Clinical recommendationEvidence ratingReferences
Patients experiencing anxiety should be evaluated for depression.C3
Cognitive behavior therapy has been shown to be at least as effective as medication for GAD with less attrition and more durable effects.A17, 19
Some SSRIs (escitalopram [Lexapro], paroxetine [Paxil], sertraline [Zoloft]); SNRIs (venlafaxine [Effexor], duloxetine [Cymbalta]); and benzodiazepines are more effective than placebo in the treatment of GAD.A2527, 3035
SSRI or SNRI therapy is more beneficial for patients with GAD and comorbid depression than benzodiazepine or buspirone (Buspar) therapy.A2427, 40
Kava is effective in the treatment of GAD, but safety concerns limit its use.B4952