GAD Flashcards
What is GAD characterised by?
The tendency to worry about everything.
Upon what does the client usually focus in GAD?
The future - often missing things in the present which leads to a poor quality of life
What are the six possible symptoms of GAD and how many are necessary for a diagnosis?
3: Restlessness Easily fatigued Difficulty concentrating/mind going blank Irritability Muscle tension Sleep disturbance
What are the prevalence rates for GAD?
2-4% of population in any given year
4-7% will develop at some point in their lives
Either early onset (11-20) or middle ages
More common in women than in men
Upon what will a CBT assessment of GAD focus?
Intolerance of uncertainty Poor problem orientation Cognitive avoidance Beliefs about worry Goals - I want to get rid of my worry
What other symptoms are common to GAD?
Depressive symptoms
Who developed the model of GAD?
Dugas et al. (1998)
How do Dugas et al. (1998) conceptualise GAD?
As a syndrome driven by pervasive, excessive and uncontrollable worry.
What is the ultimate treatment goal of CBT in GAD?
Develop a greater tolerance for uncertainty.
What are Dugas et al’s (1998) six treatment modules?
Pyshcoeducation and worry awareness training
Uncertainty recognition and behavioural exposure
Re-evaluation of the usefulness of worry
Problem solving training
Imaginal exposure
Relapse prevention
What does worry awareness training consist of?
Identification of times of worry and then categorising them into:
worries about the current problem
worries about a hypothetical situation
When shouldn’t you use problem solving in GAD?
When the hypothetical worries would be better met with tolerance of uncertainty
Unless preparing self for something like a job interview/writing a will
When things in the past cannot be resolved (e.g. why didn’t my mother love me?)
What are the three elements of Dugas et al’s (1998) relapse prevention?
Daily maintenance of appropriate exercises
Identifying at risk situations
Preparing for at risk situations - difference between lapse and relapse
According to Wells (1995), what is a type 1 worry in GAD?
External daily events
According to Wells (1995), what is a type 2 worry in GAD?
Worry about the worry
