Understanding Generalized Anxiety Disorder

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What is a key characteristic of Generalized Anxiety Disorder (GAD) as defined in the DSM-5?

Excessive anxiety and worry for at least 6 months

According to the DSM-5, to be diagnosed with GAD, an individual must experience anxiety and worry associated with how many of the listed symptoms for at least 6 months?

Three or more symptoms

Which of the following is NOT one of the symptoms associated with GAD, as described in the DSM-5?

Elevated mood and increased energy

According to the DSM-5 criteria for Generalized Anxiety Disorder (GAD), what characterizes an individual's ability to control worry in GAD?

The individual finds it difficult to control the worry.

Which of the following best describes the impact of anxiety, worry, or physical symptoms in Generalized Anxiety Disorder (GAD), according to the DSM-5?

Clinically significant distress or impairment

Which of the following are the two main categories of triggers for worrying mentioned in the provided content?

External and internal triggers

Which of the following can be an external trigger for worrying?

Seeing a certain image

Which of the following is an example of an internal trigger for worrying?

Having a thought

What can happen if you start to 'chase' a worry thought further?

You will have a worry episode

In the context of the content, when does an original "What if..." question typically trigger a worry episode?

When it remains unaddressed

In traditional CBT, what is the focus when tackling worrisome thoughts?

Focusing on the content of worry

Which therapy approach focuses on challenging positive and negative beliefs about worry?

Meta-Cognitive Therapy

What is the main difference between traditional CBT and Meta-Cognitive Therapy?

Traditional CBT focuses on the content of worry, while Meta-Cognitive Therapy focuses on the process of worry

Which of the following is a positive belief about worry mentioned in the text?

Worrying helps me cope with things

What is one way in which positive beliefs about worry can influence behavior?

Positive beliefs make an individual worry more often if they think it is helpful

What is one example of a positive belief about worry mentioned in the text?

Worrying helps me solve problems

Which two primary categories of negative beliefs about worry are mentioned in the content?

Uncontrollability of worry and dangerousness of worry

Which category of negative beliefs about worry is associated with beliefs such as 'I'll get sick if I don't stop worrying'?

Dangerous beliefs about worry

In Meta-Cognitive Therapy (MCT), how are uncontrollability beliefs about worry typically challenged?

Through behavioral experiments such as worry postponement

Which of the following statements is an example of an uncontrollability belief about worry?

“Once I start worrying I can’t stop”

In MCT therapy, how are dangerousness beliefs typically challenged?

Through cognitive disputation and behavioral experiments

Why is suppressing worry often unhelpful?

It can lead to more thoughts about the worry

Which type of stimuli do individuals with elevated anxiety vulnerability show a relative speeding to identify probes in the location of?

Negative stimuli

Which of the following is the primary goal of the 'Avoid Negative Condition' in ABM procedures?

To reduce attention to negative information

In the probe-based approach of ABM, where do the probes typically appear in the 'Avoid Negative Condition'?

In the location opposite to the negative stimulus

In the context of inconsistent ABM findings, what should researchers distinguish between?

Process and procedure

What is the distinction that most meta-analyses in the ABM field have failed to recognize?

The difference between process and procedure

What are some approaches that have been evaluated for modifying attentional bias?

Developing and evaluating alternatives to probe-based approach

Study Notes

Generalized Anxiety Disorder (GAD)

  • In the DSM-5, GAD is characterized by excessive anxiety and worry about everyday things for at least 6 months.
  • To be diagnosed with GAD, an individual must experience anxiety and worry associated with three or more of the following symptoms: restlessness, fatigue, concentration problems, irritability, muscle tension, and sleep disturbances.

Symptoms of GAD

  • Restlessness
  • Fatigue
  • Concentration problems
  • Irritability
  • Muscle tension
  • Sleep disturbances
  • Anxiety and worry about everyday things

Controlling Worry in GAD

  • Individuals with GAD have difficulty controlling their worry.
  • Worry is difficult to control and may persist even when there is no apparent reason to worry.

Impact of Anxiety, Worry, and Physical Symptoms in GAD

  • Anxiety, worry, and physical symptoms can significantly impair an individual's daily life, causing distress and impairment.

Triggers for Worrying

  • External triggers: events, situations, or people that trigger worrying
  • Internal triggers: thoughts, emotions, or physical sensations that trigger worrying
  • Examples of internal triggers: worrisome thoughts, physical sensations, or emotions

The Consequences of Chasing Worry Thoughts

  • Chasing a worry thought further can lead to increased anxiety and worry.

Worry Episodes

  • An original "What if..." question typically triggers a worry episode.

Traditional CBT

  • Focuses on challenging negative thoughts and beliefs.

Meta-Cognitive Therapy (MCT)

  • Focuses on challenging positive and negative beliefs about worry.
  • Challenges uncontrollability beliefs about worry by encouraging individuals to take control of their worry.
  • Challenges dangerousness beliefs about worry by reframing negative thoughts.

Positive Beliefs about Worry

  • Examples: "Worrying helps me prepare for the worst-case scenario," or "Worrying keeps me on my toes."
  • Can influence behavior, leading to increased worrying.

Negative Beliefs about Worry

  • Two primary categories:
    • Uncontrollability beliefs: "I'll go crazy if I don't stop worrying."
    • Dangerousness beliefs: "I'll get sick if I don't stop worrying."

Meta-Cognitive Therapy (MCT) Techniques

  • Challenges uncontrollability beliefs about worry by encouraging individuals to take control of their worry.
  • Challenges dangerousness beliefs about worry by reframing negative thoughts.

Attention Bias Modification (ABM)

  • Focuses on modifying attentional bias in anxiety disorders.
  • Primary goal: to reduce attentional bias towards negative stimuli.
  • Probes typically appear in the "Avoid Negative Condition" in the probe-based approach.
  • Researchers should distinguish between the effects of ABM on attentional bias and the effects on symptoms.

ABM Approaches

  • Various approaches have been evaluated for modifying attentional bias, including the "Avoid Negative Condition" in ABM procedures.

Test your knowledge about Generalized Anxiety Disorder and its symptoms with this informative quiz. Learn about the excessive anxiety and worry that individuals with GAD experience, along with the difficulty they face in controlling it. Explore the six symptoms commonly associated with GAD and gain a better understanding of this mental health condition.

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