Anxiety Disorder, Generalised

Question 1

what is the definition of GAD

Answer 1

chronic, excessive worry for at least 6 months. reasons for this worry can not be due to another mental health condition, substance use or solely related to a physical condition. the anxiety causes distress and impairment

Question 2

causes of anxiety

Answer 2

ongoing worry and anxiety regarding many events or thoughts that the patient recognises as excessive or inappropriate

Question 3

risk factors for GAD

Answer 3

family Hx,
physical, emotional stress
trauma
other anxiety disorder,
chronic health condition

Question 4

epidemiology

Answer 4

5% lifetime prevalence

more common among females

Question 5

what criteria is used for diagnosis

Answer 5

DSM-5

Question 6

DSM-5 criteria for diagnosis of GAD

Answer 6

excessive anxiety or worry occurring more days than not for at least 6 months. patient finds it difficult to control the worry. 3 or more of following;

restlessness, easily fatigued, difficulty concentrating, irritability, muscle tension, sleep disturbances

Question 7

when can you not diagnose GAD

Answer 7

if the worries are due to another mental health condition, solely due to physical condition or substance misuse

Question 8

other presenting symptoms of GAD

Answer 8

headache, dizziness, GI symptoms, sweating, increased heart rate, shortness of breath

Question 9

treatment options

Answer 9

psychotherapy, pharmacotherapy and non drug therapy