Generalized Anxiety Disorder Overview
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Questions and Answers

What is a primary treatment approach for Generalised Anxiety Disorder (GAD)?

  • Massage therapy
  • Psychotherapy (correct)
  • Diet changes
  • Exercise
  • Excessive worry in GAD must last for at least 3 months.

    False

    Name one symptom associated with anxiety and worry in GAD.

    Restlessness

    The criteria for GAD states that anxiety and worry must result in significant ______ in important areas of functioning.

    <p>impairment</p> Signup and view all the answers

    Match the following criteria with their respective diagnostic standards:

    <p>DSM-5 = Difficult to control worry ICD-11 = General apprehension or free-floating anxiety</p> Signup and view all the answers

    Which of the following is NOT a symptom associated with GAD?

    <p>Euphoria</p> Signup and view all the answers

    Worry in GAD must be related to physical health conditions.

    <p>False</p> Signup and view all the answers

    What must individuals with GAD find difficult regarding their worry?

    <p>Control</p> Signup and view all the answers

    The DSM-5 specifies that symptoms must be present for ______ days or more most of the time for the past 6 months.

    <p>more than 50</p> Signup and view all the answers

    Match the symptom to its description:

    <p>Restlessness = Feeling keyed up or on edge Easily fatigued = Tiring quickly despite minimal effort Difficulty concentrating = Mind going blank when worried Sleep disturbance = Problems with falling or staying asleep</p> Signup and view all the answers

    What is the recommended action if a patient scores three or more on the GAD-2 screening tool?

    <p>Perform a further review using DSM-5/ICD-11 criteria</p> Signup and view all the answers

    The GAD-2 screening tool includes four questions.

    <p>False</p> Signup and view all the answers

    What is the maximum score possible on the GAD-7 questionnaire?

    <p>21</p> Signup and view all the answers

    If a patient scores between 5 and 9 on the GAD-7, the outcome is considered __________.

    <p>Mild</p> Signup and view all the answers

    Which symptom is NOT included in the GAD-7 questionnaire?

    <p>Thinking about suicide</p> Signup and view all the answers

    Match the score range on the GAD-7 with their corresponding outcomes:

    <p>0-4 = No anxiety 5-9 = Mild 10-14 = Moderate, possibly clinically significant 15 and above = Severe, consider active treatment</p> Signup and view all the answers

    The GAD-7 is a diagnostic test.

    <p>False</p> Signup and view all the answers

    How many symptoms do patients evaluate in the GAD-7 questionnaire?

    <p>Seven</p> Signup and view all the answers

    The GAD-2 asks about feeling nervous, anxious, or on edge, and __________.

    <p>not being able to stop or control worrying</p> Signup and view all the answers

    Which is a consequence of scoring between 10 and 14 on the GAD-7?

    <p>Moderate, possibly clinically significant</p> Signup and view all the answers

    Study Notes

    Generalized Anxiety Disorder (GAD)

    • GAD is characterized by chronic, excessive worry lasting at least 6 months.
    • Worry is not specific to a situation or disorder but is pervasive.
    • Worry is difficult to control.
    • GAD significantly interferes with personal, occupational, or social functioning.

    DSM-5 Criteria for GAD

    • Excessive anxiety and worry: Occurs more days than not for at least 6 months, about a number of events or activities.
    • Difficulty controlling worry: Individual finds it hard to manage worry.
    • Associated symptoms: At least three of the following six symptoms are present, with at least some symptoms having been experienced more days than not for the past six months:
    • Restlessness or feeling keyed up
    • Easily fatigued
    • Difficulty concentrating or mind going blank
    • Irritability
    • Muscle tension
    • Sleep disturbance (difficulty falling or staying asleep or restless sleep)
    • Clinically significant distress or impairment: Anxiety, worry, or physical symptoms cause significant distress or impairment.
    • Not attributable to substance use or medical condition: Disturbance is not a result of substance use or effects of a medical condition like hyperthyroidism.
    • Not better explained by another disorder: The disturbance is not better explained by another mental health condition.

    ICD-11 Criteria for GAD

    • Marked anxiety symptoms: Marked symptoms, lasting several months persisting more days than not, either general apprehension or excessive worry about everyday events.
    • Additional symptoms: Includes muscular tension, motor restlessness, sympathetic overactivity, subjective nervousness, difficulty concentrating, irritability, and sleep disturbance.
    • Significant impairment: Symptoms result in significant distress and impairment in personal, social, educational, occupational, or other important areas of functioning.
    • Not attributable to other physical conditions or substance use: Symptoms not due to medical conditions or substance use.

    Screening Tools for GAD

    • GAD-2: Brief, 2-item screening tool for GAD. Measures feeling nervous/anxious and difficulty controlling worry.

    • GAD-7: Longer questionnaire to assess GAD symptoms. Score out of 21, with higher scores suggesting greater severity.

      • Outcome categories vary by score (no anxiety, mild, moderate, or severe).
    • Important Note: Screening tools are not diagnostic. Further assessment using established criteria (DSM-5 or ICD-11) is needed for formal diagnosis.

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    Description

    This quiz covers the fundamentals of Generalized Anxiety Disorder (GAD), including its characteristics, DSM-5 criteria, and the impact it has on daily functioning. Test your understanding of the symptoms and the chronic nature of excessive worry associated with GAD.

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