Generalised Anxiety Disorder (GAD)

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Everyone experiences anxiety from time to time. You may feel anxious before an exam or a job interview or when speaking in front of a large crowd of people. However, if these feelings of anxiety are ongoing, excessive, or occur for no apparent reason this may be an anxiety disorder. 

Generalised anxiety disorder (GAD) is characterised by excessive, constant, and uncontrollable worry about everyday things. This worry may be related to work, school, or relationships, or may occur without any identifiable cause or reason. This can lead people with GAD to avoid situations they think will cause anxiety, and can have a negative impact on their relationships and performance at school or work. They may also experience physical symptoms of anxiety such as increased heart rate, shortness of breath, dizziness, and nausea. 

GAD can be caused by a combination of biological, psychological, and environmental factors. Risk factors include exposure to stress, early learning, certain personality characteristics, and a family history of GAD.

Common symptoms
  • Excessive anxiety and worry
  • Difficulty controlling worry
  • Restlessness
  • Feeling 'on edge' or jumpy
  • Fatigue and low energy
  • Difficulty concentrating
  • Irritability
  • Increased muscle aches or soreness
  • Difficulty sleeping
  • Upset stomach or nausea
  • Overthinking plans and situations
  • Indecisiveness
  • Difficulty with uncertainty
How common is in the general population
It is estimated that around 3% of the general population experience GAD.
Gender differences
GAD is more common in women than in men.
Onset
GAD can develop gradually and at any stage of life but most often begins in early adulthood. The average age of onset is between 21 and 35 years old.
Typical Course
GAD can be a long-term problem. Life events can cause symptoms to worsen or improve.
Common Comorbid (concurrent) Conditions
Social anxiety disorder, phobias, panic disorder, depression, suicidal thoughts, substance use disorders, post-traumatic stress disorder (PTSD), obsessive compulsive disorder (OCD), sleep disorders
Common treatments

There are a number of effective treatments for GAD. The two main treatment approaches are medication and psychological therapy. 

Medication:

Antidepressants can be effective in the treatment of GAD. Ideally these medications are used in combination with talk therapy. You may need to trial several types and different doses of medication with your doctor to find one that is effective for you. 

Psychological Therapy:

Cognitive behavioural therapy (CBT) is the most effective psychological therapy for the treatment of GAD. CBT is a structured form of talk therapy which combines cognitive and behavioural therapies. CBT is based on the idea that our feelings are influenced by our thoughts and behaviours. In CBT clients learn to change their thoughts, beliefs, and behaviours in order to reduce anxiety and manage their worries. 

Other Ways to Manage Generalised Anxiety Disorder:

There are other ways in which you can reduce general anxiety and stress. Eating a healthy diet, getting enough sleep, exercising regularly, practising breathing exercises and relaxation techniques, and spending time outside are all effective ways to improve your mood and reduce stress and anxiety.