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Consuming high amounts of caffeine can increase the risk of side effects such as anxiety, tremors, palpitations, and insomnia

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Step 3: High-intensity interventions For moderate-to-severe anxiety or when low-intensity approaches prove insufficient: Individual CBT remains the gold-standard psychological therapy Applied relaxation techniques Pharmacological treatment with selective serotonin reuptake inhibitors (SSRIs) as first-line medication Sertraline is typically the preferred initial SSRI for generalised anxiety disorder in UK practice

Never discontinue or adjust your medication without medical guidance

Treatment at this point is straightforward (a doctor may simply cut the tumor out) and extremely effective, with a five-year survival rate of over 98 percent

Also, in a retrospective observational study it is more feasible to collect survival data rather than repeated measures of ALSFRS-R scores over a long follow-up period