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Anxiety, Depression, and Substance Use Disorders

Diagnosis, Treatment, and Prescribing Practices

Bibliographic Data

ID14675997
AuthorsMim J Landry (OASIS Clinic), David E Smith (0000-0003-2791-4964, University of California, San Francisco), John R Steinberg (University of Maryland, Baltimore)
Year1991
Volume23
Issue4
Pages397-416
Publication date1991-10-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueJournal of Psychoactive Drugs (JOURNAL)
Journal identifiersISSN: 0279-1072 • E-ISSN: 2159-9777
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/02791072.1991.10471611
PMID1813612
OpenAlexW2007223077
LanguageEN
Citations received4
References cited43

Attending physicians routinely encounter patients with signs and symptoms of anxiety and mood disorders as well as psychoactive substance use and psychoactive substance-induced organic mental disorders. These symptoms may represent either primary disorders or pathology that is secondary to other disorders. This article describes some of the relationships between substance use disorders and symptoms of anxiety and depressive disorders. In addition, some patients with these disorders may have a concurrent substance use disorder or be at high risk for developing one. Routine treatment of anxiety disorders with psychoactive drugs can be successful in many patients but may lead to iatrogenic dependence in high-risk patients. Prescribing for high-risk patients should include a stepwise treatment protocol having three progressive levels: (1) conservative, nonpharmacological approaches; (2) nonpsychoactive pharmacotherapy, including the use of anxioselective agents, such as buspirone; and (3) psychoactive pharmacotherapy, such as the use of benzodiazepines. Proper prescribing practices for high-risk patients are described in terms of diagnosis, dosage, duration, discontinuation, dependence, and documentation

Anti-Anxiety Agents · Anxiety · Buspirone · Discontinuation · Mood · Mood disorders · Pharmacotherapy · Psychiatry · Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes · Attention Deficit Hyperactivity Disorder · Medicine · Substance Abuse Treatment and Outcomes · Internal Medicine

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Unique citing works4
Citations per year0,13
Citation span1996 - 2025 (30)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 4

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