Treatment of Anxiety in Primary Care Settings

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Speaker: Anh Truong, MD, Assistant Professor, Menninger Department of Psychiatry and Behavioral Sciences
Baylor College of Medicine

Overview: Pediatricians and primary care providers (PCPs) are the first-line clinicians for children, adolescents, and young adults. The prevalence of psychiatric disorders within this population is high, with depression, anxiety and ADHD being most common. The morbidity and mortality of these disorders is significant, however they remain under-treated. Given the limitations of referral to specialty care, PCPs are tasked with managing these illnesses. Both in our experience working in a consultation center and based on the literature, PCPs face many barriers to doing so, including limitations in knowledge about and comfort in prescribing psychiatric medications.

Anxiety disorders are the most common psychiatric diagnoses amongst children and adolescents, and there are well-established evidnce-based treatments for anxiety in this population. However, these disorders are often undertreated. Pediatric anxiety disorders, particularly panic and generalized anxiety disorders, often first come to the attention of the primary care physician in the form of physical complaints. Despite the importance of pediatricians and PCPs in identifying and treating these disorders, there is little in the way of formal guidance on how to do so. We aim to enhance the knowledge and competence of these providers in managing pediatric anxiety in the primary care setting.

Objectives: At the conclusion of the session, the participants should be able to:
• Identify anxiety disorders in children and adolescents in primary care.
• Describe evidence-based treatments for pediatric anxiety disorders.
• Outline appropriate management of anxiety disorders in the clinic setting, focusing on medication management.

Target Audience: Pediatricians and primary care providers (family practitioners, NPs, PAs) who treat children and adolescents in the outpatient setting.

Educational Methods: Lecture

Activity Evaluation: Participants may be asked to complete a session evaluation.

Accreditation/Credit Designation: Baylor College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Baylor College of Medicine designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.