Emergency Care of Anxious Patients

  • Roberta S. Isberg
Part of the Critical Issues in Psychiatry book series (CIPS)


Anxiety may be a normal response to stressful events or the symptom of an underlying disorder. Anxiety is both an emotional and a physical experience. Emotions range from apprehension to panic, with fears of losing control, going crazy, or dying. Physical symptoms include sweating, flushing, dizziness, fainting, racing heart, chest pain, hyperventilation, urinary frequency, diarrhea, nausea, and vomiting. The person’s experience of anxiety is determined by his constitution, psychology, affective style, and severity of external stressors.


Generalize Anxiety Disorder Personality Disorder Panic Disorder Panic Attack Mitral Valve Prolapse 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Glick RA: Anxiety and related states, in Glick RA, Meyerson AT. Robbins E, et al (ed): Psychiatric Emergencies. New York, Grune and Stratton, 1976, pp 121–134.Google Scholar
  2. 2.
    Rosenbaum JF: Anxiety, in Lazare A (ed): Outpatient Psychiatry: Diagnosis and Treatment. Baltimore, Williams & Wilkins, 1979, pp 252–256.Google Scholar
  3. 3.
    West JB: Disorders of regulation of respiration, in Isselbacher KJ, Adams RD, Braunwald E, et al (eds): Principles of Internal Medicine. New York, McGraw-Hill Book Co, 1980, pp 1271–1276.Google Scholar
  4. 4.
    Diagnostic and Statistical Manual of Mental Disorders ed 3 (DSM III ). Washington, American Psychiatric Association, 1980.Google Scholar
  5. 5.
    Frankel FH: The use of hypnosis in crisis intervention. Int J Clin Exp Hypn 22: 188–200, 1974.PubMedCrossRefGoogle Scholar
  6. 6.
    Caplan LR, Nadelson T: Multiple sclerosis and hysteria: Lessons learned from their association. Jama 243: 2418–2421, 1980.PubMedCrossRefGoogle Scholar
  7. 7.
    Klein DF: Anxiety reconceptualized, in Klein DF, Rabkin JG (eds): Anxiety: New Research and Changing Concepts. New York, Raven Press, 1981, pp 235–263.Google Scholar
  8. 8.
    Muskin PR, Fyer AJ: Treatment of panic disorder. J Clin Pharmacol 1: 81–90, 1981.Google Scholar
  9. 9.
    Jenike MA: Rapid response of severe obsessive-compulsive disorder to tranylcypromine. Am J Psychiatry 138: 1249–1250, 1981.PubMedGoogle Scholar
  10. 10.
    Isberg RS: A comparison of phenelzine and imipramine in an obsessive-compulsive patient. Am J Psychiatry 138: 1250–1251, 1981.PubMedGoogle Scholar
  11. 11.
    Thoren P, Asberg M, Cronhom B, et al: Clomipramine treatment of obsessive-compulsive disorder. Arch Gen Psychiatry 37: 1281–1285, 1980.PubMedCrossRefGoogle Scholar
  12. 12.
    Horowitz MJ: Psychoanalytic theory, in Kutash IL, Schlesinger LB, et al (eds): Handbook on Stress and Anxiety. San Francisco, Jossey-Bass Publ, 1980, pp 364–391.Google Scholar
  13. 13.
    Horowitz MJ, Wilner M, Klatreider N, et al: Signs and symptoms of posttraumatic stress disorder. Arch Gen Psychiatry 37: 85–92, 1980.PubMedCrossRefGoogle Scholar
  14. 14.
    Krupnick JL, Horowitz MJ: Stress response syndromes: Recurrent themes. Arch Gen Psychiatry 38: 428–435, 1981.PubMedCrossRefGoogle Scholar
  15. 15.
    Ovesey L: Homosexuality and Pseudohomosexuality. New York, Science House, 1969.Google Scholar
  16. 16.
    Woods SM: Violence: Psychotherapy of pseudohomosexual panic. Arch Gen Psychiat 27: 255–258, 1972.PubMedCrossRefGoogle Scholar
  17. 17.
    Sheehan DV, Ballenger J, Jacobsen G: Treatment of endogenous anxiety with phobic, hysterical, and hypochondriacal symptoms. Arch Gen Psychiatry 37: 51–59, 1980.PubMedCrossRefGoogle Scholar
  18. 18.
    Gelenberg AJ: Treating panic attacks. Mass Gen Hosp Newsletter: Biol Ther Psychiatry 5: 1–2, 1982.Google Scholar
  19. 19.
    Klein DF, in Lipton MA: Psychopharmacology: A Generation of Progress. New York, Raven Press, 1978, p 1402.Google Scholar
  20. 20.
    Alprazolam, in Med Letter 24:41, 1982.Google Scholar
  21. 21.
    Sheehan DV, Claycomb JB, Kouretas N: Monoamine oxidase inhibitors: Prescription and patient management. Int J Psychiatry Med 10: 99–121, 1980–81.Google Scholar
  22. 22.
    Noyes R, Rathol R, Clancy J, et al: Antianxiety effects of propranolol: A review of clinical studies, in Klein DF, Rabkin J (eds): Anxiety: New Research and Changing Concepts. New York, Raven Press, 1981, pp 81–93.Google Scholar
  23. 23.
    Friedman MJ: Post-Vietnam syndrome: Recognition and management. Psychosomatics 22: 931–943, 1981.PubMedGoogle Scholar
  24. 24.
    Morley JE: Thyroid function screening in new psychiatric admissions. Arch Intern Med 142: 591–593, 1982.PubMedCrossRefGoogle Scholar
  25. 25.
    Dietch JT: Diagnosis of organic anxiety disorders. Psychosomatics 22: 661–669, 1981.PubMedGoogle Scholar
  26. 26.
    DaCosta JM: On irritable heart: A clinical study of a form of functional cardiac disorder and its consequences. Am J Med Sci 61: 2–52, 1871.Google Scholar
  27. 27.
    Lewis T: Diseases of the Heart. New York, Macmillan, 1933, pp 158–164.Google Scholar
  28. 28.
    Shrivastava S, Guthrie RB, and Edwards JE: Prolapse of the mitral valve. Mod Concepts Cardiovasc Dis 46: 57–61. 1977.PubMedGoogle Scholar
  29. 29.
    Hartman M, Kramer R, Brown T, et al: Panic disorder in patients with mitral valve prolapse. Am J Psychiatry 139: 669–670, 1982.PubMedGoogle Scholar
  30. 30.
    Gorman JM, Fyer AF, Gliklich J, et al: Effect of sodium lactate on patients with panic disorder and mitral valve prolapse. Am J Psychiatry 138: 247–249, 1981.PubMedGoogle Scholar
  31. 31.
    Gorman JM, Fyer AF, Glicklich J, et al: Mitral valve prolapse and panic disorder: Effect of imipramine. in Klein DF, Rabkin J (eds): Anxiety: New Research and Changing Concepts. New York, Raven Press, 1981, pp 317–340.Google Scholar
  32. 32.
    Frolich ED, Tarazi RC, Dustan HP: Hyperdynamic beta-adrenergic state. Arch Intern Med 123: 1–7, 1969.CrossRefGoogle Scholar
  33. 33.
    Schneider RC, Crosby EC, Bagchi BK, et al: Temporal or occipital lobe hallucinations triggered from frontal lobe lesions. Neurology 11: 172–179, 1961.PubMedGoogle Scholar
  34. 34.
    Weil AA: Ictal emotions occuring in temporal lobe dysfunction. Arch Neurol 1: 101–111, 1959.CrossRefGoogle Scholar
  35. 35.
    Currie S, Heathfield KWG, Henson RA, et al: Clinical course and prognosis of temporal lobe epilepsy: A survey of 666 patients. Brain 94: 173–190, 1971.PubMedCrossRefGoogle Scholar
  36. 36.
    Hall RCW (ed): Psychiatric Presentations of Medical Illness. New York, Spectrum Publications, 1980.Google Scholar
  37. 37.
    Santschi DR, Frahm CJ, Pascale LR: The subclavian steal syndrome: Clinical and angiographic considerations in 74 cases in adults. J Thorac Cardiovasc Surg 51: 103–112, 1966.PubMedGoogle Scholar
  38. 38.
    Merskey H, Woodforde JM: Psychiatric sequelae of minor head injury. Brain 95: 521–528, 1972.PubMedCrossRefGoogle Scholar
  39. 39.
    Miller H, Ster G: The long-term prognosis of severe head injury. Lancet 1: 225–228, 1965.PubMedCrossRefGoogle Scholar
  40. 40.
    Penfield W, Jasper H: Functional localization in the cerebral cortex, in Penfield S, Jasper H (eds): Epilepsy and the Functional Anatomy of the Human Brain. Boston, Little, Brown and Co, 1954, pp 41–155.Google Scholar

Copyright information

© Plenum Press, New York 1984

Authors and Affiliations

  • Roberta S. Isberg
    • 1
    • 2
  1. 1.Beth Israel HospitalBostonUSA
  2. 2.Harvard Medical SchoolBostonUSA

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