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'Referral advice' recommendation details

Anxiety

Guidance ID NICE 'referral advice' recommendation 'Referral advice' category
CG113 In patients with panic disorder, in most instances, if there have been two interventions provided (any combination of psychological intervention, medication, or bibliotherapy) and the person still has significant symptoms, then referral to specialist mental health services should be offered. Time frame not specified
CG113 In patients with generalised anxiety disorder, in most instances, if there have been two interventions provided (any combination of psychological intervention, medication, or bibliotherapy) and the person still has significant symptoms, then referral to specialist mental health services should be offered. Time frame not specified
CG113 There should be accurate and effective communication between all healthcare professionals involved in the care of any person with generalised anxiety disorder and particularly between primary care clinicians (GP and teams) and secondary care clinicians (community mental health teams) if there are existing physical health conditions that also require active management. Time frame not specified
CG113 Patients with 'step 4 ' generalised anxiety disorder (complex, treatment-refractory and very marked functional impairment or high risk of self-harm) should be referred to community mental health teams or specialist services and specialist practitioners in primary care. Referral should be considered if the patient has severe anxiety with marked functional impairment in conjunction with: risk of self-harm or suicide; significant comorbidity, such as substance misuse, personality disorder or complex physical health problems; self-neglect or an inadequate response to step 3 interventions (a high-intensity psychological intervention (cognitive behavioural therapy (CBT)/applied relaxation) or a drug treatment). Time frame not specified
CG113 When assessing or offering an intervention to people with generalised anxiety disorder and a moderate to severe learning disability or moderate to severe acquired cognitive impairment, consider consulting with a relevant specialist. Time frame not specified

This page was last updated: 22 August 2012

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Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.