CBT and pharmacological treatment with an SSRI are first-line treatments for anxiety disorders. Both are similarly effective, and one out of every two people treated no longer satisfies the criteria for an anxiety disorder after treatment.5
CBT, delivered face-to-face or via the internet, is the psychological treatment with the best evidence of effectiveness for the treatment of anxiety.5 Other psychological treatments (with varying levels of evidence) are also sometimes used.
See Medicinewise News for more information on psychological treatments for anxiety disorders.
SSRIs are first-line pharmacological options for treating anxiety disorders. Serotonin-norepinephrine reuptake inhibitors (SNRIs) and then other medicines may be considered, if SSRIs have been properly trialled and have not been effective.5
The role of benzodiazepines and atypical antipsychotics such as quetiapine is limited because of their adverse safety profile.5
Treatment should be selected in consultation with the patient and choice should be based on efficacy, patient preference, accessibility, cost, tolerability and safety.5