Generalized Anxiety Disorder

Question 1

def generalized anxiety disorder

Answer 1

Persistent and excessive worry, fear, and constant feelings of being overwhelmed about various domains including work and school performance that the individual finds hard to control for at least 6M

Question 2

RF for generalized anxiety disorder

Answer 2

• adverse childhood events
• parental overprotection
• temperamental traits
• chronic medical condition
• stress
• positive fhx

Question 3

DSM5 s/s for generalized anxiety disorder

Answer 3

at least 6M

> =3 of BE SKIM
B - Blank mind
E - Easily fatigued
S - Sleep disturbance
K - Keyed Up/Restless/On-edge
I - Irritability
M - Muscle tension

Question 4

clinical presentation of generalized anxiety disorder

Answer 4

somatic disorders are common (quite non-specific and vague) ➔ SOB, palpitations, fatigue, headaches, dizziness, and restlessness

there is a waxing and waning

Question 5

screening tool for generalized anxiety disorder

Answer 5

generalized anxiety disorder 7 ➔ self-reported

Question 6

tx for generalized anxiety disorder

Answer 6

first-line: CBT ➔ psychoeducation, change maladaptive thought patterns, gradual exposure to anxiety-provoking situations

pharm: SSRI/SNRI

Patient education: trigger avoidance, avoid caffeine, alcohol, nicotine and stress if possible, improve sleep