Anxiety disorder in Children

1. True or False Re: Anxiety disorder in children
  1. Anxiety disorder is very rare in less than 10 year olds
  2. First line of treatment is SSRIs
  3. Sertraline is more effective than CBT in children
  4. Sertraline + CBT is more effective than each given separately
  5. Disinhibition is a problem in children when treated with BDZ
2. True or False Re: Anxiety disorder in children
  1. TCA are more cardiotoxic than in adults 
  2. Buspiron does not cause disinhibition in children
  3. BDZ should not be used to alleviate acute anxiety symptoms in children 
  4. Fluoxetine is the drug of choice in anxiety disorder 
  5. Venlafaxine should not be used in children to treat anxiety

Answers                                                                                                        

1. True or False Re: Anxiety disorder in children
  1. Anxiety disorder is very rare in less than 10 year olds - F, Common (5 – 20%)
  2. First line of treatment is SSRIs - F, Psychological treatments – CBT
  3. Sertraline is more effective than CBT in children - F, equally effective
  4. Sertraline + CBT is more effective than each given separately - T
  5. Disinhibition is a problem in children when treated with BDZ - T
2. True or False Re: Anxiety disorder in children
  1. TCA are more cardiotoxic than in adults - T, plus they are purely tolerated
  2. Buspiron does not cause disinhibition in children - F, causes disinhibition
  3. BDZ should not be used to alleviate acute anxiety symptoms in children - F, commonly used
  4. Fluoxetine is the drug of choice in anxiety disorder - T
  5. Venlafaxine should not be used in children to treat anxiety - F, used but not in depression

Source                                                                                                       

Maudsley Prescribing Guidelines – 10th edition – page 259

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