Clinical recommendationEvidence ratingReferences
Physical activity is a cost-effective treatment for GAD and PD.B16, 17
Selective serotonin reuptake inhibitors are considered first-line therapy for GAD and PD.B19, 20, 22
To avoid relapse, medication should be continued for 12 months after symptoms improve before tapering.C11
When used in combination with antidepressants, benzodiazepines may speed recovery from anxiety-related symptoms but do not improve longer-term outcomes. Because benzodiazepines are associated with tolerance, they should be used only short term during crises.B11, 2830
Psychotherapy can be as effective as medication for GAD and PD. Cognitive behavior therapy has the best level of evidence.A11, 37
Successful treatment requires tailoring options to individuals and may often include a combination of modalities.C11, 37, 42