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 (B)

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 (B)</p> Signup and view all the answers

Worry in GAD must be related to physical health conditions.

<p>False (B)</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 (D)</p> Signup and view all the answers

The GAD-2 screening tool includes four questions.

<p>False (B)</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 (C)</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 (B)</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 (C)</p> Signup and view all the answers

Flashcards

GAD-2

A brief initial screening tool for generalized anxiety disorder (GAD) consisting of two questions, evaluating nervousness/anxiety and uncontrollable worrying. A score of 3 or more points suggests further evaluation with DSM-5/ICD-11 criteria.

GAD-7

A questionnaire used to diagnose and monitor the severity of GAD, providing a score out of 21. It covers various GAD symptoms like nervousness, worry, restlessness, and fear.

Excessive Worry

A common feature of generalized anxiety disorder (GAD) characterized by persistent, excessive worry about everyday things. This worry is often difficult to control and can interfere with daily activities.

Restlessness

A symptom of GAD where an individual struggles to relax and is often restless, unable to sit still for extended periods.

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Fear

A symptom of GAD marked by a feeling of apprehension or dread, typically accompanied by physical symptoms such as increased heart rate, rapid breathing, and sweating.

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Irritability

A common symptom of GAD characterized by irritability, impatience, and a short fuse. Easily becoming annoyed or angered.

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Trouble Relaxing

A symptom of GAD where individuals have difficulties calming down or finding peace, often feeling mentally and physically tense.

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Worrying Too Much

A key feature of GAD that involves intense and frequent mental rumination over various concerns, often perceived as excessive and uncontrollable.

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Feeling Nervous or On Edge

A symptom of GAD characterized by a sense of being on edge, feeling uneasy, and having a heightened sense of nervousness.

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Incontrollable Worrying

A symptom of GAD where individuals struggle to control or stop their worrying thoughts, feeling overwhelmed and unable to dismiss them.

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Generalized Anxiety Disorder (GAD)

A mental health condition marked by excessive worry that lasts for at least 6 months, causing significant distress and impairment in daily life.

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Generalized Anxiety

The worry is not specifically tied to a particular event, object, or situation, but rather a general, pervasive feeling of anxiety.

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Controllable Worry

The worry must be difficult to control and not a side effect of another medical condition, substance use, or other mental disorder.

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GAD Symptoms

At least three of six specific symptoms must be present for at least six months, including restlessness, fatigue, difficulty concentrating, irritability, muscle tension, and sleep problems.

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Impairment in Functioning

The symptoms of GAD must cause significant distress or interfere with social, occupational, or other important areas of functioning.

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GAD Treatment

The main treatment approaches for GAD are psychotherapy, especially Cognitive Behavioral Therapy (CBT), serotonergic antidepressants, or a combination of both.

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DSM-5 Criteria

A widely used diagnostic tool for GAD is the DSM-5 criteria, which outlines specific criteria for diagnosis.

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ICD-11 Criteria

Another diagnostic criteria for GAD is the ICD-11, which includes similar but slightly different criteria compared to the DSM-5.

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ICD-11 Focus on Worry

The ICD-11 emphasizes the persistent presence of general apprehension or excessive worry about everyday events like family, health, finances, and work.

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ICD-11 Additional Symptoms

The ICD-11 also includes symptoms like muscular tension, restlessness, sympathetic autonomic overactivity, difficulty concentrating, irritability, and sleep disturbance.

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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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