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By Ágnes Szirmai

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Obsessive Compulsive disorder (OCD) 6. Post traumatic Stress Disorder (PTSD) 7. Secondary to General Medical Condition / substances 3. Anxiety disorders in childhood and adolescents Recognizing anxiety symptoms in children is important because in most cases of anxiety disorders in youth and adults, the onset is usually during childhood [9]. In a school survey in Kenya among adolescent students utilizing different anxiety measuring instruments, several different types’ of clinically significant anxiety syndromes were documented [10-12].

Used as adjunctive therapy could be an alternative in refractory cases. Venlafaxine, a selective inhibitor of serotonin and norepinephrine reuptake, is approved by the FDA for the treatment of TAS. Have been tested, obtaining encouraging results: mirtazapine, pregabalin (600 mg / day), topiramate, buspirone (30 mg / day), bupropion, gabapentin, citalopram, olanzapine, valproate and D-cycloserina (antagonist of NMDA receptor glutamate, and has proven effective in combination with behavioral therapy graduated exposure).

For this reason, clonazepam can be a useful option that can be taken into account in some cases requiring augmentation. There is evidence that the beneficial effects of treatment with clomipramine and SSRIs are maintained throughout treatment. Patients should be encouraged to continue treatment with the same dose with clinical response was obtained for periods of at least one year after they get this response. g, lowering the dose by 20-30% every 6-8 weeks). 2 Psychotherapy For a long time it was considered that psychoanalysis would be effective in treating OCD.

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