Abstract
Objective: Anxiety disorders are the most common group of psychiatric illnesses in children. This study is to observe the effectiveness of Paroxetine in anxiety disorder among teenagers in South India population using Hamilton Anxiety Rating Scale (HAM-A) and to screen the possible risk for paroxetine in anxiety disorder among teenagers.
 Methods: This study is a prospective observational study that was conducted for a period of 6 mo. Of 84 teenage patients with anxiety disorder assessed using Hamilton Anxiety Rating Scale (HAM-A) were followed-up in an outpatient psychiatric ward. Study population includes both sexes, age group between 13 to 19 y, Teenage patient receiving paroxetine for anxiety disorder were included and patients unwilling to give written informed consent or assent form were excluded.
 Results: Out of 84 patients the prevalence of symptoms before the drug treatment, 65 patients were falling in very severe category, which was assessed by HAM-A scale. Then reassessed with drug Paroxetine at week 4 and week 8. There was a drastic reduction in the prevalence of symptoms in week 8 than compared to week 4. A significant reduction in body weight was also observed during the study period. Among various side effects, nausea was the prominent risk found during the study.
 Conclusion: The present study demonstrated that paroxetine is effective and well-tolerated for the treatment of various types of anxiety disorder in teenagers with few side effects.
Highlights
Anxiety disorders are the most common group of psychiatric illnesses in children
The scale consists of 14 items, each defined by a series of symptoms, and measures both psychic anxiety and somatic anxiety
The study was assessed using Hamilton Anxiety Rating Scale (HAM-A) scale which includes 14 items each defined by a series of symptoms
Summary
Anxiety disorders are the most common group of psychiatric illnesses in children. Anxiety is a blanket term covering several different forms of abnormal and pathological fear. The disorder is frequently accompanied by physiological symptoms such as headache, excessive sweating, muscle spasms, palpitations, and hypertension, which in some cases lead to fatigue and exhaustion. Those affected can flare up at times of high stress [1]. Anxiety disorders are the most common of mental disorders and affect more than 25 million Americans. The HAM-A was one of the first rating scales developed to measure the severity of anxiety symptoms and is still widely used today in both clinical and research settings. The main objective of the study is to investigates the effects of paroxetine in anxiety disorder among teenagers in South India population using Hamilton Anxiety Rating Scale (HAM-A)
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