The
Psychology Service
Generalised Anxiety Disorder
What
is a Generalised Anxiety Disorder?
In
a General Anxiety Disorder, the person experiences excessive anxiety
and worry, which they find difficult to control, about different
events or activities. Unlike in a Phobia, the anxiety is not associated
with a specific situation, but can occur in a wide range of different
situations. General anxiety also can occur in other disorders such
as Depression and PTSD.
What
are the symptoms?
The
person is generally anxious and worried, suffering anxiety that
is far out of proportion to the actual likelihood or impact of the
feared events. They find it difficult to keep worry from interfering
with attention to tasks at hand. They often worry about every day
routine life circumstances such as job responsibilities, finances,
health or things happening to family members, or minor matters,
such as household chores, appointments etc. During the course of
the disorder the focus of worry may shift from one concern to another.
They also suffer a range of other symptoms such as: feeling restless,
edgy, and keyed up; tiring easily; poor concentration; irritability;
increased muscle tension; and difficulty in sleeping, with problems
in getting off to sleep, or restless, unrefreshing sleep. The symptoms
cause significant distress and tend to affect work, social or personal
functioning.
How
long does it last?
Many
people with Generalised Anxiety Disorder have felt anxious and nervous
all their lives. Although over half of those presenting for treatment
report that their problems started in childhood or adolescent, it
is not uncommon for the condition to start after aged 20. The course
of the condition is chronic, but fluctuating, and often worsens
during times of stress.
What
is the treatment?
CBT
is the treatment of choice, with particular emphasis on controlling
negative thinking patterns. Anxiolytics or anti-depressant medication
can also be a useful adjunct to treatment.
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