Anxiety in palliative care Book Section
| Authors: | Chin, M. S.; Roth, A. J.; Matsoukas, K. |
| Editors: | Chochinov, H.; Breitbart, W. |
| Article/Chapter Title: | Anxiety in palliative care |
| Abstract: | The clinician's understanding of the medical and psychological precipitants of anxiety, coupled with an appreciation of available multimodal treatment options, offers patients receiving palliative care the possibility of comprehensive treatment for anxiety. Earlier, accurate diagnosis and treatment of anxiety disorders may decrease extreme distress and facilitate adequate medical management of the patient. Psychotherapy is an effective treatment for anxiety and can be especially beneficial when pharmacologic treatment options are limited by the risks associated with polypharmacy and complex medication interactions. The most effective management of anxiety is multimodal and usually involves psychotherapy, behavioral therapy, and pharmacological management. It is important to recognize that anxiety is often present in families, caregivers, and healthcare providers. Use of psychedelics including lysergic acid diethylamide and psilocybin for the treatment of anxiety and depression at the end of life is an area of active research. Use of medication off-label for symptom control has improved quality of life and decreased distress of many patients with advanced disease; this type of innovation must continue within the context of evidence-based medicine through rigorous and disciplined research. (PsycInfo Database Record (c) 2023 APA, all rights reserved) |
| Keywords: | palliative care; quality of life; anxiety disorders; psychotherapy; caregivers; pharmacological management; behavioral therapy; psychedelics; comprehensive treatment |
| Book Title: | Handbook of Psychiatry in Palliative Medicine: Psychosocial Care of the Terminally Ill. 3rd ed |
| ISBN: | 9780197583838 |
| Publisher: | Oxford University Press |
| Publication Place: | New York, NY |
| Date Published: | 2023-01-01 |
| Start Page: | 62 |
| End Page: | 76 |
| Language: | English |
| ACCESSION: | 2023-22407-005 |
| PROVIDER: | Ovid Technologies |
| PROVIDER: | psycinfo |
| DOI: | 10.1093/med/9780197583838.003.0005 |
| DOI/URL: | |
| Notes: | Book Chapter: 5, located in "Part II - Psychiatric Complications of Terminal Illness" -- Source: APA PsycInfo |
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