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Yıl:1995; Cilt: ; Sayı: 8>> Özet
Anksiyete Monografları Serisi; 1995;(8):321-333
Medikal Hastalıklarla Birlikte Görülen Anksiyetede Tanı ve Tedavi Yaklaşımları
MK Kuşçu, AC Arzık
Marmara Üniversitesi Tıp Fakültesi Psikiyatri Anabilim Dalı, İstanbul
Anksiyetenin otonomik ve somatik göstergeleri medikal tablolara sıklıkla eşlik edebilir. Bu durum klinisyen için ayırıcı tanı sürecinin en sıkıntılı kısmını oluşturur. Anksiyetenin yaşamsal bir sorunun öncül belirtisi mi (birçok pulmoner ve kardiyak acilin habercisinin "anksiyöz" başvurular olduğunu hatırlamak gerekir), yoksa primer anksiyete bozukluklarının "tanı" dağarcığını oluşturan bir bulgu mu olduğu özenle ele alınması gereken bir konudur. Ama her şeyden önce anksiyete başlı başına bir klinik "tablo"nun klinik "tanı"ya dönüşmesi doğrultusundaki gözlemleri, izlenen karar basamaklarını ve girişimleri tanımlamak açısından önem taşır. Aşağıdaki yazımızda medikal tanılara eşlik eden anksiyeteye yaklaşım sürecini olabildiğince şematikleştirerek bilgi içeriğini kolay anlaşılır ve uygulanır hale getirmeye çalıştık. Klinik örnekleri katkıları olacağını düşünerek, konu aralarına ekledik. Tedavi yaklaşımları konusunda ise geneli bir tablo altında özetledik.

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