Assessment

It is of considerable importance to reassess the remitted patient after pharmacological treatment as if he/she were a new patient. This means review ing carefully the patient's symptoms in the most recent weeks. Exploration should concern not only symptoms that characterize the diagnosis of major depressive disorder but also those that characterize anxiety disturbances (including phobic and obsessive-compulsive symptoms) and irritability. In the original studies (Fava, Grandi, Zielezny, Canestrari, & Morphy, 1994; Fava et al., 1998) a modified version of Paykel's (1985) Clinical Interview for Depression was employed, but other semistructured interviews may be used as long as they are sufficiently comprehensive to measure anxiety and irritability. This is the first step in recognizing residual symptomatology.

The second method of assessment deals with the patient's self-observation. He/she is instructed to report in a diary all episodes of distress that ensue in the following 2 weeks. It is important to emphasize that the distress (which is left unspecified) does not need to be prolonged; it may also be short-lived. The patient is also instructed to build a list of situations that elicit distress and/or tend to induce avoidance. Each situation is rated on a 0- to 100-point scale (0, No distress at all; 100, Extreme discomfort). The patient is instructed to bring the diary to the following visit.

How To Win Your War Against Anxiety Disorders

How To Win Your War Against Anxiety Disorders

Tips And Tricks For Relieving Anxiety... Fast Everyone feels anxious sometimes. Whether work is getting to us or we're simply having hard time managing all that we have to do, we can feel overwhelmed and worried that we might not be able to manage it all. When these feelings hit, we don't have to suffer. By taking some simple steps, you can begin to create a calmer attitude, one that not only helps you feel better, but one that allows you the chance to make better decisions about what you need to do next.

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