Doctors' Views on Anxiety Management in General Practice

Various guidelines have been issued to doctors concerning the treatment of anxiety in primary care and particularly on the use of benzodiazepines. Little has been reported about how this advice has influenced doctors' opinions and practice. This paper describes results of interviews with 15 general practitioners and 15 general practitioner trainees on their management of anxiety problems. Most respondents admitted prescribing benzodiazepines for anxiety but reported doing so only in cases of severe distress and for short periods of time. Trainees appeared more cautious in their use of benzodiazepines than the experienced practitioners. Most doctors agreed, that counselling could be as effective as benzodiazepines in treating moderate anxiety but several respondents felt it too demanding of their time. Two-thirds of doctors were in favour of employing counsellors in general practice though many foresaw practical difflculties in doing so. Increased availability of clinical psychology services was the development which most respondents felt would improve their management of anxiety problems in primary care.

[1]  S. Marriott,et al.  Benzodiazepine Dependence , 1993, Drug safety.

[2]  R. Corney.  Counselling in General Practice – Does it Work? Discussion Paper , 1990, Journal of the Royal Society of Medicine.

[3]  S. Shepherd.  Can general practitioners counsel? , 1989, The Journal of the Royal College of General Practitioners.

[4]  P. Tyrer,et al.  THE NOTTINGHAM STUDY OF NEUROTIC DISORDER: COMPARISON OF DRUG AND PSYCHOLOGICAL TREATMENTS , 1988, The Lancet.

[5]  M. Carney,et al.  BENZODIAZEPINES IN ANXIETY , 1988, The Lancet.

[6]  R. Priest,et al.  Benzodiazepines and Dependence: A College Statement , 1988 .

[7]  A. Deb,et al.  A POLICY ON BENZODIAZEPINES , 1987, The Lancet.

[8]  SamuelI. Cohen,et al.  ARE BENZODIAZEPINES USEFUL IN ANXIETY? , 1987, The Lancet.

[9]  P. Williams,et al.  Tranquillisers: Social, Psychological, and Clinical Perspectives , 1986 .

[10]  G. Dunn.  Patterns of psychiatric diagnosis in general practice: the Second National Morbidity Survey , 1986, Psychological Medicine.

[11]  D. Gath,et al.  Benzodiazepines in general practice: time for a decision. , 1985, British medical journal.

[12]  J. Gabe,et al.  Tranquillisers as Social Control? , 1984 .

[13]  D. Gath,et al.  The Effects of Non-Prescribing of Anxiolytics in General Practice: I. Controlled Evaluation of Psychiatric and Social Outcome , 1984, British Journal of Psychiatry.

[14]  F. Taylor.  Benzodiazepines on trial , 1984 .

[15]  R. Snaith.  Benzodiazepines on trial , 1984 .

[16]  P. Tyrer.  Benzodiazepines on trial. , 1984, British medical journal.

[17]  H. Ashton.  Benzodiazepine withdrawal: an unfinished story. , 1984, British medical journal.

[18]  K. Rickels,et al.  Long-term benzodiazepine therapy: benefits and risks. , 1984, Psychopharmacology bulletin.

[19]  P. Huxley.  Mental Illness in the Community , 1981 .

[20]  L. Hollister.  Dependence on benzodiazepines , 1987, NIDA research monograph.

[21]  C. Frith,et al.  Neurotic illness and its response to anxiolytic and antidepressant treatment , 1980, Psychological Medicine.

[22]  Systematic review of the benzodiazepines. Guidelines for data sheets on diazepam, chlordiazepoxide, medazepam, clorazepate, lorazepam, oxazepam, temazepam, triazolam, nitrazepam, and flurazepam. Committee on the Review of Medicines. , 1980, British medical journal.

[23]  Committee on the review of medicines , 1977 .

[24]  W. Trethowan.  Pills for personal problems. , 1975, British medical journal.

[25]  R. Rao,et al.  PSYCHIATRIC ILLNESS IN GENERAL PRACTICE , 1967, The Ulster Medical Journal.