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Medicine United States

For First Time, US Task Force Recommends Screening Adults For Anxiety Disorders 174

An anonymous reader quotes a report from CNN: Adults ages 19 to 64 in the United States should be screened for anxiety disorders, according to a new recommendation from the US Preventive Services Task Force released Tuesday. The final recommendation, published in the medical journal JAMA, marks the first time the USPSTF has made a final recommendation on screening for anxiety disorders in adults, including those who are pregnant and postpartum. The task force found "insufficient evidence" to screen for anxiety in older adults. The USPSTF, a group of independent medical experts whose recommendations help guide doctors' decisions and influence insurance plans, also continues to recommend that all adults be screened for major depressive disorder, including those who are pregnant or postpartum and older adults. The recommendation is consistent with the task force's 2016 recommendation on depression screenings.

While rates of clinical depression had been rising steadily in the United States, they jumped significantly during the Covid-19 pandemic. In general, about 1 in 6 adults will have depression at some time in their life, according to the US Centers for Disease Control and Prevention. And although depression and anxiety are different conditions, they commonly can happen together -- and such screening recommendations can help clinicians identify which patients may need treatment for both conditions or one versus the other. "Anxiety disorders are common, and they can really impact people's quality of life, and what the task force found is that screening for anxiety disorders in the general adult population can lead to identifying these conditions early and then, if those people who are identified get linked up with appropriate care, they will benefit," said Dr. Michael Silverstein, vice chair of the USPSTF and director of the Hassenfeld Child Health Innovation Institute at Brown University. "So it really is extremely good news for the delivery of preventive services for the American public," he said. "We also found that in the older adult population, which is defined as age 65 and older, that the task force really needs more evidence to weigh the risks and benefits of screening for anxiety disorders. And for that older adult population, we're calling for urgent new research."

USPSTF researchers noted in their anxiety screening recommendation statement that most people with anxiety disorders don't receive treatment within the first year of symptoms, if ever -- showing a need for more robust screening. "Only 11% of US adults with an anxiety disorder started treatment within the first year of onset; the median time to treatment initiation was 23 years," the researchers wrote. "A US study of 965 primary care patients found that only 41% of patients with an anxiety disorder were receiving treatment for their disorder." Once the new screening recommendations are practiced in the real world, the results may reveal that anxiety disorders are much more prevalent than previously thought, said Dr. Georges Benjamin, executive director of the American Public Health Association, who was not involved in the recommendation statements.
"Anxiety has been way under the radar for a long time, and so I think it's good that they are recommending for the broad population to be screened. When we start screening for anxiety, we're going to find a lot more of it than we thought we had," he said.

"I think it's an opportunity for us to get our hands around this crisis before we have a mental health emergency," Benjamin added. "So we definitely have to do more. We know as a nation, we have under-invested in mental health. We have not put as much money into mental health. We have not been treating mental health at the same level as physical health. And we know that people who need mental health services are really struggling to find providers to care for them."
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For First Time, US Task Force Recommends Screening Adults For Anxiety Disorders

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  • by xevioso ( 598654 ) on Tuesday June 20, 2023 @10:42PM (#63619872)

    Seriously. As if I didn't have enough to worry about. Tourist submarines sinking, AI taking over the world, Donald Trump being a harder on top of everything else... Christ in a chicken basket, what am I gonna do now? Game over man, game over.

    • How about conspiracy loons with guns "rising" against such government-imposed mind control?
      Supported by other anti-government loons complaining about what will that do to taxes and healthcare and the sportsball.

  • It's a good idea (Score:3, Interesting)

    by rsilvergun ( 571051 ) on Tuesday June 20, 2023 @10:43PM (#63619876)
    It's a lot more common than people realize and the physical components to it are themselves more common than people realize. Too often we tell people to either suck it down or that they need to pray or call an exorcist. I know a lot of people who had mental health issues back in the '80s and instead of getting treatment they got at best nasty looks and it worst some idiot chanting get behind me Satan at them. And then there's that kid with mental illness who was beaten to death by a bunch of religious extremists...

    It's insane to think that there are still people in America who believe in that nonsense let alone who don't understand that mental illness isn't a moral failing it's a biochemical problem.
    • Whenever my doctor asks me these kinds of questions I just answer with the "correct" answers. No way I'm flagging myself with issues.

  • by ctilsie242 ( 4841247 ) on Tuesday June 20, 2023 @10:46PM (#63619886)

    The US doesn't exactly have a great health care system. It has the most expensive per capita and total, beating Norway out by a 2x margin, but it is one of the lousiest outside of a third world country.

    Yes, what is that info going to be used for, if someone now has anxiety or depression? Flag them as a pariah for the rest of their life? I have worked at MSPs where they fired anyone they found with any mental illness, saying, "it is better to pay the legal bills and let them sue, than risk letting defective, unstable people near our data center."

    Will it be used as a scarlet letter to invalidate witness testimony in court? "Yeah, the dude saw the defendant strangle the victim, but the witness is depressed, so his testimony means nothing, just like any other mentally ill person, so maybe the guy also saw Jesus coming or machine elves as well."

    Will it be used to lock people up forever? We went through an era of civil commitment, and private prison companies can easily switch to private asylum providers, and they would be chomping at the bit to build those, especially when commitment means a life sentence.

    Will this be used for anything useful, or just a way to populate databases and assign more social credit score factors?

    • by Kokuyo ( 549451 )

      What do you mean "build those"?

      What makes you think the same companies that look at prisoners the same way battery chicken farmers look at chickens would find they need to do anything different to house mental patients?

  • by JeffSh ( 71237 ) <jeffslashdotNO@SPAMm0m0.org> on Tuesday June 20, 2023 @10:46PM (#63619888)

    Jokes on them, everyone i know with anxiety avoids Doctors for this very reason. It is beyond foolish to think that the answer to helping more people is to increase the rate of/method of screening. people who suffer from anxiety are fundamentally running away. i don't have a solution to this, social anxiety is a tough nut to crack because of its self reinforcing nature. its wise to recognize it as an issue, but this is the dumbest way anyone could've ever come up with to help persons with anxiety. if anything this will cause more people to AVOID the doctor since its going to be more GUARANTEED that a potential anxiety issue is part of a screening.

    the methods of screening for, identifying, and treating anxiety is highly complex. this method does less than nothing to help, infact id argue its actively harmful.

    • Anxiety and paranoia are not necessarily the same though. Like there is a lot of overlap between PTSD and anxiety disorders. A veteran who saw some horrible stuff in war knows that the anxiety response to loud noises or whatever is not rational for peacetime, but the brain is producing it anyway. It is like that for a lot of people, there are triggers that set off anxious emotions they know are not useful, but cannot stop. It can be very different from the trapped in a system that is out to get me feeling,

    • This is anxiety in general. There is a significant number of people who have anxiety attacks. People who will start to panic over literally nothing. I don't mean panicking over some minor thing that doesn't need to be panicked over. I mean just experiencing waves of flight or fight fear through the normal course of the day and being otherwise completely in control of their reasoning facilities. Basically your brain releasing the chemicals and firing the neurons associated with panic.

      There's a wide varie
    • With experience with any personnel reliability program or govt security clearance process, anyone with diagnosed mental illness is flagged. So I agree that it is a double edged sword since it also means that no one in a role requiring that clearance is going to seek out assistance for any of this sort of thing.
    • by jbengt ( 874751 )

      Jokes on them, everyone i know with anxiety avoids Doctors for this very reason.

      Meet me. Though I'd like to avoid doctors, I can't really avoid them since I need my medicines for high blood pressure and acid reflux.

      I was on SSRIs for a while, but I quit since they didn't really solve the problem. The best I've been able to do is admit to myself that I'm irrationally anxious all the time and just live with it and do what I have to, anyway, rather than trying to fight it.

  • 19 to 64? (Score:2, Troll)

    by kmoser ( 1469707 )

    Adults ages 19 to 64 in the United States should be screened for anxiety disorders, according to a new recommendation from the US Preventive Services Task Force released Tuesday. [...] The task force found "insufficient evidence" to screen for anxiety in older adults.

    If you're under19 or over 64, take a hike, because depression magically does not exist at those ages.

    • That doesn't make it not exist. It means there's insufficient evidence that a generalized screening is recommended in the absence of other factors that would demand it. These recommendations drive whether insurance covers the cost of the screening.

      Anxiety and depression are related and some of the same medications can work, but they are not the same condition.

    • Anxiety isn't depression. The age range is likely because it encompasses "adults that aren't geriatric". Those who fit on either side of that range likely need methodology

    • Re: (Score:2, Troll)

      by Kokuyo ( 549451 )

      What this basically says is they know EXACTLY where the anxiety comes from. Work.

      This is a relatively direct statement that how the US system of gainful employment makes you mentally ill.

      • by jbengt ( 874751 )

        What this basically says is they know EXACTLY where the anxiety comes from. Work.

        Work can make me anxious. But not working doesn't stop the anxiety. So, no, I doubt work is the reason for recommending screening to that age group.

        • by Kokuyo ( 549451 )

          Not working has never made a single person anxious. It's the prospect of a lack of income that does make you anxious.

          The work culture that makes you anxious while you do have gainful employment is things like healthcare being coupled to your job/employer. The employer deciding what kind of health care plans you can have.
          It is the risk of losing your income on short notice because your employer feels like it and it is the overreach into private lives of the employees by employers that drives anxiety IMO.

  • Imagine (Score:4, Insightful)

    by UsRanger175 ( 8989061 ) on Tuesday June 20, 2023 @11:26PM (#63619942)
    Imagine the anxiety caused by the government on middle to low-class people. They can't afford to support their family due to representatives that don't actually represent them. Hey you are crazy and can own anything that could help you defi the Govt. Embrace the suck. You are welcome.
    • by dddux ( 3656447 )

      Now we wouldn't want people to think that isn't the case, would we? The suxiety, pardon (cough, cough) - society is healthier and better than ever, and our government will make sure everyone is even happier and better off, by getting these people mandatory help. Oh my Crom, you can't imagine they would go that far.

  • The state Ãf my mental health is none of your business to please GFY & FOAD
    • No you're right, it's *your business*, and you would do well to understand it, especially as most mental health issues are not able to be self diagnosed.

      GFY & FOAD

      This is equally a declaration of your own mental health while also being unfortunately very likely what you'll end up doing if you actually have an issue yourself.

  • Most people see and feel terrible things. Most of these people deal with these feelings and thoughts by distracting themselves with work/hobbies, drinking, or just plain being dead inside and repeating the mantra "It could be worse".

    The people that can't figure the above out get wound up worrying ... and have anxiety.

    Literally everybody should be falling apart at the seams every day, and the crisis has already come with idiots shooting people every day. Same exact problem - some sort of coping mechanism t

    • People that suffer anxiety and STILL have to put up with people like you are stronger-willed than you'll ever be, snowflake.
      • I don't think so.
        If you think because one is crippled by anxiety and depression that one is special and nobody else could possibly understand, and opinions to the contrary are somehow targeted at them...you are the definition of snowflake.
        I assure you I have seen plenty of real death, touched and tempted by suicide, and felt less than good enough or afraid of consequences.
        You are incorrectly assuming people that manage to function through it haven't dealt with it.
        Literally everyone is a little crazy sometim

  • Now leave me the fuck alone.

  • by 93 Escort Wagon ( 326346 ) on Wednesday June 21, 2023 @01:10AM (#63620078)

    A number of people here seem to think anxiety disorder is just a worse case of the social anxiety many Slashdotters are familiar with. It's not [mayoclinic.org].

    A number of people here seem to think clinical depression is just a worse version of that type of depression most people feel at times. It's not [mayoclinic.org].

  • Screening? (Score:3, Funny)

    by Motleypuss ( 10291831 ) on Wednesday June 21, 2023 @02:46AM (#63620154)
    This makes me feel anxious.
  • Come on, some people are afraid of things, such as fire, climbing mountains, jumping off cliffs, being shot at. These should also be classed as medical conditions and therefore be treated, rather than merely a sensible response to danger!

    It's reasonable to be anxious. The world is a challenging place. Or, to paraphrase "Sh*t happens, get over it."
    Just because something is less than 100% joyous doesn't mean it needs treating.

    • by jbengt ( 874751 )

      Come on, some people are afraid of things, such as fire, climbing mountains, jumping off cliffs, being shot at. These should also be classed as medical conditions and therefore be treated, rather than merely a sensible response to danger!

      It's reasonable to be anxious.

      You're conflating being anxious with having an anxiety disorder.

  • causes matter (Score:4, Interesting)

    by argStyopa ( 232550 ) on Wednesday June 21, 2023 @06:07AM (#63620406) Journal

    So when we find out that 300 million people have various anxiety disorders, will we ask why?

    Personally I think we will eventually find that our shitty, synthetic-loaded diets, particularly as children, have a lot to do with it. Likewise, having a government and media constantly messaging that everything is wrong, and everyone should be terrified is some deep-programming bullshit.

    "The task force found "insufficient evidence" to screen for anxiety in older adults"
    I suspect as well that has nearly everything to do with what age you were when social media "broke open" in about 2012,, maybe earlier.

    • by waspleg ( 316038 )

      Maybe it has more to do with almost 0 social safety nets, an 'every man for themselves' mentality pounded in hard from birth - exacerbated by a health care system that demands the same.

      My PCPs keep quitting, even when they don't NO ONE gives a fuck about anything, it's entirely reactive care, and only when you advocate for yourself, loudly and consistently, do you even get that.

      I've also learned the hard way you better second guess everything they do, because you're the only one living in your skin and they

    • "The task force found "insufficient evidence" to screen for anxiety in older adults" I suspect as well that has nearly everything to do with what age you were when social media "broke open" in about 2012,, maybe earlier.

      It's also right at the cusp of retirement age, for those lucky enough to do so. Today that still happens for quite a few folks. It probably won't in the near future. But once you retire, you no longer matter, and should probably just be shuffled off to the old folks home where you can be ignored by everyone but the poor nurses who are stuck caring for these people whose families have been programmed to believe that if you aren't earning a wage, you aren't worth being cared for. AMERICA! FUCK YEAH!

    • Re:causes matter (Score:5, Insightful)

      by RobinH ( 124750 ) on Wednesday June 21, 2023 @08:39AM (#63620712) Homepage
      My kids come home from school telling me "we're over-populating the Earth" which is a myth... the population will be lower by the end of the century and birth rates are well under replacement level in developed nations. They also tell me all about climate change, which is great that they're learning about it, but the teachers offer them no hope. This is BS. Climate change is real but there's lots of stuff we can do to slow it down or even start to reverse it, and that's before we get to major geoengineering solutions that aren't even that expensive... comparable to the cost of the Artemis program. They all say the biggest problem is capitalism. Yeah, it needs to be regulated, but ask anyone who lived in the former soviet bloc what that's like. Sheesh. They literally tell them the future is bleak, humans are awful, especially them because they're white, and there's no hope. Yeah, I wonder why we're seeing a spike in depression and anxiety.
      • by dddux ( 3656447 )

        Oh yes, in this day and age overpopulation will "automagically" take care of itself. It's not hard to see that.

        I wish I was being sarcastic.

    • They said they would own nothing and be happy... turns out instead they own nothing and are anxious.

  • by PJ6 ( 1151747 ) on Wednesday June 21, 2023 @06:09AM (#63620408)
    I've seen more than one case where someone was treated for anxiety, when the cause was a medical problem. They wasted money on therapy, took medication they didn't need, and spent years suffering from not getting real treatment. The doctors seemed to want to attribute the issue to some kind of mental failing, instead of doing the real work of diagnosis. Both cases were upper-GI related.
  • Cross-index with gun sales, shootings... What happens if they correlate.

  • They're champing at the bit, eager to see the new patients (and their wallets).
  • Do anxiety disorders resolve themselves after 64, and at 65 are you then immune to anxiety disorders?
  • I'm all for it. (Score:4, Insightful)

    by nightflameauto ( 6607976 ) on Wednesday June 21, 2023 @08:13AM (#63620620)

    Yes, we should definitely have a national service screening adults for mental disorders, so that we can properly punish the motherfuckers for daring to not smile all the time, daring to realize what a shit-show our entire country is, and daring to question whether any of this shit is worth it if every ounce of effort we put into life is ultimately scraped by some rich bastard for profit. THAT'S the American dream. Maybe, if we're lucky, they'll create camps for those of us deemed "unhealthy" mentally so that they can keep us cordoned off from the people too stupid to realize what a fucked up dystopia we're living in so that they can live in happy peace without having to interact with us depressed pieces of shit.

    We've been in a mental health crisis my entire adult life. The fact the government is finally noticing is. . . well, pretty much par for the course.

  • What some would call an "anxiety disorder" is just the way too often the way somebody is wired. It's not a disorder - it's a normal presentation in some portion of the public. Trying to stamp it out by calling it out and pushing treatment on them is unreasonable.

    We're classifying everything we can find as disorders, and it's just stupid. You aren't depressed because your dad died. You're grieving. It's normal and you don't need a pill or a shrink. People have been coping with death since before people were

  • the posters to slashdot, none of who appear to be "nerds", but political hacks, screaming against this,,, given that I'll wager all of them would be diagnosed.

  • Alcoholism was never dealt with as a productivity or work impact issue. never.

    Not even as a precursor to or 'cause' of abuse.

    It was only dealt with as a public hazard due to driving while intoxicated and impaired, and the devastating impact of killing people because you were driving druink.

    Even drug addictions are rarely dealt with as productivity issues, but mainly in response to the perceived crime etc. attendant to addiction. True or not.

    If the mean time to treatment is 23 years, I suspect one of two obv

  • USPTF has become political for quite some time now. A lot of their advice relates to cost not good medicine, and to medical fads. They are accountable to no one, and susceptible to activist capture.

  • You want to know why they want to screen you for anxiety or depression? So that when you say for example that you need a sleeping pill, they will say, no, you can't have it because you are at risk of being an addict, and you get reported to the state database of drug-seeking miscreants.

  • This has the potential to be very expensive. There are no chemical tests to identify anxiety disorders. All this is going to do is allow insurance companies to raise your premiums because some subjective person decided that you have the potential for an anxiety disorder.

  • This is an obvious attempt to target all comedians. I'd go march in protests against it but I'm too depressed to do that. And my buddy Rodney Dangerfield said he doesn't respect me to being such a wimp about it.
  • Think about it, there are mass shootings on a daily basis, including schools and other places. So, stress is obviously going to be a key reason behind this. The idea that we aren't already having a massive problem caused by stress is the wealthy don't see how stressful life is for the bottom 90 percent, so it gets ignored. Even those with decent levels of income feel stressed out.

If all else fails, lower your standards.

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