The Curbsiders Internal Medicine Podcast #429 Anxiety 2.0: with Dr. Jessi Gold
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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.
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Importance of Exclusion
- Mental health diagnoses are exclusionary, requiring ruling out other medical conditions with similar symptoms.
- Many medical symptoms mimic anxiety, so thorough investigation is crucial.
Diagnosing Anxiety
- Determine what "anxiety" means to the patient, as it's a symptom, not always a diagnosis.
- Conduct a thorough review of systems, including physical and psychological symptoms, to rule out other conditions.
Explaining Anxiety to Patients
- Explain anxiety as an evolutionary response to threats, where the detector can become oversensitive.
- Use analogies like the "bear in the wilderness" to illustrate how anxiety symptoms can be helpful but also disruptive.