D1.7 Clinical psychologist/psychiatrist

Anxiety and depression are common disorders in patients with COPD (Di Marco et al., 2006, Gudmundsson et al., 2006, Kunik et al., 2005, Laurin et al., 2007, Schane et al., 2008), which worsen quality of life and add to disability(Gudmundsson et al., 2005, Ng et al., 2007, Xu et al., 2008, Laurin et al., 2009, Giardino et al., 2010, Eisner et al., 2010). The prevalence of panic attacks and panic disorder in COPD are particularly high (Yellowlees et al., 1987, Pollack et al., 1996, Kunik et al., 2005, Laurin et al., 2007). There is promising evidence that anxiety and depression can be treated by clinical psychologists and psychiatrists using approaches such as cognitive behaviour therapy(Kunik et al., 2001, de Godoy and de Godoy, 2003, Livermore et al., 2010, Hynninen et al., 2010) [evidence level II]. Psychiatrists can also advise whether pharmacological treatment may be appropriate.