| This article needs additional references or sources for verification. Please help improve this article by adding reliable references. Unverifiable material may be challenged and removed. | Generalised anxiety disorder Classification & external resources | ICD-10 | F41.1 | | ICD-9 | 300.02 | Generalized anxiety disorder (GAD) is an anxiety disorder that is characterized by excessive, uncontrollable and often irrational worry about everyday things, which is disproportionate to the actual source of worry. This excessive worry often interferes with daily functioning, as individuals suffering GAD typically catastrophize, anticipate disaster, and are overly concerned about everyday matters such as health issues, money, family problems, or work difficulties.[1] They often exhibit a variety of physical symptoms, including fatigue, headaches, muscle tension, muscle aches, difficulty swallowing, trembling, twitching, irritability, sweating, and hot flashes. These symptoms must be consistent and on-going, persisting at least 6 months, for a formal diagnosis of GAD to be introduced. [1] Approximately 6.8 million American adults experience GAD, affecting about twice as many women as men.[2] The International Statistical Classification of Diseases and Related Health Problems (most commonly known by the abbreviation ICD) provides codes to classify diseases and a wide variety of signs, symptoms, abnormal findings, complaints, social circumstances and external causes of injury or disease. ...
The International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10) is a coding of diseases and signs, symptoms, abnormal findings, complaints, social circumstances and external causes of injury or diseases, as classified by the World Health Organization (WHO). ...
// F00-F99 - Mental and behavioural disorders (F00-F09) Organic, including symptomatic, mental disorders (F00) Dementia in Alzheimers disease (F01) Vascular dementia (F011) Multi-infarct dementia (F02) Dementia in other diseases classified elsewhere (F020) Dementia in Picks disease (F021) Dementia in Creutzfeldt-Jakob disease (F022) Dementia in Huntingtons...
The International Statistical Classification of Diseases and Related Health Problems (most commonly known by the abbreviation ICD) provides codes to classify diseases and a wide variety of signs, symptoms, abnormal findings, complaints, social circumstances and external causes of injury or disease. ...
The following is a list of codes for International Statistical Classification of Diseases and Related Health Problems. ...
This article needs additional references or sources for verification. ...
For other uses, see Money (disambiguation). ...
a family of Ouagadougou, Burkina Faso in 1997 Family is a Western term used to denote a domestic group of people, or a number of domestic groups linked through descent (demonstrated or stipulated) from a common ancestor, marriage or adoption. ...
âFatigue (physical)â redirects here. ...
A headache (cephalalgia in medical terminology) is a condition of pain in the head; sometimes neck or upper back pain may also be interpreted as a headache. ...
Myalgia means muscle pain and is a symptom of many diseases and disorders. ...
Swallowing, known scientifically as deglutition, is the reflex in the human body that makes something pass from the mouth, to the pharynx, into the esophagus, with the shutting of the epiglottis. ...
For the film see Tremors (film). ...
Twitching is also another word for birdwatching. ...
Irritability is an excessive response to stimuli. ...
Perspiration (also called sweating or sometimes transpiration) is the production and evaporation of a fluid, consisting primarily of water as well as a smaller amount of sodium chloride (the main constituent of table salt), that is excreted by the sweat glands in the skin of mammals. ...
A Hot flush (sometimes hot flash or night sweat) is a symptom of Menopause and changing hormone levels which typically expresses itself at night as periods of intense heat with sweating and rapid heartbeat and may typically last from two to thirty minutes on each occasion. ...
Diagnosis
According to the Diagnostic and Statistical Manual IV-Text Revision (DSM-IV-TR), the following criteria must be met for a person to be diagnosed with Generalised Anxiety Disorder. The Diagnostic and Statistical Manual of Mental Disorders, published by the American Psychiatric Association, is the handbook used most often in diagnosing mental disorders in the United States and other countries. ...
- Excessive anxiety and worry (apprehensive expectation), occurring more days than not for at least six months, about a number of events or activities (such as work or school performance).
- The person finds it difficult to control the worry.
- The anxiety and worry are associated with three (or more) of the following six symptoms (with at least some symptoms present for more days than not for the past 6 months). Note: Only one item is required in children.
- restlessness or feeling keyed up or on edge
- being easily fatigued
- irritability
- muscle tension
- difficulty falling or staying asleep, or restless unsatisfying sleep
- difficulty concentrating or the mind going blank
- The focus of the anxiety and worry is not confined to features of an Axis I disorder, e.g., the anxiety or worry is not about having a panic attack (as in panic disorder), being embarrassed in public (as in social phobia), being contaminated (as in obsessive-compulsive disorder), being away from home or close relatives (as in Separation Anxiety Disorder), gaining weight (as in anorexia nervosa), having multiple physical complaints (as in somatization disorder), or having a serious illness (as in hypochondriasis), and the anxiety and worry do not occur exclusively during post-traumatic stress disorder.
- The anxiety, worry, or physical symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
- The disturbance is not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition (e.g., hyperthyroidism) and does not occur exclusively during a Mood Disorder, a Psychotic Disorder, or a Pervasive Developmental Disorder.
Panic attacks are sudden, discrete periods of intense anxiety, fear and discomfort that are associated with a variety of somatic and cognitive symptoms[1]. The onset of these episodes is typically abrupt, and may have no obvious trigger. ...
Social anxiety, sometimes known as social phobia or social anxiety disorder (SAD), is a common form of anxiety disorder that causes sufferers to experience intense anxiety in some or all of the social interactions and public events of everyday life. ...
Separation anxiety disorder (or simply separation anxiety) is a psychological condition in which an individual has excessive anxiety regarding separation from home or from people to whom the individual has a strong emotional attachment (like a mother). ...
For the symphonic black metal band, see Anorexia Nervosa (band) For other uses, see Anorexia Anorexia nervosa is a psychiatric diagnosis that describes an eating disorder characterized by low body weight and body image distortion with an obsessive fear of gaining weight. ...
Somatization disorder (or Briquets disorder) is a type of mental illness in which a patient manifests a psychiatric condition as a physical complaint. ...
Hypochondria (sometimes hypochondriasis) is the unfounded belief that one is suffering from a serious illness. ...
Post-traumatic stress disorder (PTSD) is a term for certain severe psychological consequences of exposure to, or confrontation with, stressful events that the person experiences as highly traumatic. ...
Hyperthyroidism (or overactive thyroid gland) is the clinical syndrome caused by an excess of circulating free thyroxine (T4) or free triiodothyronine (T3), or both. ...
Prevalence The World Health Organization's Global Burden of Disease project did not include generalised anxiety disorders.[3] In lieu of global statistics, here are some prevalence rates from around the world: âWHOâ redirects here. ...
- Australia: 3 percent of adults[3]
- Canada: Between 3-5 percent of adults[4]
- Italy: 2.9 percent[5]
- Taiwan: 0.4 percent[5]
- United States: approx. 3.1 percent of people age 18 and over in a given year (6.8 million)[2]
Potential Causes of GAD Some research suggests that GAD may run in families[6], and it may also grow worse during stress. GAD usually begins at an earlier age and symptoms may manifest themselves more slowly than in most other anxiety disorders[7]. Some people with GAD report onset in early adulthood, usually in response to a life stressor. Once GAD develops, it is chronic.[8] In medicine, a chronic disease is a disease that is long-lasting or recurrent. ...
Treatment SSRIs -
Pharmaceutical treatments for GAD, include selective serotonin reuptake inhibitors (SSRIs),[9] which are antidepressants that influence brain chemistry to block the reabsorption of serotonin in the brain.[10] SSRIs are mainly indicated for clinical depression, but are also effective in treating anxiety disorders.[9] Common side effects include nausea, sexual dysfunction, headache, diarrhea, among others. Common SSRIs perscribed for GAD include: SSRI redirects here; for other uses, see SSRI (disambiguation). ...
SSRI redirects here; for other uses, see SSRI (disambiguation). ...
Serotonin (pronounced ) (5-hydroxytryptamine, or 5-HT) is a monoamine neurotransmitter synthesized in serotonergic neurons in the central nervous system (CNS) and enterochromaffin cells in the gastrointestinal tract of animals including humans. ...
For other uses, see Brain (disambiguation). ...
Clinical depression (also called major depressive disorder, or unipolar depression when compared to bipolar disorder) is a state of intense sadness, melancholia or despair that has advanced to the point of being disruptive to an individuals social functioning and/or activities of daily living. ...
For other uses, see Nausea (disambiguation). ...
It has been suggested that Sexual function be merged into this article or section. ...
A headache (cephalalgia in medical terminology) is a condition of pain in the head; sometimes neck or upper back pain may also be interpreted as a headache. ...
Types 5-7 on the Bristol Stool Chart are often associated with diarrhea Diarrhea (in American English) or diarrhoea (in British English) is a condition in which the sufferer has frequent watery, loose bowel movements (from the Greek word διάÏÏοια; literally meaning through-flowing). Acute infectious diarrhea is a common cause...
SSRI redirects here; for other uses, see SSRI (disambiguation). ...
Fluoxetine pills. ...
Paroxetine or paroxetine hydrochloride is a selective serotonin reuptake inhibitor (SSRI) antidepressant. ...
Lexapro pills Escitalopram (Lexapro, Cipralex, Sipralexa and Seroplex)[1] is an antidepressant of the selective serotonin reuptake inhibitor (SSRI) class. ...
Other Drugs Venlafaxine (Effexor) is a serotonin-norepinephrine reuptake inhibitor (SNRI). SNRIs, a class of drugs related to the SSRIs, alter the chemistries of both norepinephrine and serotonin in the brain. Imipramine (Tofranil) is a tricyclic antidepressant (TCA). TCAs are thought to act on serotonin, norepinephrine, and dopamine in the brain. Buspirone is a serotonin receptor agonist belonging to the azaspirodecanedione class of compounds. This article does not cite any references or sources. ...
Venlafaxine hydrochloride (Effexor) is an antidepressant of the serotonin-norepinephrine reuptake inhibitor (SNRI) class. ...
Buspirone (brand-names Ansial, Ansiced, Anxiron, Axoren, Bespar, BuSpar, Buspimen, Buspinol, Buspisal, Narol, Spitomin) is an anxiolytic agent and a serotonin receptor agonist belonging to the azaspirodecanedione class of compounds. ...
Serotonin Norepinephrine Serotonin-norepinephrine reuptake inhibitors (SNRIs) are a class of antidepressant used in the treatment of clinical depression and other affective disorders. ...
Norepinephrine (INN)(abbr. ...
Chemical structure of the tricyclic antidepressant amitriptyline. ...
Dopamine is a phenethylamine naturally produced by the human body. ...
Serotonin (pronounced ) (5-hydroxytryptamine, or 5-HT) is a monoamine neurotransmitter synthesized in serotonergic neurons in the central nervous system (CNS) and enterochromaffin cells in the gastrointestinal tract of animals including humans. ...
In biochemistry, a receptor is a protein on the cell membrane or within the cytoplasm or cell nucleus that binds to a specific molecule (a ligand), such as a neurotransmitter, hormone, or other substance, and initiates the cellular response to the ligand. ...
Agonists An agonist is a substance that binds to a receptor and triggers a response in the cell. ...
Azaspirodecanediones are a class of drugs with anxiolytic effects used in the treatment of anxiety. ...
Benzodiazepines -
Benzodiazepines (or "benzos") are fast-acting sedatives that are also used to treat GAD and other anxiety disorders.[9] These are often given in the short-term due to their nature to become habit-forming. Side effects include drowsiness, reduced motor coordination and problems with equilibrioception. Common benzodiazepines used to treat GAD include[9]: Alprazolam 2mg tablets The benzodiazepines (pronounced , or benzos for short) are a class of psychoactive drugs considered as minor tranquilizers with varying hypnotic, sedative, anxiolytic, anticonvulsant, muscle relaxant and amnesic properties, which are brought on by slowing down the central nervous system. ...
Benzodiazepine tablets The benzodiazepines are a class of drugs with hypnotic, anxiolytic, anticonvulsant, amnestic and muscle relaxant properties. ...
A sedative is a drug that depresses the central nervous system (CNS), which causes calmness, relaxation, reduction of anxiety, sleepiness, slowed breathing, slurred speech, staggering gait, poor judgment, and slow, uncertain reflexes. ...
Anxiety disorder is a blanket term covering several different forms of fear, phobia and nervous condition, that come on suddenly and prevent pursuing normal daily routines including: general anxiety disorder social anxiety, sometimes known as social phobia or social anxiety disorder (SAD) specific phobias agoraphobia claustrophobia panic disorder separation anxiety...
For other uses, see addicted. ...
Somnolence (or drowsiness, or hypersomnia) is a state of near-sleep, a strong desire for sleep, or sleeping unusually long periods. ...
Explain the dystonias connected with motor coordination. ...
This article or section does not adequately cite its references or sources. ...
Alprazolam, also known under the trade-names Xanax and Niravam, is a short-acting drug in the benzodiazepine class used to treat severe anxiety disorders and as an adjunctive treatment for anxiety associated with depression. ...
Chlordiazepoxide (marketed under the trade name Librium®) is a hypnotic drug which is a benzodiazepine derivative. ...
Clonazepam (marketed by Roche under the trade-names Klonopin in the United States and Rivotril in Europe, South America, Canada, India, and Australia) is a drug which is a benzodiazepine derivative. ...
Diazepam (IPA: ), first marketed as Valium by Hoffmann-La Roche, is a drug which is a benzodiazepine derivative. ...
Lorazepam is a benzodiazepine tranquilizer with short to medium duration of action. ...
Cognitive behavioral therapy -
A psychological method of treatment for GAD is cognitive behavioral therapy (CBT), which involves a therapist working with the patient to understand how thoughts and feelings influence behavior.[11] The goal of the therapy is to change negative thought patterns that lead to the patient's anxiety, replacing them with positive, more realistic ones. Elements of the therapy include exposure strategies to allow the patient to gradually confront their anxieties and feel more comfortable in anxiety-provoking situations, as well as to practice the skills they have learned. CBT can be used alone or in conjunction with medication.[9] A Cognitive Behavioral Therapy (CBT) is a psychotherapy based on modifying cognitions, assumptions, beliefs and behaviors, with the aim of influencing disturbed emotions. ...
Psychology (ancient Greek: psyche = soul and logos = word) is the study of mind, thought, and behaviour. ...
A Cognitive Behavioral Therapy (CBT) is a psychotherapy based on modifying cognitions, assumptions, beliefs and behaviors, with the aim of influencing disturbed emotions. ...
Therapy (in Greek: θεραπεία) or treatment is the attempted remediation of a health problem, usually following a diagnosis. ...
Personification of thought (Greek Îννοια) in Celsus Library in Ephesos, Turkey Thought or thinking is a mental process which allows beings to model the world, and so to deal with it effectively according to their goals, plans, ends and desires. ...
To meet Wikipedias quality standards, this article or section may require cleanup. ...
This article does not cite any references or sources. ...
Exposure Therapy is a cognitive behavioral therapy technique for reducing fear and anxiety responses, especially phobia. ...
This article does not cite any references or sources. ...
GAD and Comorbid Depression In the National Comorbidity Survey (2005), 58% of patients diagnosed with major depression were found to have an anxiety disorder; among these patients, the rate of comorbidity with GAD was 17.2%, and with panic disorder, 9.9%. Patients with a diagnosed anxiety disorder also had high rates of comorbid depression, including 22.4% of patients with social phobia, 9.4% with agoraphobia, and 2.3% with panic disorder. For many, the symptoms of both depression and anxiety are not severe enough (i.e. are subsyndromal) to justify a primary diagnosis of either major depressive disorder (MDD) or an anxiety disorder. Clinical depression (also called major depressive disorder, or unipolar depression when compared to bipolar disorder) is a state of intense sadness, melancholia or despair that has advanced to the point of being disruptive to an individuals social functioning and/or activities of daily living. ...
Panic Disorder is a psychiatric condition characterized by reccurring panic attacks in combination with significant behavioral change or at least a month of ongoing worry about the implications or concern about having other attacks. ...
Social anxiety, sometimes known as social phobia or social anxiety disorder (SAD), is a common form of anxiety disorder that causes sufferers to experience intense anxiety in some or all of the social interactions and public events of everyday life. ...
Agoraphobia is an anxiety disorder which primarily consists of the fear of experiencing a difficult or embarrassing situation from which the sufferer cannot escape. ...
Patients can also be categorized as having mixed anxiety-depressive disorder, and they are at significantly increased risk of developing full-blown depression or anxiety. Appropriate treatment is necessary to alleviate symptoms and prevent the emergence of more serious disease.[citation needed] Accumulating evidence indicates that patients with comorbid depression and anxiety tend to have greater illness severity and a lower treatment response than those with either disorder alone.[citation needed] In addition, social function and quality of life are more greatly impaired. In addition to coexisting with depression, research shows that GAD often coexists with substance abuse or other conditions associated with stress, such as irritable bowel syndrome.[citation needed] Patients with physical symptoms such as insomnia or headaches should also tell their doctors about their feelings of worry and tension. This will help the patient's health care provider to recognize whether the person is suffering from GAD. Also see Alcoholism and Drug addiction. ...
In medical terms, stress is the disruption of homeostasis through physical or psychological stimuli. ...
This article is about the sleeping disorder. ...
A headache (cephalalgia in medical terminology) is a condition of pain in the head; sometimes neck or upper back pain may also be interpreted as a headache. ...
See also This article needs additional references or sources for verification. ...
Social anxiety, sometimes known as social phobia or social anxiety disorder (SAD), is a common form of anxiety disorder that causes sufferers to experience intense anxiety in some or all of the social interactions and public events of everyday life. ...
Clinical depression (also called major depressive disorder, or unipolar depression when compared to bipolar disorder) is a state of intense sadness, melancholia or despair that has advanced to the point of being disruptive to an individuals social functioning and/or activities of daily living. ...
A Cognitive Behavioral Therapy (CBT) is a psychotherapy based on modifying cognitions, assumptions, beliefs and behaviors, with the aim of influencing disturbed emotions. ...
Notes - ^ a b "Anxiety Disorders", National Institute of Mental Health. Accessed 28 May 2008.
- ^ a b "The Numbers Count", National Institute of Mental Health. Accessed 28 May 2007.
- ^ a b "Relating the burden of anxiety and depression to effectiveness of treatment", World Health Organization.
- ^ http://www.canmat.org/resources/depression/gad.html
- ^ a b http://www.emedicine.com/med/byname/anxiety-disorders.htm
- ^ Kendler KS, Neale MC, Kessler RC, et al. Generalized anxiety disorder in women. A population-based twin study. Archives of General Psychiatry, 1992; 49(4): 267-72.
- ^ Robins LN, Regier DA, eds. Psychiatric disorders in America: the Epidemiologic Catchment Area Study. New York: The Free Press, 1991.
- ^ Rickels, K; E. Schweizer (1990). "The Clinical Course and Long Term Management of Generalised Anxiety Disorder". J Clinical Psychopharmocology 10. Retrieved on 2007-05-16.
- ^ a b c d e "Generalized anxiety disorder", Mayo Clinic. Accessed 29 May 2007.
- ^ "SSRIs", Mayo Clinic. Accessed 29 May 2007.
- ^ "A Guide to Understanding Cognitive and Behavioural Psychotherapies", British Association of Behavioural and Cognitive Psychotherapies. Accessed 29 May 2007.
May 28 is the 148th day of the year (149th in leap years) in the Gregorian calendar. ...
2008 (MMVIII) will be a leap year starting on Tuesday of the Gregorian calendar. ...
May 28 is the 148th day of the year (149th in leap years) in the Gregorian calendar. ...
Year 2007 (MMVII) is the current year, a common year starting on Monday of the Gregorian calendar and the AD/CE era. ...
Year 2007 (MMVII) is the current year, a common year starting on Monday of the Gregorian calendar and the AD/CE era. ...
May 16 is the 136th day of the year (137th in leap years) in the Gregorian calendar. ...
is the 149th day of the year (150th in leap years) in the Gregorian calendar. ...
Year 2007 (MMVII) is the current year, a common year starting on Monday of the Gregorian calendar and the AD/CE era. ...
is the 149th day of the year (150th in leap years) in the Gregorian calendar. ...
Year 2007 (MMVII) is the current year, a common year starting on Monday of the Gregorian calendar and the AD/CE era. ...
is the 149th day of the year (150th in leap years) in the Gregorian calendar. ...
Year 2007 (MMVII) is the current year, a common year starting on Monday of the Gregorian calendar and the AD/CE era. ...
References - Kessler RC, Chiu WT, Demler O, Walters EE. Prevalence, severity, and comorbidity of twelve-month DSM-IV disorders in the National Comorbidity Survey Replication (NCS-R). Archives of General Psychiatry, 2005 Jun;62(6):617-27.
- Brown, T.A., O'Leary, T.A., & Barlow, D.H. (2001). Generalised anxiety disorder. In D.H. Barlow (Ed.), Clinical handbook of psychological disorders: A step-by-step treatment manual (3rd ed.). New York: Guilford Press.
- Barlow, D. H., & Durand, V. M. (2005). Abnormal psychology: An integrative approach. Australia; Belmont, CA: Wadsworth.
External links - National Institute of Mental Health - NIMH - Information on generalised anxiety disorder
- Mayo Clinic - Information on diagnosis and treatment for GAD
- WebMD Information on symptoms and causes of GAD
| WHO ICD-10 mental and behavioural disorders (F, 290-319) | | Neurological/symptomatic | Dementia (Alzheimer's disease, multi-infarct dementia, Pick's disease, Creutzfeldt-Jakob disease, Huntington's disease, Parkinson's disease, AIDS dementia complex) - Delirium - Post-concussion syndrome | | Psychoactive substance | Intoxication (drunkenness) - Physical dependence (alcohol dependence, opioid dependency) - Withdrawal (benzodiazepine withdrawal, delirium tremens) - Amnesic: (Korsakoff's syndrome) | | Psychotic disorder | Schizophrenia (disorganized schizophrenia) - Schizotypal personality disorder - Delusional disorder - Folie à deux - Schizoaffective disorder | | Mood (affective) | Mania - Bipolar disorder - Clinical depression - Cyclothymia - Dysthymia | Neurotic, stress-related and somatoform | Agoraphobia - Anxiety disorder - Panic disorder - Generalized anxiety disorder - Social Anxiety Disorder - OCD - Acute stress reaction - PTSD - Adjustment disorder - Conversion disorder (Ganser syndrome) - Somatoform disorder - Somatization disorder - Neurasthenia | Physiological/physical behavioural | Eating disorder (anorexia nervosa, bulimia nervosa) - Sleep disorder (dyssomnia, insomnia, hypersomnia, parasomnia, night terror, nightmare) - Sexual dysfunction (erectile dysfunction, premature ejaculation, vaginismus, dyspareunia, hypersexuality) - Postpartum depression | Adult personality and behaviour | Personality disorder - Passive-aggressive behavior - Kleptomania - Trichotillomania - Voyeurism - Factitious disorder - Munchausen syndrome | | Mental retardation | Mental retardation | Psychological development (developmental disorder) | Specific: speech and language (expressive language disorder, aphasia, expressive aphasia, receptive aphasia, Landau-Kleffner syndrome, lisp) - Scholastic skills (dyslexia, dysgraphia, Gerstmann syndrome) - Motor function (developmental dyspraxia) Pervasive: Autism - Rett syndrome - Asperger syndrome | Behavioural and emotional, childhood and adolescence onset | ADHD - Conduct disorder - Oppositional defiant disorder - Separation anxiety disorder - Selective mutism - Reactive attachment disorder - Tic disorder - Tourette syndrome - Speech (stuttering, cluttering) | |