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The Curbsiders Internal Medicine Podcast
#429 Anxiety 2.0: with Dr. Jessi Gold
Mar 4, 2024
Explore managing anxiety with Dr. Jessi Gold, from non-pharmacological to 2nd and 3rd line medications. Learn about cannabis use, diagnosing anxiety in primary care, and medication considerations. Discover self-care strategies, medication challenges, and innovative mental health solutions.
01:32:52
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Quick takeaways
- Starting with SSRIs for anxiety medication due to lower side effects and considering patient preferences and past history.
- Approaching dose adjustments cautiously, starting with lower doses and closely monitoring patient symptoms and feedback.
Deep dives
Starting Treatment with Medication
When initiating medication for anxiety, Jesse typically starts with SSRIs due to their lower side effects compared to older medications. Preference and past history are considered, with patient input being crucial. Lower doses are often initially prescribed, like halving the starting dose for a week to mitigate potential increase in anxiety. Jesse sometimes starts with bupropion if weight gain or sexual side effects are concerns.
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