Articles related to ANXIETY

A young woman with ulcerative colitis in remission on 5-ASA and azathioprine is seen for annual follow up. Immunizations are current and her depression and anxiety screens are negative. Review her current status and select the most important health maintenance screen.

A 55-year-old woman has had slowly progressing speech distortion and problems with balance when walking. On exam, she showed signs of ataxia and chorea. Muscle tone was normal but stretch reflexes were absent. She had gaze-evoked horizontal nystagmus. Following electromyograph and MRI, and considering various conditions, her physicians proposed a diagnosis.

The 8-week treatment with mindfulness-based stress reduction was a well-tolerated treatment option with comparable effectiveness to a first-line medication for patients with anxiety disorders in this randomized clinical trial of 276 adults with anxiety disorders.

A small group of patients (n=34) using opioids for fibromyalgia were randomized to wear green, blue, or unfiltered glasses for 4 hours per day for 2 weeks. There was no impact on pain scores. Those wearing green glasses trended (nonsignificantly) toward lower anxiety scores. The green glasses group did have lower opioid use.

The evidence for NAD supplement effectiveness at present comes only from animal models and very small-scale human studies. And some studies link excessive consumption of NADH to anxiety and insomnia, and NAD precursors to Parkinson’s disease and diabetes.

In this study involving 452 patients with diagnoses of MDD, GAD, and PTSD, IM ketamine reduced depression by 38% and anxiety by 50%, with persistence over 7 months of maintenance therapy.