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The Royal College of Psychiatrists Improving the lives of people with mental illness

Generalised Anxiety Disorder in Adults: The NICE Guideline on Management in Primary, Secondary and Community Care

National Collaborating Centre for Mental Health (NCCMH)

Price: £45.00

College members' price: £40.50

Published: Jun 2011

Format: Paperback + free CD-ROM

Number of pages: 464

ISBN: 9781904671428

Generalised Anxiety Disorder in Adults: The NICE Guideline on Management in Primary, Secondary and Community Care

Around 4.4% of adults in England are affected by generalised anxiety disorder. It can become chronic if it is not treated - often co-occurring with other anxiety and depressive disorders - and it is associated with substantial disability. This guideline is an indispensable tool in enabling healthcare professionals to identify generalised anxiety disorder in adults and provide the most effective treatments in a stepped-care framework. It sets out clear, evidence- and consensus-based recommendations for treatment and management.

The book presents and appraises the evidence for low- and high-intensity psychological interventions, drug treatment and other physical interventions, and also provides insight into the experience of care of people with generalised anxiety disorder. There is a special focus on the economic modelling that was undertaken in the areas of drug treatments and computerised cognitive behavioural therapy.

List of the other NICE mental health guidelines

NICE Mental Health Guidelines

These guidelines from NICE set out clear recommendations, based on the best available evidence, for health care professionals on how to work with and implement physical, psychological and service-level interventions for people with various mental health conditions.

The book contains the full guidelines that cannot be obtained in print anywhere else. It brings together all of the evidence that led to the recommendations made, detailed explanations of the methodology behind their preparation, plus an overview of the condition covering detection, diagnosis and assessment, and the full range of treatment and care approaches.

The accompanying free CD-ROM contains all the data used as evidence, including:

  • Included and excluded studies.
  • Profile tables that summarise both the quality of the evidence and the results of the evidence synthesis.
  • All meta-analytical data, presented as forest plots.
  • Detailed information about how to use and interpret forest plots.


  1. Preface
  2. Generalised anxiety disorder
  3. Methods used to develop this guideline
  4. Experience of care
  5. Assessment and service delivery
  6. Low-intensity psychological interventions
  7. High-intensity psychological interventions
  8. Pharmacological interventions
  9. Computerised cognitive behavioural therapy for panic disorder
  10. Summary of recommendations
  11. Appendices
  12. References
  13. Abbreviations


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