Anxiety Disorders Co-morbidities

Dr. Aftab Asif,Associate Professor,

Deptt of Neuro-psychiatry,Fatima Jinnah Medical College,

Lahore

Co-morbidity

1. Co-morbid anxiety may be present in

psychiatric and / or physical disorders

2. A sizeable number of out-patients & in-

Patients have psychiatric problems

3. A large number of patients attending

physicians & surgeons have co-morbid

psychiatric illnesses

Co-morbidity (Cont..)

Depression Psychosexual Disorders

Bipolar Disorder Schizophrenia

Post Partum Disorder Drug dependence / Alcoholism

Organic Brain Syndromes

A – Psychiatric Disorders

Co-morbidity (Cont..)

Cardiovascular System

Coronary Artery Disease

Hypertension

Mitral Valve Prolapse

Angioplasty / CABG (before & after intervention)

B – Physical Disorders

Co-morbidity (Cont..)B – Physical Disorders

Central Nervous System

CVAs / TIAs Migraine

Epilepsy Brain Tumours

Dementia Parkinsonism

Head Injury Acute confusional state of any origin including CNS infections (Delirium)

Co-morbidity (Cont..)B – Physical Disorders

Gastro-intestinal System

Acid Peptic Disease Irritable Bowel Syndrome

Hepatitis

Co-morbidity (Cont..)B – Physical Disorders

Genito-urinary System

Sexually Transmitted Diseases

Sexual Dysfunctions

Co-morbidity (Cont..)B – Physical Disorders

Respiratory System

Asthma Chronic Obstructive Pulmonary Disease

Co-morbidity (Cont..)B – Physical Disorders

Skin

Allergic Skin Reactions Psoriasis

Acne Vulgaris

Co-morbidity (Cont..)C – Drug Induced

Interferon Chemotherapeutic agents

Antibiotics - Quinolones Anti - psychotics

INH Anti parkinsonism drugs

Co-morbidity (Cont..)D – Others

AIDs Poisoning / drug overdosage

Cancer

Co-morbidity (Cont..)E – Differential Diagnosis

Hyperthyroidism Hyper - parathyroidism

Pheochromocytoma Diabetes Mellitus

Addison’s Disease Sudden Withdrawal of Benzodiazepines

Thanks for your patient listening…!