ISBN : 9780199395125
Anxiety affects millions, manifesting as generalized anxiety disorder (GAD), obsessive compulsive disorder, panic disorder, phobias, post-traumatic-stress disorder (PTSD), and social anxiety disorder. Not only are anxiety disorders common, but they are also crippling, frequently co-occurring and predict high risk for depressive disorders. Shared mechanisms may explain the overlapping features of many anxiety disorders and account for associations with other highly-impairing conditions, such as major depression and substance use. Beyond risk for specific disorders, anxiety also predicts a number of other adverse outcomes, including suicidal behavior, medical problems, social, and economic difficulties. Conversely, disorder-specific mechanisms may also exist and explain the unique features of each syndrome. Thus, it is important to understand both shared and specific aspects of anxiety. The Primer on Anxiety Disorders provides early-stage practitioners and trainees, as well as seasoned clinicians and researchers, with need-to-know knowledge on diagnosis and treatment. Clinical cases are used throughout the book to enhance understanding of and illustrate specific disorders, comorbid conditions and clinical issues. To facilitate an integrative approach, content allows clinicians to understand patient characteristics and tailor interventions. The integrated approach of each chapter includes recent research on genetics and neuroscience to understand the mechanisms of anxiety disorders, focusing on the forthcoming new nosology in DSM-5. Chapters further integrate innovative advances in clinical research providing research on a range of discoveries regarding biomarkers of illness, biological predictors of treatments and the effect of treatment on neurocircuitry.
Foreword: Anxiety Disorders, Big Science, and Big Data: The Next Generation of Science and Practice
Section 1: Overview of Anxiety and Related Illnesses
1. Anxiety and Related Disorders in DSM5.
2. Translational Perspectives, RDoC and Anxiety.
Section 2: Neurobiology and Neural Circuitry of Anxiety Disorders
3. Neurobiology and Neuroimaging of Fear and Anxiety Circuitry.
4. The Genetics of Anxiety Disorders.
Section 3: Development of Fear, Fear Pathways, and Anxiety Disorders in Children and Adolescents
5. Developmental Biology related to Emotion and Anxiety.
6. Development of Fear and its Inhibition
7. Involving the Family in Treatment.
8. Treating the College-age Patient.
Section 4: Posttraumatic Stress and the Neurobiology of Trauma
9. PTSD and the Biology of the Stress Response.
10. Clinical Aspects of Trauma-related Anxiety and PTSD.
Section 6: Obsessive Compulsive and Disorders of Cortical-Striatal Processing
11. Dissecting OCD Circuits: From Animal Models to Targeted Treatments.
12. Clinical aspects of Obsessive Compulsive Disorder.
Section 7: Phobias, Fears, and Panic
13. The Etiology of Fear and Anxiety: The Role of Environmental Exposures.
14. Clinical Aspects of Social Anxiety Disorder and Specific Phobias.
15. Clinical aspects of Panic disorder.
Section 8: Intersection of Medical and Anxiety Disorders
16. Fear, Anxiety, Avoidance, and Chronic Pain.
17. Detection and Treatment of Anxiety Disorders in Primary Care Settings.
18. Gastrointestinal Disorders, Irritable Bowel Syndrome, and Anxiety.
19. Anxiety Disorders and Cardiovascular Illness.
Section 9: Intersection of Anxiety with Mood and Substance Disorders
20. Substance abuse and Comorbidity with Anxiety.
21. Comorbidity of Anxiety and Depression.
22. Generalized Anxiety Disorder.
23. Anxiety and Suicide.
Section 10: Cognitive and Exposure Based Treatments of Anxiety Disorders
24. Neural Circuitry Mechanisms of Fear Extinction.
25. Learning Theory and Cognitive Behavioral Therapy.
26. Pharmacological Mechanisms of Modulating Fear and Extinction.
Section 11: Neurotransmitter Pathways and Pharmacological Treatments of Anxiety Disorders
27. Stress, Anxiety, Depression and the Role of Glutamate Neurotransmission.
28. The Role of the Hypothalamic-Pituitary-Adrenal Axis in Anxiety Disorders.
29. Pharmacological Interventions for Adult Anxiety Disorders.
Section 12: New Technologies and Approaches to Treatment
30. Adherence to Psychotherapy and Pharmacotherapy for Anxiety Disorders.
31. Computer Tools as Novel Treatment for Depression and Anxiety.
32. Internet-Based Treatment for Anxiety, OCD, and Related Disorders.