Anxiety & Panic Disorders

 

Anxiety is the main symptom of several conditions, including:

  • panic disorder
  • phobias – such as agoraphobia or claustrophobia
  • post-traumatic stress disorder (PTSD)
  • social anxiety disorder (social phobia)

Generalised Anxiety Disorder (GAD) is a long-term condition that causes the patient anxiety about a wide range of situations and issues, rather than one specific event.
People with GAD feel anxious most days and often struggle to remember the last time they felt relaxed. As soon as one anxious thought is resolved, another may appear about a different issue.
GAD can cause both psychological (mental) and physical symptoms. These vary from person to person, but can include:

  • feeling restless or worried
  • having trouble concentrating or sleeping
  • dizziness or heart palpitations

Cognitive behavioural therapy (CBT) is one of the most effective treatments for GAD and you can find all of the SKC IAPT providers here: SKC CCG IAPT Provider Leaflet

Reviewed June 2019 by the East Kent Mental Health Commissioning Team. For content suggestions, updates or information please email: EKmentalhealth.commissioning@nhs.net.

Following a referral a GAD 7 Assessment will be undertaken to establish the levels of anxiety for the patient. The  GAD-7 is a seven item instrument that is used to measure or assess the severity of generalised anxiety disorder (GAD).

The GAD-7 is for individuals aged 16+.

The GAD-7 score is calculated by assigning scores of 0, 1, 2, and 3, to the response categories of “not at all,” “several days,” “more than half the days,” and “nearly every day,” respectively, and then adding together the scores for the seven questions.

GAD-7 total score for the seven items ranges from 0 to 21.

Scores represent:

  • 0-5 = Mild anxiety
  • 6-10 = Moderate anxiety
  • 11-15 = Moderately severe anxiety
  • 15-21 = Severe anxiety

 

Tier 1: Community Mental Health Support:

  • Live Well Kent: Live Well Kent can help you improve your mental and physical health and wellbeing. It is a free service for anyone over 17. Call: 0800 567 7699 | E Mail: info@livewellkent.org.uk | Website: www.livewellkent.org.uk | Leaflet: SKC Live Well Kent Leaflet
  • IAPT / NHS Talking Therapy: IAPT is available for the treatment of adult anxiety disorders and depression. These therapies are available for people aged 17+.  This service is free at the point of access and people can refer themselves into the service. For the South Kent Coast CCG IAPT  leaflet: SKC CCG IAPT Provider Leaflet

Tier 2: Support based in Primary Care

  • IAPT / NHS Talking Therapy: IAPT is available for the treatment of adult anxiety disorders and depression. These therapies are available for people aged 17+.  This service is free at the point of access and people can refer themselves into the service. For a list of South Kent Coast CCG IAPT Providers leaflet: SKC CCG IAPT Provider Leaflet .
  • Primary Care Mental Health Specialist service: Primary Care Mental Health Specialist service (PCMHS) has been introduced to support a safe and positive discharge from Secondary services for people with long term stable mental health conditions (clusters 7, 11 and 12) into primary care.
    Invicta Healthcare Referrals: Invicta PCMHS Referral form email to: invictahealth.
  • The Mental Health Social Work Service: The mental health social work service works with individuals aged 17-65 years with mental health needs and social care issues. It also provides a service to carers. The service supports people to enhance their independence and achieve social care goals. It is a single service across primary and secondary care.

    Tel: 03000 416161 Mon – Fri 8.30-17.00 | Out of hours - 03000 419191 | Email: mentalhealthreferrals@kent.gov.uk | Leaflet: Mental Health Social Work service| Referral Form: MH Social work referral form

Tier 3: Specialist Mental Health Services

Specialist Adult mental health services in Kent are provided by the Kent and Medway Partnership Trust KMPT. Referral  to KMPT is by letter.

or if the patient is known to community mental health services for local duty office (9 - 5) for advice and referral:

  • Deal: 01304 865464
  • Dover: 01304 216666
  • Shepway: 01303 227510
  • Or for out of hours contact the Crisis Home Treatment Resolution Team: 07623 514 687.

If the patient is NOT known to mental health services and there is a need for urgent or emergency mental health help and support please call the 24/7 Single Point of Access on 0300 222 0123 or text 07860 022819.

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