Materiały źródłowe

• #1 Generalized anxiety disorder – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/generalized-anxiety-disorder/symptoms-causes/syc-20360803

  It’s normal to feel anxious from time to time, especially if your life is stressful. However, excessive, ongoing anxiety and worry that are difficult to control and interfere with day-to-day activities may be a sign of generalized anxiety disorder. […] Generalized anxiety disorder has symptoms that are similar to panic disorder, obsessive-compulsive disorder and other types of anxiety, but they’re all different conditions. […] Living with generalized anxiety disorder can be a long-term challenge. In many cases, it occurs along with other anxiety or mood disorders. In most cases, generalized anxiety disorder improves with psychotherapy or medications. Making lifestyle changes, learning coping skills and using relaxation techniques also can help. […] Generalized anxiety disorder symptoms can vary. They may include: Persistent worrying or anxiety about a number of areas that are out of proportion to the impact of the events, Overthinking plans and solutions to all possible worst-case outcomes, Perceiving situations and events as threatening, even when they aren’t, Difficulty handling uncertainty, Indecisiveness and fear of making the wrong decision, Inability to set aside or let go of a worry, Inability to relax, feeling restless, and feeling keyed up or on edge, Difficulty concentrating, or the feeling that your mind „goes blank”.

• #2 Generalized Anxiety Disorder – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK441870/

  Generalized anxiety disorder is a mental health disorder that produces fear, worry, and a constant feeling of being overwhelmed. It is characterized by excessive, persistent, and unrealistic worry about everyday things. […] Generalized anxiety disorder is one of the most common mental disorders. Up to 20% of adults are affected by anxiety disorders each year. Generalized anxiety disorder produces fear, worry, and a constant feeling of being overwhelmed. Generalized anxiety disorder is characterized by persistent, excessive, and unrealistic worry about everyday things. This worry could be multifaceted, including financial, family, health, and future concerns. It is excessive, difficult to control, and is often accompanied by many nonspecific psychological and physical symptoms. Excessive worry is the central feature of generalized anxiety disorder.

• #3 Generalized Anxiety Disorder (Symptoms) | Center for the Treatment and Study of Anxiety | Perelman School of Medicine at the University of Pennsylvania

  https://www.med.upenn.edu/ctsa/general_anxiety_symptoms.html

  According to the Diagnostic and Statistical Manual, Fifth Edition (DSM-5), the following criteria must be met in order for a person to receive a diagnosis of generalized anxiety disorder. Excessive anxiety and worry (apprehensive expectation) occurring more days than not for at least six months, about a number of different events or activities (such as work or school performance). The individual finds it difficult to control the worry. The worry is associated with at least 3 of the following 6 symptoms (only 1 is required for children): Restlessness or feeling keyed up or on edge, Being easily fatigued, Irritability, Muscle tension, Sleep disturbance (difficulty falling asleep or staying asleep, or restless, unsatisfying sleep), Difficulty concentrating or mind going blank. The disturbance cannot be better explained by substance effects or another mental disorder.

• #4 Generalized Anxiety Disorder (GAD): Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/23940-generalized-anxiety-disorder-gad

  Generalized anxiety disorder (GAD) is a mental health condition that causes fear, worry and a constant feeling of being overwhelmed. Its characterized by excessive, frequent and unrealistic worry about everyday things, such as job responsibilities, health or chores. It can affect children and adults. […] Generalized anxiety disorder can affect children and adults. The condition often begins in childhood or adolescence but may begin at any age. […] The main symptom of generalized anxiety disorder is excessive and persistent worry about everyday things. This persistent feeling of anxiety or dread interferes with how you live your life. […] Symptoms of GAD may fluctuate over time and are often worse during times of stress. […] Its important to note that occasional anxiety or worry is a normal part of life. Many people may worry about things such as health, financial issues or family problems. But people with GAD feel extremely worried or nervous more frequently about these and other things even when theres little or no reason to be concerned about them.

• #5 Generalized Anxiety Disorder: When Worry Gets Out of Control – National Institute of Mental Health (NIMH)

  https://www.nimh.nih.gov/health/publications/generalized-anxiety-disorder-gad

  Do you often find yourself worrying about everyday issues for no obvious reason? Are you always waiting for disaster to strike or excessively worried about things such as health, money, family, work, or school? […] If so, you may have a type of anxiety disorder called generalized anxiety disorder (GAD). GAD can make daily life feel like a constant state of worry, fear, and dread. […] GAD usually involves a persistent feeling of anxiety or dread that interferes with how you live your life. It is not the same as occasionally worrying about things or experiencing anxiety due to stressful life events. People living with GAD experience frequent anxiety for months, if not years. […] GAD develops slowly. It often starts around age 30, although it can occur in childhood. The disorder is more common in women than in men.

• #6 Generalised anxiety disorder (GAD) | Better Health Channel

  https://www.betterhealth.vic.gov.au/health/healthyliving/Generalised-anxiety-disorder

  Some people are troubled by excessive worrying that seems difficult to control. […] This type of worrying is known as generalised anxiety disorder. […] Worries associated with GAD are distressing, last a long time and may appear for no apparent reason. GAD is characterised by a feeling of apprehension and constant irrational worrying about potential threats to the person and their loved ones. […] The main feature of GAD is excessive anxiety and worry, occurring more days than not for at least six months. […] Generalised anxiety disorder affects about five per cent of the population and onset can be at an early age one third of people with GAD experience onset in childhood or adolescence. […] Generalised anxiety disorder is often chronic (ongoing), but may have only a moderate impact on a persons ability to function in daily life and so can often remain undetected and undiagnosed.

• #7 Generalized Anxiety Disorder – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK441870/

  Diagnostic criteria in the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5) include the following: Excessive anxiety and worry for at least 6 months; Difficulty controlling the worrying; The anxiety is associated with 3 or more of the below symptoms for at least 6 months: Restlessness, feeling keyed up or on edge; Being easily fatigued; Difficulty in concentrating or mind going blank, irritability; Muscle tension; Sleep disturbance; Irritability; The anxiety results in significant distress or impairment in social and occupational areas; The anxiety is not attributable to any physical cause. […] The median age of presentation is 30 years. […] The prognosis for patients with generalized anxiety disorder is guarded. Many patients are not compliant with medications because of cost and adverse effects. Relapses are common, and patients often search for physicians who comply with their needs. Because of the lack of conventional medicine to cure the disorder, many opt for alternative therapies without much success. Overall, the quality of life of these patients is poor.

• #8 Visual Guide to Generalized Anxiety Disorder

  https://www.webmd.com/anxiety-panic/ss/slideshow-general-anxiety-overview

  People of any age can develop generalized anxiety disorder, even children. It tends to appear gradually, with the first symptoms most likely to happen between childhood and middle age. Twice as many women as men say they have it. […] There’s no lab test, so the diagnosis is based on your description of your symptoms. Your doctor may ask, What do you worry about? How often? Does your anxiety interfere with any activities? It may be generalized anxiety disorder if you have felt anxious or worried too much for at least 6 months. […] People who have generalized anxiety disorder may also develop depression, alcoholism, or drug addiction. It’s also common for people with GAD to have another anxiety disorder. These can include panic disorder, posttraumatic stress disorder, obsessive-compulsive disorder, and social phobia.

• #9 Diagnosis and Management of Generalized Anxiety Disorder and Panic Disorder in Adults | AAFP

  https://www.aafp.org/pubs/afp/issues/2015/0501/p617.html

  The age of onset is variable, with a median age of 30 years. […] PD is characterized by episodic, unexpected panic attacks that occur without a clear trigger. Panic attacks are defined by the rapid onset of intense fear (typically peaking within about 10 minutes) with at least four of the physical and psychological symptoms in the DSM-5 diagnostic criteria. […] The most common physical symptom accompanying panic attacks is palpitations. […] Complicating the diagnosis of GAD and PD is that many conditions in the differential diagnosis are also common comorbidities. Additionally, many patients with GAD or PD meet criteria for other psychiatric disorders, including major depressive disorder and social phobia. […] Medication or psychotherapy is a reasonable initial treatment option for GAD and PD.

• #10 Generalized anxiety disorder – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/generalized-anxiety-disorder/symptoms-causes/syc-20360803

  It’s normal to feel anxious from time to time, especially if your life is stressful. However, excessive, ongoing anxiety and worry that are difficult to control and interfere with day-to-day activities may be a sign of generalized anxiety disorder. […] Generalized anxiety disorder has symptoms that are similar to panic disorder, obsessive-compulsive disorder and other types of anxiety, but they’re all different conditions. […] Living with generalized anxiety disorder can be a long-term challenge. In many cases, it occurs along with other anxiety or mood disorders. In most cases, generalized anxiety disorder improves with psychotherapy or medications. Making lifestyle changes, learning coping skills and using relaxation techniques also can help. […] Generalized anxiety disorder symptoms can vary. They may include: Persistent worrying or anxiety about a number of areas that are out of proportion to the impact of the events, Overthinking plans and solutions to all possible worst-case outcomes, Perceiving situations and events as threatening, even when they aren’t, Difficulty handling uncertainty, Indecisiveness and fear of making the wrong decision, Inability to set aside or let go of a worry, Inability to relax, feeling restless, and feeling keyed up or on edge, Difficulty concentrating, or the feeling that your mind „goes blank”.

• #11 Generalized anxiety disorder – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/generalized-anxiety-disorder/symptoms-causes/syc-20360803

  Physical signs and symptoms may include: Fatigue, Trouble sleeping, Muscle tension or muscle aches, Trembling, feeling twitchy, Nervousness or being easily startled, Sweating, Nausea, diarrhea or irritable bowel syndrome, Irritability. […] Your anxiety, worry or physical symptoms cause you significant distress in social, work or other areas of your life. Worries can shift from one concern to another and may change with time and age. […] Some anxiety is normal, but see your doctor if: You feel like you’re worrying too much, and it’s interfering with your work, relationships or other parts of your life, You feel depressed or irritable, have trouble with drinking or drugs, or you have other mental health concerns along with anxiety, You have suicidal thoughts or behaviors seek emergency treatment immediately.

• #12 Generalized Anxiety Disorder (Symptoms) | Center for the Treatment and Study of Anxiety | Perelman School of Medicine at the University of Pennsylvania

  https://www.med.upenn.edu/ctsa/general_anxiety_symptoms.html

  Generalized anxiety disorder, or GAD as it is more commonly referred to, is an anxiety disorder characterized by excessive worry or apprehension displayed across a variety of everyday situations or activities. Patients with GAD worry about things that most people will from time to time worry about, such as health, finances, work difficulties, or family problems. However, while most people are able to control their anxiety regarding these issues, those with GAD are unable to stop focusing on these everyday issues, often fearing the worst outcome for every situation for which theyre experiencing anxiety. Quite often the worry of GAD patients is out of proportion to the actual likelihood of their feared outcome. GAD patients describe their anxiety as being constantly present in their daily lives. In addition to the uncontrollable worry, GAD patients also experience a variety of arousal symptoms, such as restlessness, difficulty concentrating, irritability, and being easily fatigued. Sometimes, GAD patients experience physiological symptoms as a result of their constant state of apprehension. These can include nausea, headaches, and dry mouth among others. Generalized anxiety disorder causes its sufferers great distress and trouble functioning in several different areas, such as at work, at home with family, or when out socially with friends.

• #13 Generalized Anxiety Disorder (GAD): Symptoms and More

  https://www.healthline.com/health/anxiety/generalized-anxiety-disorder

  People with generalized anxiety disorder (GAD) worry uncontrollably about common occurrences and situations. […] GAD often appears around the age of 30, but it can also affect children. […] This excessive, unrealistic worry can be frightening and can interfere with relationships and daily activities. […] Physical and mental symptoms of GAD include: perceiving situations as more threatening than they are, difficulty in letting go of worries, difficulty concentrating, difficulty sleeping, difficulty with uncertain situations, irritability, nervousness, overthinking, and difficulty relaxing, fatigue and exhaustion, muscle tension, twitching or trembling, sweating (including sweaty palms), repeated stomachaches, diarrhea, or other gastrointestinal issues, feeling shaky or weak, rapid heartbeat, dry mouth, being easily startled, neurological symptoms, such as numbness or tingling in different parts of the body.

• #14 Generalized anxiety disorder – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/generalized-anxiety-disorder/symptoms-causes/syc-20360803

  Physical signs and symptoms may include: Fatigue, Trouble sleeping, Muscle tension or muscle aches, Trembling, feeling twitchy, Nervousness or being easily startled, Sweating, Nausea, diarrhea or irritable bowel syndrome, Irritability. […] Your anxiety, worry or physical symptoms cause you significant distress in social, work or other areas of your life. Worries can shift from one concern to another and may change with time and age. […] Some anxiety is normal, but see your doctor if: You feel like you’re worrying too much, and it’s interfering with your work, relationships or other parts of your life, You feel depressed or irritable, have trouble with drinking or drugs, or you have other mental health concerns along with anxiety, You have suicidal thoughts or behaviors seek emergency treatment immediately.

• #15 Generalized Anxiety Disorder: When Worry Gets Out of Control – National Institute of Mental Health (NIMH)

  https://www.nimh.nih.gov/health/publications/generalized-anxiety-disorder-gad

  People with GAD may: Worry excessively about everyday things, Have trouble controlling their worries or feelings of nervousness, Know that they worry much more than they should, Feel restless and have trouble relaxing, Have a hard time concentrating, Startle easily, Have trouble falling asleep or staying asleep, Tire easily or feel tired all the time, Have headaches, muscle aches, stomachaches, or unexplained pains, Have a hard time swallowing, Tremble or twitch, Feel irritable or „on edge”, Sweat a lot, feel lightheaded, or feel out of breath, Have to go to the bathroom frequently. […] Symptoms may fluctuate over time and are often worse during times of stressfor examplewith a physical illness, during school exams, or during a family or relationship conflict.

• #16 What is and how to treat generalized anxiety disorder (GAD)?

  https://www.medicalnewstoday.com/articles/326416

  Generalized anxiety disorder (GAD) is persistent and excessive worry or nervousness about everyday life that often interferes with daily activities and personal relationships. […] Doctors diagnose GAD when a person experiences anxiety for 6 months or more. […] However, physical symptoms of the disorder can vary between cases. Symptoms may improve or worsen at different times. […] Emotional and cognitive symptoms of GAD include: uncontrollable and persistent worries, fears, and concerns; an inability to deal with uncertainty about the future; intrusive thoughts; excessive planning and troubleshooting; difficulty making decisions; fear of making the wrong decision; problems concentrating; an inability to relax. […] Physical symptoms include: tense or tight muscles; aches and pains; difficulty sleeping; fatigue; feeling restless, jumpy, or twitchy; heart palpitations; digestive issues, such as nausea or diarrhea; being easily startled; excessive sweating; frequent urination.

• #17 Generalized Anxiety Disorder | Psychology Today

  https://www.psychologytoday.com/us/conditions/generalized-anxiety-disorder

  Common physical symptoms include: Headaches and fatigue, Muscle tension and aches, Difficulty swallowing, Trembling or twitching, Sweating, Shaking, Rapid Heartbeat, Nausea, Light-headedness and tingling in the extremities, Feeling out of breath, Having to visit the bathroom frequently, Hot flashes. […] GAD affects about 6.8 million American adults; women are twice as likely as men to be afflicted. The disorder can begin at any point in the life cycle but usually develops between childhood and middle age. The prevalence of the diagnosis peaks in middle age and decreases across the later years of life. […] When their anxiety level is mild, people with GAD can function socially and hold down a job, but may have difficulty carrying out the simplest of daily activities if their anxiety is severe.

• #18 Generalized Anxiety Disorder (GAD) | Boston Children’s Hospital

  https://www.childrenshospital.org/conditions/generalized-anxiety-disorder-gad

  Symptoms of generalized anxiety disorder can vary. They may include: Restlessness or feeling keyed up or on edge, Apprehensiveness, Being easily fatigued, especially at the end of the school day, Irritability, Trouble sleeping, Difficulty concentrating or the feeling that your mind „goes blank”, Difficulty handling uncertainty or indecisiveness, Expecting the worst, even when there is no apparent reason for concern. […] Physical signs and symptoms may include: Fatigue, Muscle tension or muscle aches, Trembling, Twitching, Sweating, Nausea, diarrhea, or irritable bowel syndrome, Headaches. […] If left untreated, studies show that GAD is often a chronic illness with symptoms that tend to wax and wane across the lifespan. Earlier age of onset is also associated with greater risk for development of other anxiety and depressive disorders later in life.

• #19 Generalized Anxiety Disorder in Kids: A Quick Guide

  https://childmind.org/guide/quick-guide-to-generalized-anxiety-disorder/

  Generalized anxiety disorder is a kind of anxiety that can cause children and teenagers extreme worry about many different things. Kids with generalized anxiety disorder are constantly worried about a variety of everyday things, like doing well in school or sports. For example, a child with generalized anxiety disorder might study much more than their classmates, even if they’re already doing well. […] In general, kids with generalized anxiety disorder worry a lot about being perfect and living up to expectations. […] A child with generalized anxiety disorder may: […] Constantly worry about lots of different things […] Worry about their health or the health of loved ones […] Focus too much on doing well on assignments or tests […] Fear their school day won’t go well […] Overthink something in the past.

• #20 Generalised anxiety disorder – Symptoms, diagnosis and treatment | BMJ Best Practice

  https://bestpractice.bmj.com/topics/en-gb/120

  At least three of the following symptoms are present most of the time: restlessness or nervousness, being easily fatigued, poor concentration, irritability, muscle tension, or sleep disturbance. In children, at least one key symptom should be present most of the time. […] Other common complaints are autonomic in nature, such as sweating, lightheadedness, palpitations, dizziness, and epigastric discomfort. […] Anxiety may be 'free-floating’ (i.e., not restricted to, or even strongly predominating in, any particular environmental circumstances). […] Examples of worries include fears that the patient or a relative will shortly become ill or have an accident. […] Key diagnostic factors include excessive worry for at least 6 months, anxiety not confined to another mental health disorder, muscle tension, sleep disturbance, fatigue, restlessness, irritability, and poor concentration.

• #21 Generalized Anxiety Disorder in Kids: A Quick Guide

  https://childmind.org/guide/quick-guide-to-generalized-anxiety-disorder/

  Kids with generalized anxiety disorder often show signs in their behavior, too. They may be easily frustrated or have trouble sleeping. […] Their stress can also cause physical symptoms such as exhaustion, stomachaches or headaches. […] Symptoms of generalized anxiety disorder can also be symptoms of other anxiety disorders. This can make it difficult to diagnose. […] Generalized anxiety disorder is more than ordinary worry. These children’s concerns last longer and aren’t caused by a certain event. […] A child is diagnosed with generalized anxiety disorder when they: […] Are unable to control their anxiety […] Have concerns about several different things […] Easily become very upset […] Show symptoms most days for at least six months. […] In addition, a child must also have one of these symptoms:

• #22 Generalized anxiety disorder – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/generalized-anxiety-disorder/symptoms-causes/syc-20360803

  It’s normal to feel anxious from time to time, especially if your life is stressful. However, excessive, ongoing anxiety and worry that are difficult to control and interfere with day-to-day activities may be a sign of generalized anxiety disorder. […] Generalized anxiety disorder has symptoms that are similar to panic disorder, obsessive-compulsive disorder and other types of anxiety, but they’re all different conditions. […] Living with generalized anxiety disorder can be a long-term challenge. In many cases, it occurs along with other anxiety or mood disorders. In most cases, generalized anxiety disorder improves with psychotherapy or medications. Making lifestyle changes, learning coping skills and using relaxation techniques also can help. […] Generalized anxiety disorder symptoms can vary. They may include: Persistent worrying or anxiety about a number of areas that are out of proportion to the impact of the events, Overthinking plans and solutions to all possible worst-case outcomes, Perceiving situations and events as threatening, even when they aren’t, Difficulty handling uncertainty, Indecisiveness and fear of making the wrong decision, Inability to set aside or let go of a worry, Inability to relax, feeling restless, and feeling keyed up or on edge, Difficulty concentrating, or the feeling that your mind „goes blank”.

• #23 Generalized Anxiety Disorder (Symptoms) | Center for the Treatment and Study of Anxiety | Perelman School of Medicine at the University of Pennsylvania

  https://www.med.upenn.edu/ctsa/general_anxiety_symptoms.html

  While generalized anxiety disorder can occur at any age, many individuals with GAD report feeling anxious all their lives. While no there is no known specific cause for the disorder, research suggests that there may be a genetic component involved in GAD, with individuals having family members with the disorder more likely to develop GAD than those in the general population. While no specific causing gene has been located, research now indicates that biology, environment, and life experience may all play a role in the development and course of GAD. […] Once an individual develops GAD, the course of the disorder is most often chronic. The severity of symptoms may fluctuate and worsen during times of stress.

• #24 Generalized Anxiety Disorder: When Worry Gets Out of Control – National Institute of Mental Health (NIMH)

  https://www.nimh.nih.gov/health/publications/generalized-anxiety-disorder-gad

  People with GAD may: Worry excessively about everyday things, Have trouble controlling their worries or feelings of nervousness, Know that they worry much more than they should, Feel restless and have trouble relaxing, Have a hard time concentrating, Startle easily, Have trouble falling asleep or staying asleep, Tire easily or feel tired all the time, Have headaches, muscle aches, stomachaches, or unexplained pains, Have a hard time swallowing, Tremble or twitch, Feel irritable or „on edge”, Sweat a lot, feel lightheaded, or feel out of breath, Have to go to the bathroom frequently. […] Symptoms may fluctuate over time and are often worse during times of stressfor examplewith a physical illness, during school exams, or during a family or relationship conflict.

• #25 Generalized Anxiety Disorder – Mental Health Disorders – Merck Manual Consumer Version

  https://www.merckmanuals.com/home/mental-health-disorders/anxiety-and-stressor-related-disorders/generalized-anxiety-disorder

  Generalized anxiety disorder consists of excessive nervousness and worry about a number of activities or events. People have anxiety more days than not over a period of 6 months or longer. […] People with generalized anxiety disorder constantly feel worried or distressed and have difficulty controlling these feelings. The severity, frequency, or duration of the worries is greater than the situation warrants. […] For most people, the disorder fluctuates, worsening at times (especially during times of stress), and persists over many years. […] Worries are general in nature, include many topics, and often shift from one topic to another over time. Common worries include work and family responsibilities, money, health, safety, car repairs, and chores. […] For a doctor to diagnose generalized anxiety disorder, a person must experience worry or anxiety that is excessive, concerns a number of activities and events, and is present more days than not over a period of 6 months or longer.

• #26 Generalized Anxiety Disorder: Causes, Symptoms & Treatment | Live Science

  https://www.livescience.com/45781-generalized-anxiety-disorder.html

  Like those with panic disorder, GAD sufferers have difficulty with everyday tasks, the NIMH noted. However, people with GAD are not gripped by an overwhelming fear and are typically able to function. However, some may be unable to perform even routine tasks during times when their symptoms are the worst, according to the NIMH. […] Both children and adults can develop GAD and symptoms can come on slowly, according to the Mayo Clinic. But in some instances, a major life event, such as a change in health, or a life transition such as a divorce, can trigger the onset of GAD, Duffey said. […] „GAD patients have always been anxious to some degree, but an event such as a car accident, poor grades, relationship or work difficulties can enhance their anxiety,” she said.

• #27 GAD | CRUfAD

  https://crufad.org/for-clinicians/gad/

  According to the World Health Organizations (WHO) International Classification of Diseases (ICD)-10th Edition, for a diagnosis of GAD the individual must have been bothered by symptoms of anxiety on most days for a period of at least several weeks, but usually for a period of 6 months. The anxiety symptoms involve: Apprehension (e.g., worry about the future, feeling `on edge, difficulty concentrating), Motor tension (restlessness, headaches, trembling, inability to relax), Other symptoms of high arousal (e.g., sweating, accelerated heart rate, dry mouth, stomach upsets, dizziness, light-headedness). […] GAD is a chronic disorder that tends to develop gradually and fluctuate in severity over time. The course of the disorder can be either constant, or waxing and waning in nature. Although most individuals appear to be symptomatic for the majority of time since the onset of the disorder, about one quarter of individuals with GAD exhibit periods of remission (three months or longer without symptoms). The anxiety and worry associated with GAD can be made worse by stress.

• #28 Generalized Anxiety Disorder: Causes, Symptoms & Treatment | Live Science

  https://www.livescience.com/45781-generalized-anxiety-disorder.html

  Like those with panic disorder, GAD sufferers have difficulty with everyday tasks, the NIMH noted. However, people with GAD are not gripped by an overwhelming fear and are typically able to function. However, some may be unable to perform even routine tasks during times when their symptoms are the worst, according to the NIMH. […] Both children and adults can develop GAD and symptoms can come on slowly, according to the Mayo Clinic. But in some instances, a major life event, such as a change in health, or a life transition such as a divorce, can trigger the onset of GAD, Duffey said. […] „GAD patients have always been anxious to some degree, but an event such as a car accident, poor grades, relationship or work difficulties can enhance their anxiety,” she said.

• #29 What Is Generalized Anxiety Disorder? | Gateway Foundation

  https://www.gatewayfoundation.org/blog/generalized-anxiety-disorder/

  GAD may also cause several physical symptoms in both adults and children that can make it difficult to function daily. Some of these symptoms include: Fatigue and feeling constantly tired, Difficulty falling or staying asleep, Muscle tension, aches or twitches, Excessive trembling or shaking, Being easily startled, Nausea, diarrhea or intestinal issues, Excessive sweating, Irritability or feeling on edge, Having a hard time swallowing, Constant urge to use the bathroom, Feeling light-headed, Headaches, stomach aches or other body pains. […] Symptoms of generalized anxiety disorder are often worse during periods of high stress, such as during school exams, a physical illness or a family or relationship conflict. Adults with GAD may often experience intense anxiety over everyday circumstances such as family health and safety, job security and performance, financial security and performing household chores and responsibilities. […] Children with GAD can experience worry about their academic and athletic performances or experience heightened fear regarding world catastrophes and natural disasters such as earthquakes, tornadoes and wildfires.

• #30 Generalized Anxiety Disorder (GAD) – Symptoms and Causes

  https://www.mentalhealth.com/library/generalized-anxiety-disorder-symptoms-causes

  Most people with GAD do not experience each symptom simultaneously. Symptoms often fluctuate throughout life, and the focus of worried thoughts may change. Some people find that symptoms worsen during stressful times. […] GAD is often comorbid with other anxiety disorders, mood disorders, and substance abuse. […] There is no singular cause for GAD, or anxiety disorders in general. Experts generally accept that the development of the disorder is a combination of complex factors. […] However, research has found some risk factors for the development of anxiety symptoms: Those with a family history of anxiety disorders may be more at risk of developing GAD. […] Symptoms also tend to worsen with increased stress from environmental factors. […] Treatment for GAD involves either medication, psychotherapy (also known as “talk therapy”), or a combination of both.

• #31 Generalized Anxiety Disorder – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK441870/

  Diagnostic criteria in the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5) include the following: Excessive anxiety and worry for at least 6 months; Difficulty controlling the worrying; The anxiety is associated with 3 or more of the below symptoms for at least 6 months: Restlessness, feeling keyed up or on edge; Being easily fatigued; Difficulty in concentrating or mind going blank, irritability; Muscle tension; Sleep disturbance; Irritability; The anxiety results in significant distress or impairment in social and occupational areas; The anxiety is not attributable to any physical cause. […] The median age of presentation is 30 years. […] The prognosis for patients with generalized anxiety disorder is guarded. Many patients are not compliant with medications because of cost and adverse effects. Relapses are common, and patients often search for physicians who comply with their needs. Because of the lack of conventional medicine to cure the disorder, many opt for alternative therapies without much success. Overall, the quality of life of these patients is poor.

• #32 Generalized Anxiety Disorder (GAD) | Boston Children’s Hospital

  https://www.childrenshospital.org/conditions/generalized-anxiety-disorder-gad

  Symptoms of generalized anxiety disorder can vary. They may include: Restlessness or feeling keyed up or on edge, Apprehensiveness, Being easily fatigued, especially at the end of the school day, Irritability, Trouble sleeping, Difficulty concentrating or the feeling that your mind „goes blank”, Difficulty handling uncertainty or indecisiveness, Expecting the worst, even when there is no apparent reason for concern. […] Physical signs and symptoms may include: Fatigue, Muscle tension or muscle aches, Trembling, Twitching, Sweating, Nausea, diarrhea, or irritable bowel syndrome, Headaches. […] If left untreated, studies show that GAD is often a chronic illness with symptoms that tend to wax and wane across the lifespan. Earlier age of onset is also associated with greater risk for development of other anxiety and depressive disorders later in life.

• #33 Generalized Anxiety Disorder Guide: Causes, Symptoms and Treatment Options

  https://www.drugs.com/health-guide/generalized-anxiety-disorder.html

  Since antidepressants often take several weeks to work, your doctor may also prescribe a fast-acting benzodiazepine for relief. […] A number of psychotherapy techniques may be helpful. […] Your therapist may combine any of the above approaches or may discuss others — for example, meditation, hypnosis or exercise — with you so that the approach fits your specific problems and needs. […] In general, the outlook is good. With appropriate treatment, about 50% of patients improve within 3 weeks of starting treatment, and 77% improve within 9 months.

• #34 Generalized Anxiety Disorder (GAD): Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/23940-generalized-anxiety-disorder-gad

  Generalized anxiety disorder is generally treated with psychotherapy (talk therapy), medication or both. […] The prognosis (outlook) for generalized anxiety disorder can vary depending on how severe it is. In some cases, GAD is long-term (chronic) and difficult to treat. However, most people experience improvement in their symptoms with medicine and/or talk therapy.

• #35 Generalized anxiety disorder – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/generalized-anxiety-disorder/symptoms-causes/syc-20360803

  Your worries are unlikely to simply go away on their own, and they may actually get worse over time. Try to seek professional help before your anxiety becomes severe it may be easier to treat early on. […] Generalized anxiety disorder can also lead to or worsen other physical health conditions, such as: Digestive or bowel problems, such as irritable bowel syndrome or ulcers, Headaches and migraines, Chronic pain and illness, Sleep problems and insomnia, Heart-health issues. […] Generalized anxiety disorder often occurs along with other mental health problems, which can make diagnosis and treatment more challenging. Some mental health disorders that commonly occur with generalized anxiety disorder include: Phobias, Panic disorder, Post-traumatic stress disorder (PTSD), Obsessive-compulsive disorder (OCD), Depression, Suicidal thoughts or suicide, Substance abuse.

• #36 Generalized Anxiety Disorder – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK441870/

  Complications of generalized anxiety disorder can also lead to, or worsen, other mental and physical conditions: Depression (often presents concomitantly with an anxiety disorder); Insomnia; Drug or alcohol use disorder; Gastrointestinal problems; Social isolation; Issues functioning at work/school; Impaired quality of life; Suicide potential.

• #37 Generalized anxiety disorder – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/generalized-anxiety-disorder/symptoms-causes/syc-20360803

  Your worries are unlikely to simply go away on their own, and they may actually get worse over time. Try to seek professional help before your anxiety becomes severe it may be easier to treat early on. […] Generalized anxiety disorder can also lead to or worsen other physical health conditions, such as: Digestive or bowel problems, such as irritable bowel syndrome or ulcers, Headaches and migraines, Chronic pain and illness, Sleep problems and insomnia, Heart-health issues. […] Generalized anxiety disorder often occurs along with other mental health problems, which can make diagnosis and treatment more challenging. Some mental health disorders that commonly occur with generalized anxiety disorder include: Phobias, Panic disorder, Post-traumatic stress disorder (PTSD), Obsessive-compulsive disorder (OCD), Depression, Suicidal thoughts or suicide, Substance abuse.

• #38 Visual Guide to Generalized Anxiety Disorder

  https://www.webmd.com/anxiety-panic/ss/slideshow-general-anxiety-overview

  People of any age can develop generalized anxiety disorder, even children. It tends to appear gradually, with the first symptoms most likely to happen between childhood and middle age. Twice as many women as men say they have it. […] There’s no lab test, so the diagnosis is based on your description of your symptoms. Your doctor may ask, What do you worry about? How often? Does your anxiety interfere with any activities? It may be generalized anxiety disorder if you have felt anxious or worried too much for at least 6 months. […] People who have generalized anxiety disorder may also develop depression, alcoholism, or drug addiction. It’s also common for people with GAD to have another anxiety disorder. These can include panic disorder, posttraumatic stress disorder, obsessive-compulsive disorder, and social phobia.

• #39 Generalized Anxiety Disorder and Panic Disorder in Adults | AAFP

  https://www.aafp.org/pubs/afp/issues/2022/0800/generalized-anxiety-disorder-panic-disorder.html

  Generalized anxiety disorder (GAD) is defined by the Diagnostic and Statistical Manual of Mental Disorders, 5th ed. (DSM-5) as excessive worry that occurs on most days for at least six months and causes significant distress or impairment. Clinically, GAD most commonly presents as excessive worry about minor issues, often manifesting with somatic symptoms and pathologic behavioral changes. Most studies suggest a peak onset of GAD during late adolescence or early adulthood, but it can also present later in life. […] The symptoms of GAD and PD can suggest medical diagnoses, including hyperthyroidism, arrhythmias, asthma, chronic obstructive pulmonary disease, certain medication use or withdrawal, and substance use or withdrawal. GAD and PD commonly occur with other psychiatric conditions, including major depressive episodes, manic-hypomanic episodes, dysthymia, and substance use disorder. GAD and PD are also associated with suicidal ideation and suicide attempts.

• #40 Generalized Anxiety Disorder (GAD) Symptoms, Causes, and Treatment

  https://www.verywellhealth.com/generalized-anxiety-disorder-5092814

  It’s important to note the differences between typical worrying and the disordered worrying that comes with GAD. […] For many people, GAD-associated worrying helps them to feel productive and in control. […] Rather than a specific phobia, such as fear of spiders, GAD can be expressed in any sphere of life. Types of GAD include social anxiety, obsessive-compulsive disorder, post-traumatic stress disorder, and panic disorders. […] GAD also can co-occur with another disorder, with depression a common diagnosis. […] Generalized anxiety disorder (GAD) occurs when someone’s level of worry or anxiety interferes with daily living. It exceeds a level that’s warranted for at least six months in different types of situations, along with other diagnostic criteria from the DSM-5. […] Causes of GAD can include exposure to traumatic events, or genetics and family history. Treatment is available, typically through a combination of therapy and medication.

• #41 Generalized anxiety disorder – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/generalized-anxiety-disorder/symptoms-causes/syc-20360803

  Your worries are unlikely to simply go away on their own, and they may actually get worse over time. Try to seek professional help before your anxiety becomes severe it may be easier to treat early on. […] Generalized anxiety disorder can also lead to or worsen other physical health conditions, such as: Digestive or bowel problems, such as irritable bowel syndrome or ulcers, Headaches and migraines, Chronic pain and illness, Sleep problems and insomnia, Heart-health issues. […] Generalized anxiety disorder often occurs along with other mental health problems, which can make diagnosis and treatment more challenging. Some mental health disorders that commonly occur with generalized anxiety disorder include: Phobias, Panic disorder, Post-traumatic stress disorder (PTSD), Obsessive-compulsive disorder (OCD), Depression, Suicidal thoughts or suicide, Substance abuse.

• #42 What Are the Symptoms of Generalized Anxiety Disorder? – Bridges to Recovery

  https://www.bridgestorecovery.com/generalized-anxiety/symptoms-generalized-anxiety-disorder/

  The emotional and physical symptoms of generalized anxiety disorder can indicate that someone has this condition, but there are other signs as well. The excessive worry and nervousness that is caused by anxiety can leak into many areas of one’s life, triggering complications that range from mild to serious. Complications are especially likely in anyone who is not being treated for anxiety. Some of the possible complications someone living with generalized anxiety disorder may experience include: Inability to complete tasks and resulting poor performance at work or school; Social withdrawal and isolation; Lack of or reduced participation in activities and social events; Substance abuse and addiction; Suicidal thoughts and behaviors; Other mental illnesses, including depression, panic disorder, obsessive-compulsive disorder, and phobias; Chronic pain; Increased susceptibility to illness; Chronic medical conditions, like irritable bowel syndrome or migraines.

• #43 Anxiety Disorders: Causes, Symptoms, Treatment & Types

  https://my.clevelandclinic.org/health/diseases/9536-anxiety-disorders

  Generalized anxiety disorder (GAD): This condition causes fear, worry and a constant feeling of being overwhelmed. Its characterized by excessive, frequent and unrealistic worry about everyday things, such as job responsibilities, health or chores. […] Symptoms of anxiety disorders vary depending on the type. […] Its important to talk to your healthcare provider or a mental health professional if you frequently experience these symptoms. […] Left untreated, anxiety disorders can lead to serious complications, including: Difficulty with social situations and decreased quality of life. […] Treatment is effective. The right treatment can help improve your quality of life, relationships and productivity. It can also support your overall well-being.

• #44 Generalized Anxiety Disorder (Symptoms) | Center for the Treatment and Study of Anxiety | Perelman School of Medicine at the University of Pennsylvania

  https://www.med.upenn.edu/ctsa/general_anxiety_symptoms.html

  Generalized anxiety disorder, or GAD as it is more commonly referred to, is an anxiety disorder characterized by excessive worry or apprehension displayed across a variety of everyday situations or activities. Patients with GAD worry about things that most people will from time to time worry about, such as health, finances, work difficulties, or family problems. However, while most people are able to control their anxiety regarding these issues, those with GAD are unable to stop focusing on these everyday issues, often fearing the worst outcome for every situation for which theyre experiencing anxiety. Quite often the worry of GAD patients is out of proportion to the actual likelihood of their feared outcome. GAD patients describe their anxiety as being constantly present in their daily lives. In addition to the uncontrollable worry, GAD patients also experience a variety of arousal symptoms, such as restlessness, difficulty concentrating, irritability, and being easily fatigued. Sometimes, GAD patients experience physiological symptoms as a result of their constant state of apprehension. These can include nausea, headaches, and dry mouth among others. Generalized anxiety disorder causes its sufferers great distress and trouble functioning in several different areas, such as at work, at home with family, or when out socially with friends.

• #45 Generalized Anxiety Disorder Symptoms – Grow Therapy

  https://growtherapy.com/blog/generalized-anxiety-disorder-symptoms/

  GAD symptoms may vary across demographics, particularly across individuals of different ages. […] A person with GAD is generally much more apprehensive, vigilant, and pessimistic about the world around them. […] With a GAD diagnosis, worry has essentially become excessive to the point where panic, paranoia, obsessiveness, and constant fear exist and begins to impair your daily functioning. […] GAD can have a significant negative impact on relationships, work or school performance, and overall well-being. […] Because of their extreme levels of anxiety, individuals with GAD may be unable to leave their homes, incapable of taking care of their pets or children, and unable to maintain friendships. […] While GAD is significantly challenging, effective treatments are available. Treatment typically involves a combination of psychotherapy and medication.

• #46 What Are the Symptoms of Generalized Anxiety Disorder? – Bridges to Recovery

  https://www.bridgestorecovery.com/generalized-anxiety/symptoms-generalized-anxiety-disorder/

  The emotional and physical symptoms of generalized anxiety disorder can indicate that someone has this condition, but there are other signs as well. The excessive worry and nervousness that is caused by anxiety can leak into many areas of one’s life, triggering complications that range from mild to serious. Complications are especially likely in anyone who is not being treated for anxiety. Some of the possible complications someone living with generalized anxiety disorder may experience include: Inability to complete tasks and resulting poor performance at work or school; Social withdrawal and isolation; Lack of or reduced participation in activities and social events; Substance abuse and addiction; Suicidal thoughts and behaviors; Other mental illnesses, including depression, panic disorder, obsessive-compulsive disorder, and phobias; Chronic pain; Increased susceptibility to illness; Chronic medical conditions, like irritable bowel syndrome or migraines.

• #47 Anxious for No Reason? Symptoms of Generalized Anxiety Disorder – Cumberland Heights

  https://cumberlandheights.org/resources/blog/anxious-for-no-reason-symptoms-of-generalized-anxiety-disorder/

  Sleep is often disrupted by anxiety, either because of difficulty falling asleep or staying asleep. […] The symptoms of GAD can significantly impact a person’s quality of life. […] Recognizing the symptoms of GAD is the first step toward finding relief. […] GAD can be effectively treated with a combination of therapies, medications, and lifestyle changes. […] Left untreated, GAD can significantly affect a person’s quality of life. […] Recognizing the signs of GAD and seeking treatment early can prevent these complications from escalating. […] Living with GAD doesn’t have to mean living in constant fear or uncertainty.

• #48 Psychiatry.org – What are Anxiety Disorders?

  https://www.psychiatry.org/patients-families/anxiety-disorders/what-are-anxiety-disorders

  Anxiety disorders can cause people to try to avoid situations that trigger or worsen their symptoms. […] Generalized anxiety disorder involves persistent and excessive worry that interferes with daily activities. This ongoing worry and tension may be accompanied by physical symptoms, such as restlessness, feeling on edge or easily fatigued, difficulty concentrating, muscle tension or problems sleeping. […] The first step is to see your doctor to make sure there is no physical problem causing the symptoms. If an anxiety disorder is diagnosed, a mental health professional can work with you on finding the best treatment.

• #49 Generalized Anxiety Disorder (Symptoms) | Center for the Treatment and Study of Anxiety | Perelman School of Medicine at the University of Pennsylvania

  https://www.med.upenn.edu/ctsa/general_anxiety_symptoms.html

  Generalized anxiety disorder, or GAD as it is more commonly referred to, is an anxiety disorder characterized by excessive worry or apprehension displayed across a variety of everyday situations or activities. Patients with GAD worry about things that most people will from time to time worry about, such as health, finances, work difficulties, or family problems. However, while most people are able to control their anxiety regarding these issues, those with GAD are unable to stop focusing on these everyday issues, often fearing the worst outcome for every situation for which theyre experiencing anxiety. Quite often the worry of GAD patients is out of proportion to the actual likelihood of their feared outcome. GAD patients describe their anxiety as being constantly present in their daily lives. In addition to the uncontrollable worry, GAD patients also experience a variety of arousal symptoms, such as restlessness, difficulty concentrating, irritability, and being easily fatigued. Sometimes, GAD patients experience physiological symptoms as a result of their constant state of apprehension. These can include nausea, headaches, and dry mouth among others. Generalized anxiety disorder causes its sufferers great distress and trouble functioning in several different areas, such as at work, at home with family, or when out socially with friends.

• #50 Generalized Anxiety Disorder (GAD) — Seattle Anxiety Specialists – Psychiatry, Psychology, and Psychotherapy

  https://seattleanxiety.com/generalized-anxiety-disorder-gad

  If you have GAD, then this is a pretty typical day for you, you’re anxious more days than not for at least the past six months. […] One patient described her GAD as a feeling of always being on edge and afraid as if something awful might happen. […] GAD has also been explained in numerous different ways by the people who live with it daily: It is like living with a boulder sitting on your chest, you are unable to catch a deep breath. […] In the previously mentioned NCS-R study, 77% of GAD cases were classified as being moderate or severe, with impairment in occupation or role function being a requirement for both of these classifications. […] GAD is the most common anxiety disorder diagnosed in older adults.

• #51 Generalized Anxiety Disorder

  https://www.k-state.edu/counseling/services/resources/self_help/generalizedanxietydisorder.html

  Several researchers have noted that GAD is one of the most disabling anxiety disorders with levels of impairment comparable to depression and chronic physical illness. The disorder has also been associated with a substantial increase in use of the health care services and greater employment-related disability costs compared to nonclinical populations. Furthermore, compared to those with other anxiety disorders, patients with primary GAD seem to worry significantly more about the future. […] GAD still is sadly 'incurable’ though one may learn to find healing through contexts that are meaningful to the individual. […] It was at age 23 that was first diagnosed with GAD. […] GAD has proven particularly difficult to treat, with clinical trials producing clinically significant improvement in only about 50% of participants.

• #52 Generalized Anxiety Disorder: Signs and Symptoms

  https://www.health.com/generalized-anxiety-disorder-symptoms-8421173

  Because GAD affects your thoughts, mood, and body, it’s common for the condition to also alter your behavior. Some behavioral changes that GAD can cause include: Having trouble falling asleep or staying asleep, Avoiding situations that trigger anxiety, Procrastinating on important tasks, Changes in work and school performance, Skipping meals, Conflicts in relationships, Irritability. […] Common symptoms of generalized anxiety disorder in children include: Difficulty performing daily tasks, Trouble concentrating, Getting upset easily, Changes in school performance, Perfectionism, Avoidance, Body aches, Sleep problems, Clinging on to family members, Restlessness. […] People with GAD feel excessive feelings of worry, dread, and fear regardless of the circumstancesmaking even small, everyday tasks feel anxiety-provoking. Common symptoms of GAD include racing thoughts, trouble relaxing, and poor concentration. People with GAD commonly experience physical symptoms, including headaches, muscle aches, stomachaches, and unexplained pain. Its important to see a mental healthcare provider if anxiety symptoms start interfering with your work, school, or relationships.

• #53 What is and how to treat generalized anxiety disorder (GAD)?

  https://www.medicalnewstoday.com/articles/326416

  Behavioral symptoms include: being unable to relax or spend quiet time alone; switching between tasks or not finishing tasks due to finding it difficult to concentrate; spending excessive amounts of time completing simple tasks; redoing tasks because they are not perfect; avoiding situations that trigger anxiety, including socializing with others and speaking in public; missing school or work due to fatigue, fear, or other symptoms; requiring reassurance and approval from others. […] GAD can affect anyone of any age. However, the risk of developing it seems to be highest between childhood and middle age. […] Treatment options for GAD depend on the severity of a person’s symptoms and any other conditions. […] Many people require a combination of treatments, such as attending psychotherapy and making lifestyle changes. Medications may also be necessary.

• #54 Generalized anxiety disorder in adults: Management – UpToDate

  https://www.uptodate.com/contents/generalized-anxiety-disorder-in-adults-management

  Generalized anxiety disorder (GAD) is characterized by excessive worry and anxiety that are difficult to control, cause significant distress and impairment, and occur on more days than not for at least six months. […] GAD is a relatively common disorder, most often with an adult onset and chronic course. […] GAD can cause significant impairments in daily functioning, diminished quality of life, and high health care costs. […] The main objective of treatment is to reduce symptoms of anxiety and thereby improve functioning. […] Patients with a mild subtype of GAD whose symptoms do not interfere significantly with functioning may reasonably elect to forgo treatment initially. […] If symptoms are worsening or if daily functioning is affected, we recommend treatment.

• #55 Generalized Anxiety Disorder (Symptoms) | Center for the Treatment and Study of Anxiety | Perelman School of Medicine at the University of Pennsylvania

  https://www.med.upenn.edu/ctsa/general_anxiety_symptoms.html

  According to the Diagnostic and Statistical Manual, Fifth Edition (DSM-5), the following criteria must be met in order for a person to receive a diagnosis of generalized anxiety disorder. Excessive anxiety and worry (apprehensive expectation) occurring more days than not for at least six months, about a number of different events or activities (such as work or school performance). The individual finds it difficult to control the worry. The worry is associated with at least 3 of the following 6 symptoms (only 1 is required for children): Restlessness or feeling keyed up or on edge, Being easily fatigued, Irritability, Muscle tension, Sleep disturbance (difficulty falling asleep or staying asleep, or restless, unsatisfying sleep), Difficulty concentrating or mind going blank. The disturbance cannot be better explained by substance effects or another mental disorder.

• #56 Generalized Anxiety Disorder: Symptoms and DSM-5 Diagnosis

  https://www.verywellmind.com/dsm-5-criteria-for-generalized-anxiety-disorder-1393147

  The DSM-5-TR outlines specific criteria to help professionals diagnose generalized anxiety disorder. Having a standard set of symptoms to reference when assessing clients helps them to more accurately diagnose mental health concerns and, in turn, create a more effective plan of care. […] When assessing for GAD, clinical professionals are looking for the following: The presence of excessive anxiety and worry about a variety of topics, events, or activities. Worry occurs more often than not for at least six months and is clearly excessive. […] Excessive worry means worrying even when there is no specific threat present or in a manner that is disproportionate to the actual risk. Someone struggling with GAD experiences a high percentage of their waking hours worrying about something. The worry may be accompanied by reassurance-seeking from others.

• #57 Generalized Anxiety Disorder – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK441870/

  Diagnostic criteria in the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5) include the following: Excessive anxiety and worry for at least 6 months; Difficulty controlling the worrying; The anxiety is associated with 3 or more of the below symptoms for at least 6 months: Restlessness, feeling keyed up or on edge; Being easily fatigued; Difficulty in concentrating or mind going blank, irritability; Muscle tension; Sleep disturbance; Irritability; The anxiety results in significant distress or impairment in social and occupational areas; The anxiety is not attributable to any physical cause. […] The median age of presentation is 30 years. […] The prognosis for patients with generalized anxiety disorder is guarded. Many patients are not compliant with medications because of cost and adverse effects. Relapses are common, and patients often search for physicians who comply with their needs. Because of the lack of conventional medicine to cure the disorder, many opt for alternative therapies without much success. Overall, the quality of life of these patients is poor.

• #58 Generalized anxiety disorder – Wikipedia

  https://en.wikipedia.org/wiki/Generalized_anxiety_disorder

  The diagnostic criteria for GAD as defined by the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) include „Excessive anxiety or worry” experienced most days over at least six months and which involve a plurality of concerns. […] Therapy has been shown to have equal efficacy in patients with GAD and patients with GAD and comorbid disorders. Patients with comorbid disorders have more severe symptoms when starting therapy, but demonstrated a greater improvement than patients with GAD alone. […] GAD is diagnosed twice as frequently in women as in men and is more often diagnosed in those who are separated, divorced, unemployed, widowed or have low levels of education, and among those with low socioeconomic status.

• #59 Generalized Anxiety Disorder 7-item (GAD-7) – Mental Health Screening – National HIV Curriculum

  https://www.hiv.uw.edu/page/mental-health-screening/gad-7

  The Generalized Anxiety Disorder 7-item (GAD-7) is a easy to perform initial screening tool for generalized anxiety disorder. […] When screening for anxiety disorders, a score of 8 or greater represents a reasonable cut-point for identifying probable cases of generalized anxiety disorder; further diagnostic assessment is warranted to determine the presence and type of anxiety disorder. […] Using a cut-off of 8 the GAD-7 has a sensitivity of 92% and specificity of 76% for diagnosis generalized anxiety disorder. […] Although designed as a screening tool for generalized anxiety, the GAD-7 is also performs reasonably well as a screening tool for three other common anxiety disorders Panic Disorder, Social Anxiety Disorder, and Posttraumatic Stress Disorder. […] Performance of GAD-7 as Screening Tool for Anxiety Disorders (Using GAD-7 Score Cut-off of 10) Test Sensitivity Specificity Positive Likelihood Ratio Generalized Anxiety Disorder 89% 82% 5.1.

• #60 Generalized Anxiety Disorder: Symptoms and DSM-5 Diagnosis

  https://www.verywellmind.com/dsm-5-criteria-for-generalized-anxiety-disorder-1393147

  The anxiety, worry, and other associated symptoms make it hard to carry out day-to-day activities and responsibilities. They may cause problems in relationships, at work, or in other important areas of life. […] In order to give a diagnosis of GAD, these symptoms also must be unrelated to any other medical conditions and cannot be explained by a different mental disorder or by the effect of substance use, including prescription medication, alcohol, or recreational drugs. […] Many people who struggle with GAD experience symptoms for a long time before seeking help. Reaching out for a diagnosis can feel challenging, especially when anxiety feels so constant and widespread. […] If you find yourself constantly seeking reassurance from others, or repeatedly trying different methods of stress management and relaxation to no avail, it may be worth contacting a professional. […] Additionally, take note of the physical symptoms that are accompanying your worry. As the anxiety continues, you may find more and more challenges with things like headaches, digestion, restlessness, and fatigue. Should you find that your worry feels excessive and begins leading to other physical symptoms, you may benefit from talking with a mental health or other care providers.

• #61 Diagnosis and Management of Generalized Anxiety Disorder and Panic Disorder in Adults | AAFP

  https://www.aafp.org/pubs/afp/issues/2015/0501/p617.html

  The age of onset is variable, with a median age of 30 years. […] PD is characterized by episodic, unexpected panic attacks that occur without a clear trigger. Panic attacks are defined by the rapid onset of intense fear (typically peaking within about 10 minutes) with at least four of the physical and psychological symptoms in the DSM-5 diagnostic criteria. […] The most common physical symptom accompanying panic attacks is palpitations. […] Complicating the diagnosis of GAD and PD is that many conditions in the differential diagnosis are also common comorbidities. Additionally, many patients with GAD or PD meet criteria for other psychiatric disorders, including major depressive disorder and social phobia. […] Medication or psychotherapy is a reasonable initial treatment option for GAD and PD.

• #62 Diagnosis and Management of Generalized Anxiety Disorder and Panic Disorder in Adults | AAFP

  https://www.aafp.org/pubs/afp/issues/2015/0501/p617.html

  Some studies suggest that combining medication and psychotherapy may be more effective for patients with moderate to severe symptoms. […] Psychotherapy is as effective as medication for GAD and PD. […] Successful treatment requires tailoring options to individuals and may often include a combination of modalities.

• #63 Generalized anxiety disorder – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/generalized-anxiety-disorder/symptoms-causes/syc-20360803

  Your worries are unlikely to simply go away on their own, and they may actually get worse over time. Try to seek professional help before your anxiety becomes severe it may be easier to treat early on. […] Generalized anxiety disorder can also lead to or worsen other physical health conditions, such as: Digestive or bowel problems, such as irritable bowel syndrome or ulcers, Headaches and migraines, Chronic pain and illness, Sleep problems and insomnia, Heart-health issues. […] Generalized anxiety disorder often occurs along with other mental health problems, which can make diagnosis and treatment more challenging. Some mental health disorders that commonly occur with generalized anxiety disorder include: Phobias, Panic disorder, Post-traumatic stress disorder (PTSD), Obsessive-compulsive disorder (OCD), Depression, Suicidal thoughts or suicide, Substance abuse.

• #64 Anxiety disorders – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/anxiety/symptoms-causes/syc-20350961

  Common anxiety signs and symptoms include: […] Generalized anxiety disorder includes persistent and excessive anxiety and worry about activities or events even ordinary, routine issues. The worry is out of proportion to the actual circumstance, is difficult to control and affects how you feel physically. […] Your worries may not go away on their own, and they may get worse over time if you don’t seek help. See your doctor or a mental health provider before your anxiety gets worse. It’s easier to treat if you get help early.

• #65 Symptoms of anxiety and how to know when you need helpmenu iconsearch iconsubscribe iconsearch iconarrow up right icon

  https://health.ucdavis.edu/blog/cultivating-health/symptoms-of-anxiety-and-how-to-know-when-you-need-help/2024/08

  If your anxiety is getting in the way of important activities, it’s more likely to be an anxiety disorder. […] Anxiety disorders typically cause severe anxiety. This can be persistent, exhausting and demoralizing. […] If anxiety symptoms are severe or interfering with your life, you should seek treatment from a health care provider. […] The most effective treatments for anxiety disorders include medications and cognitive behavioral therapies (CBT). Both have been effective in treating most anxiety disorders. […] Most people who suffer from an anxiety disorder will receive great benefit from treatment with either CBT or a medication. Both treatments are often given together, with even better results. […] If you suffer from an anxiety disorder, there is a good chance your condition will improve with treatment.

• #66 Content – Health Encyclopedia – University of Rochester Medical Center

  https://www.urmc.rochester.edu/encyclopedia/content?ContentID=P02565&ContentTypeID=90

  The symptoms of GAD may seem like other health problems. Make sure your child sees their healthcare provider for a diagnosis. […] Untreated, GAD can get worse or become a long-term problem. Treatment will depend on your child’s symptoms, age, and general health. It will also depend on how severe the condition is. […] Treatment includes therapy and medicines. […] Untreated, chronic anxiety can lead to other serious problems such as depression, substance abuse, and self-harm. […] Treatment and family involvement can help reduce GAD symptoms and improve your child’s quality of life.

• #67

  https://www.who.int/news-room/fact-sheets/detail/anxiety-disorders

  People with an anxiety disorder may experience excessive fear or worry about a specific situation (for example, a panic attack or social situation) or, in the case of generalized anxiety disorder, about a broad range of everyday situations. […] Symptoms often begin during childhood or adolescence and continue into adulthood. […] Generalized anxiety disorder (persistent and excessive worry about daily activities or events); […] Anxiety disorders increase the risk for depression and substance use disorders as well as the risk of suicidal thoughts and behaviours. […] There are several effective treatments for anxiety disorders. […] Psychological interventions are essential treatments for anxiety disorders and refer primarily to talk therapy with professionals or supervised lay therapists.

• #68 What Are the Symptoms of Generalized Anxiety Disorder? – Bridges to Recovery

  https://www.bridgestorecovery.com/generalized-anxiety/symptoms-generalized-anxiety-disorder/

  Living with generalized anxiety disorder is very challenging, but it is treatable. With a good diagnosis from a professional, an individual can engage in a treatment plan that reduces and manages anxiety and allows greater control over one’s life. Both outpatient and inpatient treatment are options, but residential care provides the benefit of being able to truly focus on treatment for an extended period of time without distractions. Treatment for generalized anxiety disorder usually involves behavioral therapies that help the patient learn to be more aware of negative thoughts and to take steps to change them. Treatment also often relies on anti-anxiety medications that help induce relaxation and reduce stress and anxiety. Managing anxiety also requires good social support and positive self-care that may include stress management, relaxation techniques, and lifestyle changes.

• #69 Generalized Anxiety Disorder – Harvard Health

  https://www.health.harvard.edu/a_to_z/generalized-anxiety-disorder-a-to-z

  Here are some of the other defining symptoms or behaviors common in the disorder: Having tense muscles, Having difficulty concentrating or remembering (your mind goes blank), Having trouble falling asleep or staying asleep, or not feeling rested after sleep, Avoiding activities that could turn out badly (avoiding even small risks), Spending excessive effort preparing for events that could have a negative outcome, Procrastinating or having trouble making decisions, Worrying that leads to repeatedly asking for reassurance. […] People with generalized anxiety disorder also may have physical symptoms that feel like symptoms of heart disease, respiratory illness, digestive diseases and other medical illnesses. […] Although the diagnosis of generalized anxiety disorder may be made after several months of symptoms, the condition can last years, especially without treatment. Many people experience the symptoms as part of a lifelong pattern. […] In general, the outlook is good. With appropriate treatment, about 50% of patients improve within 3 weeks of starting treatment, and 77% improve within 9 months.

• #70 Generalized Anxiety Disorder and Panic Disorder in Adults | AAFP

  https://www.aafp.org/pubs/afp/issues/2022/0800/generalized-anxiety-disorder-panic-disorder.html

  The two main categories of treatment for GAD and PD are pharmacotherapy and psychotherapy, with cognitive behavior therapy (CBT) being the most effective and well-studied form of psychotherapy for PD. First-line medications are selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs). […] Antidepressants, SSRIs and SNRIs in particular, are considered first-line therapies for GAD and PD because they are effective and generally well tolerated. Continuing to take antidepressants for at least six to 12 months is recommended to minimize relapse. […] Psychotherapy for GAD and PD can include relaxation techniques; cognitive restructuring, including CBT; and exposure therapy. CBT appears to be the most effective. […] Exercise reduces symptoms of anxiety; however, randomized controlled trial data are lacking regarding how much or what type of exercise is most beneficial.

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