knowledge section of the site at Handouts, questionnaires and other leaflets.  Of the twenty two subsections on this part of the website, one of the more frequently visited areas is the Increasing access to psychological therapies (IAPT) outcomes toolkit.  This is a pretty full hand of cards for the recommended IAPT assessment measures.  I've recently updated the list of downloadable questionnaires available by including:

Handouts & questionnaires for “outcomes toolkit” (IAPT)

The "Improving Access to Psychological Therapies" (IAPT) initiative is very ambitious and exciting.  It states its principal aim is to support English Primary Care Trusts in implementing "National Institute for Health and Clinical Excellence" (NICE) guidelines for people suffering from depression and anxiety disorders.  IAPT go on to say that "At present, only a quarter of the 6 million people in the UK with these conditions are in treatment, with debilitating effects on society."

One aspect of this carefully planned initiative is strong encouragement to assess and monitor the progress of those who are getting help.  Visiting the IAPT "Outcomes Toolkit and FAQ" web page provides access to several freely downloadable documents.  The emphasis is on good assessment measures that are free to use.  See below:

IAPT Outcomes Toolkit 2008/9 PDF - this 81 page 1.1Mb Adobe PDF is the September 08 version with amended IAPT Paper Based Data Set Questionnaires.

Handouts & questionnaires for panic, agoraphobia & depersonalization

I've been working on the 'Panic & depersonalization' handouts list in the Good Knowledge section of this website.  The list contains most of the handouts and questionnaires I currently use when working with people suffering from panic disorder, agoraphobia or depersonalization/ derealization disorder.  Here they are with brief descriptions: 

Agoraphobia

“ Happiness is when what you think, what you say, and what you do are in harmony. ” - Gandhi

The US DSM IV diagnostic system describes the "essential features" of agoraphobia in the following way: "There is intense fear of, or discomfort in, settings from which escape is difficult or embarrassing, or in which help (e.g. to alleviate a panic attack) is not available."  It then adds the following three criteria:

Agoraphobia

I'm gradually adding content to the 'Good Knowledge' database.  I've just put in some information on agoraphobia.  It reads: 

Increasing access to psychological therapies (IAPT) outcomes toolkit

“ No act of kindness, no matter how small, is ever wasted. ” - Aesop

The "Improving Access to Psychological Therapies" (IAPT) initiative is very ambitious and exciting.  It states its principal aim is to support English Primary Care Trusts in implementing "National Institute for Health and Clinical Excellence" (NICE) guidelines for people suffering from depression and anxiety disorders.  IAPT go on to say that "At present, only a quarter of the 6 million people in the UK with these conditions are in treatment, with debilitating effects on society."

Panic, OCD & depersonalization information & assessment

Love makes labour light.  Love alone gives value to all things. 

- St Teresa of Avila

Here are many of the handouts and questionnaires I use currently (autumn '09) when working with people suffering from panic disorder, agoraphobia, OCD or depersonalization/derealization disorder. 

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