This map comes from Map 1B and expands upon it.It makes several points around medical issues.

• When there is a medical source of the patient’s anxiety, the first place to look for a treatment is with a physician [Section 22].
• You need to evaluate the effectiveness of the medical management, both because it may not be sufficient in itself, and because the patient may have other sources of anxiety and other psychological issues to deal with.
• If the patient’s issues are not managed medically, you need to return to the evaluation and treatment process at the point you left it. [Map 1B]
• If medical management is effective in reducing the patient’s anxiety, you may stop. However, a follow-up [Section 47] might be a good idea, in case other sources of the patient’s anxiety have been masked by his/her relief at a reduction in anxiety.