Generalized anxiety disorder (GAD) is an
marked by chronic, exaggerated worrying and anxiety about everyday life. The worry is so severe that it interferes with a person's ability to live their life.
GAD may be caused by:
An abnormal neurotransmitter system
GAD is nearly twice as common in women than in men. Other factors that may increase your chances of GAD:
People with GAD often have other anxiety disorders,
depression, and/or substance use disorders.
You will be asked about your symptoms and medical history. A physical and psychiatric exam will be done. Conditions with similar symptoms will be evaluated. Blood and urine tests may be done.
You will be asked about any medications that you are taking, including over the counter products, herbs, and supplements. Some medications can cause side effects similar to the symptoms of GAD. You will also be asked about any other substances that you may be using such as nicotine, caffeine, illegal drugs, prescription medications, and alcohol.
To make a diagnosis of GAD, symptoms must:
Be present more days than not
Be present for at least 6 months
Interfere with your life such as causing you to miss work or school
You may be referred to a psychotherapist for further evaluation.
Counseling with or without medicine can help to manage GAD symptoms. It can ease impact on day-to-day life.
There are many types of treatment for GAD. The choice will be based on specific needs by may include one or more of the following:
(CBT)—works to change patterns of thinking. This will allow you to notice what is causing anxiety and how to change reaction to it. This can decrease the symptoms of anxiety.
Psychodynamic therapy—talk therapy to address negative feelings and buried emotions that affect daily life.
—tool that helps to slow racing thoughts and calm mind and body. Regular practice can
ease tension. It may also help during events that cause anxiety.
Relaxation therapy—steps such as deep breathing, muscle relaxation, and visualization that can ease tension. Learning ways to relax can help you gain control over anxiety. Instead of reacting with worry and tension, you can learn to remain calm.
Acceptance-based therapy—action-based therapy. It starts with acceptance of issues and commitment to make changes in behavior.
Medicine may be recommended if symptoms are debilitating. It may help with work in counseling. The length of time on medicine will depend on how severe symptoms are. Medicine choices may include:
Antidepressant, such as selective serotonin reuptake inhibitors (SSRIs)
The risks and benefits of medicine will be weighed when making treatment plan. Some types may cause dependence.
Some habits may help to ease tension. They may be used as part of overall treatment.
Last reviewed November 2019 by
EBSCO Medical Review Board
Adrian Preda, MD
Last Updated: 05/08/2020
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