Dr. Jared Peck from Mount Sinai Hospital in Toronto discusses the treatment of Generalized Anxiety Disorder with lifestyle changes, recommended medications (SSRIs, SNRIs, Pregabalin, TCAs), and psychotherapies like CBT. They explore the effectiveness of different treatments and dive into the cognitive model of CBT for managing GAD.
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Lifestyle Changes for GAD
Prioritize lifestyle changes like reducing stimulants, increasing exercise, and improving sleep hygiene.
These changes can significantly impact GAD symptoms and overall well-being.
insights INSIGHT
Psychotherapy vs. Medication
Psychotherapy may offer more sustained benefits for GAD than medication alone.
While both are helpful, psychotherapy gains often persist even after treatment ends.
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First-Line Medications
SSRIs and SNRIs are first-line medications for GAD, but start low and increase gradually.
Common side effects include GI issues, headaches, tremors, and sexual dysfunction.
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Welcome to PsychEd, the psychiatry podcast for medical learners, by medical learners. This episode covers the treatment of generalized anxiety disorder with Dr. Jared Peck, a Staff Psychiatrist at Mount Sinai Hospital in Toronto.
In this episode, Jordan Bawks (PGY2 resident) and Bruce Fage (PGY4 resident) reunite with Dr. Peck to talk about the bio-psycho-social management of GAD. They cover recommended lifestyle changes for people with GAD, evidence-based pharmacotherapies, including SSRIs, SNRIs, Pregabalin, Quetiapine, TCAs and benzodiazepines, and how to choose between them, and psychotherapeutic treatments with a focus on CBT and a quick overview of some of the third wave cognitive models.
By the end of this episode, the listener will be able to…
List the lifestyle changes recommended for people with GAD
Describe the first line and second line medication therapies for GAD and the rationale supporting each agent's place in the treatment hierarchy
Appreciate the key elements of CBT that make it effective for the treatment of GAD
Please Note: The views expressed in this podcast do not necessarily reflect those of the Canadian Psychiatric Association or the University of Toronto and are not meant to replace formal clinical education or judgment.
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