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Generalized anxiety disorder (GAD) is the most common of the anxiety disorders. It is defined as unrealistic or excessive anxiety and worry about two or more life circumstances for at least six months anxiety, generalized anxiety disorder.
DSM-IV Diagnostic Criteria for Generalized Anxiety Disorder
Excessive anxiety worry is anxiety, generalized anxiety disorder present most days during at least a six month period, and Generalized Anxiety disorder involves a number of life events.
The anxiety is difficult to control.
At least three of the following:
Restlessness or feeling on edge
Easy fatigability
Difficulty concentrating
Irritability
Muscle tension
Sleep disturbance
The focus of anxiety is not anticipatory anxiety about having a panic attack as in panic Generalized Anxiety disorder disorder.
The anxiety or physical symptoms cause significant distress or impairment in Generalized Anxiety disorder functioning.
Symptoms are not due to anxiety, generalized anxiety disorder substance use or a medical condition, and symptoms are not Generalized Anxiety disorder related to a mood or psychotic disorder.
Clinical Features of Generalized Anxiety Disorder
Other features often include insomnia, irritability, trembling, muscle aches and Generalized Anxiety disorder soreness, muscle twitches, clammy hands, dry mouth, and a heightened startle reflex. Generalized Anxiety disorder Patients may also report palpitations, dizziness, difficulty breathing, urinary frequency, Generalized Anxiety disorder dysphagia, light-headedness, abdominal pain, and diarrhea.
Patients may report that they "can't stop worrying," which may revolve around Generalized Anxiety disorder valid concerns about money, jobs, marriage, health, and the safety of children.
Mood disorders, substance related disorders, and stress related disorders, such as headaches, commonly coexist with GAD.
Up to one fourth of GAD patients develop panic disorder.
Excessive worry and somatic symptoms, including autonomic hyperactivity and hypervigilance, occur most days, and they anxiety occur during most of the day.
Chronic worry is a prominent anxiety feature of generalized anxiety disorder unlike the Generalized Anxiety, anxiety intermittent terror that characterizes panic disorder.
30-50% of patients with anxiety disorders will also meet criteria for Major Depressive Disorder.
Drugs and alcohol may cause an anxiety, generalized anxiety disorder