A questionnaire on anxiety disorder services was sent to 240 Canadian hospitals, of which 117 responded. Eighteen of the responding hospitals had anxiety disorder clinics and saw an average of 208 patients a year. These clinics appear to be scarce although, according to epidemiological studies, there is a high prevalence of anxiety disorders in the community. The specific diagnoses of the patients seen in the specialty clinics and the treatments offered generally followed international patterns.
References
1.
MyersJK, WeissmanMM, TischlerGL, Six-month prevalence of psychiatric disorders in three communities. Arch Gen Psychiatry1984; 41: 959–967.
2.
RegierDA, BoydJH, BurkeJD, One-month prevalence of mental disorders in the United States. Arch Gen Psychiatry1988; 45: 977–986.
3.
RobinsLN, HeizerJE, WeissmanMM, Lifetime prevalence of specific psychiatric disorders in three sites. Arch Gen Psychiatry1984; 41: 949–958.
4.
BoydJH. Use of mental health services for the treatment of panic disorder. Am J Psychiatry1986; 143: 1569–1574.
5.
MarkowitzJS, WeissmanMM, OnelletteR, Quality of life in panic disorder. Arch Gen Psychiatry1989; 46: 984992.
6.
PollackMH, RosenbaumJF. Benzodiazepines in panic related disorders. Journal of Anxiety Disorders1988; 2: 95–107.
7.
LydiardRB, BallengerJC. Panic-related disorders: evidence for efficacy of the antidepressants. Journal of Anxiety Disorders1988; 2: 77–94.
8.
BarlowDH. Anxiety and its disorders: the nature and treatment of anxiety and panic.New York: The Guilford Press, 1988.
9.
American Psychiatric Association.Diagnostic and statistical manual of mental disorders, third edition.Washington DC: American Psychiatric Press, Inc., 1980.
10.
CostelloCG. Fears and phobias in women: a community study. J Abnorm Psychol1982; 91: 280–286.
11.
BlandRC, OrnH, NewmanSC. Lifetime prevalence of psychiatric disorders in Edmonton. Acta Psychiatr Scand1988; Suppl 338: 24–32.
12.
WittchenH, EssauCA. The epidemiology of panic attacks, panic disorder and agoraphobia. In: WalkerJR, NortonGR, RossCA, ed. Pacific Grove CA: Brooks-Cole, 1991.
13.
BowenRC, D'ArcyC, SouthMN, The effects of a nurse therapist conducted behavioural agoraphobia treatment program on medical utilization. Journal of Anxiety Disorders1990; 4: 341–349.
14.
MarksIM. Fears, phobias and rituals: panic, anxiety and their disorders.New York: Oxford University Press, 1987.
15.
NortonGR, CoxBJ, SchwartzM.Critical analysis of DSM-III-R's classification of panic disorder: a survey of current opinion. Journal of Anxiety Disorders (in press).
16.
BallengerJC, BurrowsGD, DupontRL, Alprazolam in panic disorder and agoraphobia: results from a multicenter trial: efficacy in short-tern treatment. Arch Gen Psychiatry1988; 45: 413–422.