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2.1
Generalized Anxiety Disorder
General Anxiety Disorder

Presentation

As a result, the clinical presentation can fluctuate in intensity. [flexikon.doccheck.com]

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; children do not need to meet as many criteria–only 1 is needed). [psychcentral.com]

A doctor's evaluation, based on specific criteria For a doctor to diagnose generalized anxiety disorder, a person must experience worry or anxiety that Is excessive Concerns a number of activities and events Is present more days than not over a period [msdmanuals.com]

Specific criteria include the presence of each of the following: Excessive anxiety and worry that patients have difficulty controlling Symptoms present on more days than not for ≥ 6 months Symptoms cause significant distress or impair functioning socially [merckmanuals.com]

Entire Body System

  • Fatigue

    […] aches and pains colon spasms Central Nervous System diarrhea and/or constipation apprehensive, aroused and vigilant cramp-like pains in the upper stomach feeling "on edge," impatient, or irritable Respiratory System insomnia hyperventilation symptoms fatigue [anxieties.com]

    Affected individuals experience inner unrest, are easily fatigued, irritable and have trouble concentrating. [flexikon.doccheck.com]

    Symptoms include chronic, pervasive anxiety and worry accompanied by nonspecific physical and psychological symptoms (restlessness, fatigue, difficulty concentrating, irritability, muscle tension, or sleep disturbances). [annals.org]

    Restlessness or feeling keyed up or on edge Being easily fatigued Difficulty concentrating or mind going blank Irritability Muscle tension Sleep disturbance (difficulty falling or staying asleep, or restless unsatisfying sleep) Additionally, the anxiety [psychcentral.com]

    […] more days than not for ≥ 6 months Symptoms cause significant distress or impair functioning socially or at school In addition, the above criteria must be accompanied by ≥ 1 of the following: Restlessness or a keyed-up or on-edge feeling Being easily fatigued [msdmanuals.com]

Gastrointestinal

  • Diarrhea

    Musculoskeletal System dry mouth muscles tense difficulty swallowing involuntary trembling of the body "butterflies" in the stomach tension headaches the gurgling sounds of gas in the intestines other aches and pains colon spasms Central Nervous System diarrhea [anxieties.com]

    The anxiety is often accompanied by one or more of the following symptoms: Fatigue Irritability (a tendency to get angry easily) Sleeping difficulties Headaches Nausea Diarrhea Excessive sweating Trembling Restlessness (severe agitation) Heart palpitations [quebec.ca]

    If sertraline is found to be ineffective, then it is recommended to try another SSRI or SNRI. [57] Common side effects include nausea, sexual dysfunction, headache, diarrhea, constipation, restlessness, increased risk of suicide in young adults and adolescents [en.wikipedia.org]

  • Nausea

    The anxiety is often accompanied by one or more of the following symptoms: Fatigue Irritability (a tendency to get angry easily) Sleeping difficulties Headaches Nausea Diarrhea Excessive sweating Trembling Restlessness (severe agitation) Heart palpitations [quebec.ca]

    Common side effects include dizziness, nausea, and headache. This is a well-tolerated drug with no sedation or sexual side effects, which are commonly seen with SSRI/SNRIs. [en.wikipedia.org]

Cardiovascular

  • Tachycardia

    POSSIBLE PHYSICAL SYMPTOMS DURING ANXIETY Cardiovascular System Genitourinary System tachycardia (rapid heartbeat) need for frequent urination palpitations (uncomfortable awareness of the heart rate) difficulty becoming sexually aroused or achieving orgasm [anxieties.com]

    […] and may require tapering. [71] [74] Like other serotonergic agents, SNRIs have the potential to cause serotonin syndrome, a potentially fatal systemic response to serotonergic excess that causes symptoms including agitation, restlessness, confusion, tachycardia [en.wikipedia.org]

Skin

  • Sweating

    They may sleep poorly, sweat excessively, feel exhausted, and complain of physical discomfort (eg, stomachache, muscle aches, headache). [msdmanuals.com]

    Their worries are accompanied by physical symptoms, especially trembling, twitching, muscle tension, headaches, irritability, sweating, or hot flashes. They may feel lightheaded or out of breath. [psychcentral.com]

Psychiatrical

  • Impulsivity

    Impulse control disorders in Parkinson's disease are associated with dysfunction in stimulus valuation but not action valuation. J. [frontiersin.org]

Neurologic

  • Irritability

    These children often have difficulty paying attention and may be hyperactive, restless, and irritable. They may feel keyed up, tense, or on edge. [msdmanuals.com]

    Their worries are accompanied by physical symptoms, especially trembling, twitching, muscle tension, headaches, irritability, sweating, or hot flashes. They may feel lightheaded or out of breath. [psychcentral.com]

    […] tension headaches the gurgling sounds of gas in the intestines other aches and pains colon spasms Central Nervous System diarrhea and/or constipation apprehensive, aroused and vigilant cramp-like pains in the upper stomach feeling "on edge," impatient, or irritable [anxieties.com]

    Affected individuals experience inner unrest, are easily fatigued, irritable and have trouble concentrating. [flexikon.doccheck.com]

  • Difficulty Concentrating

    For this disorder to be diagnosed, several other symptoms (such as a tendency to tire easily, difficulty concentrating, and muscle tension) must accompany the anxiety. [msdmanuals.com]

    However, in ADHD, children also have difficulty concentrating and feel restless when they are not anxious. Some children have both ADHD and an anxiety disorder. [merckmanuals.com]

  • Headache

    […] difficulty maintaining an erection cold fingers Gastrointestinal System Musculoskeletal System dry mouth muscles tense difficulty swallowing involuntary trembling of the body "butterflies" in the stomach tension headaches the gurgling sounds of gas in [anxieties.com]

    They may sleep poorly, sweat excessively, feel exhausted, and complain of physical discomfort (eg, stomachache, muscle aches, headache). [msdmanuals.com]

  • Agitation

    Muscle tension Sleep disturbance Occasionally, generalized anxiety disorder can be confused with attention-deficit/hyperactivity disorder (ADHD) because generalized anxiety disorder can cause difficulty paying attention and can result in psychomotor agitation [msdmanuals.com]

    The anxiety is often accompanied by one or more of the following symptoms: Fatigue Irritability (a tendency to get angry easily) Sleeping difficulties Headaches Nausea Diarrhea Excessive sweating Trembling Restlessness (severe agitation) Heart palpitations [quebec.ca]

    […] including motor disturbances and anxiety and may require tapering. [71] [74] Like other serotonergic agents, SNRIs have the potential to cause serotonin syndrome, a potentially fatal systemic response to serotonergic excess that causes symptoms including agitation [en.wikipedia.org]

  • Sleep Disturbance

    Symptoms include chronic, pervasive anxiety and worry accompanied by nonspecific physical and psychological symptoms (restlessness, fatigue, difficulty concentrating, irritability, muscle tension, or sleep disturbances). [annals.org]

    Restlessness or feeling keyed up or on edge Being easily fatigued Difficulty concentrating or mind going blank Irritability Muscle tension Sleep disturbance (difficulty falling or staying asleep, or restless unsatisfying sleep) Additionally, the anxiety [psychcentral.com]

    They may sleep poorly, sweat excessively, feel exhausted, and complain of physical discomfort (eg, stomachache, muscle aches, headache). [msdmanuals.com]

Treatment

"Treatment of generalized anxiety disorder". [en.wikipedia.org]

Treatment Generalized anxiety disorder is an illness that can be treated. There are known treatments available to treat this disorder. Treatments allow people affected to regain control of their lives and daily activities. [quebec.ca]

Treatment for Generalized Anxiety Disorder Following a full assessment, a member of the Children’s National care team will discuss treatment options with the child or teen and his or her family. [childrensnational.org]

Training children how to relax is often the best treatment, but sometimes a drug to reduce the anxiety is needed. [msdmanuals.com]

Etiology

[…] citation needed ] Various explanations for the high comorbidity between GAD and depressive disorders have been suggested, including genetic pleiotropy, meaning that GAD and nonbipolar depression might represent different phenotypic expressions of a common etiology [en.wikipedia.org]

Epidemiology

Avoiding driving a car Not answering the phone at times Frequent visits to the doctor Reassuring with the social environment that seems excessive 2.2 Frequent areas of fear Health Finances Work Family and social environment World affairs Relationships 3 Epidemiology [flexikon.doccheck.com]

"The epidemiology of generalized anxiety disorder in Europe". European Neuropsychopharmacology. 15 (4): 445–52. doi : 10.1016/j.euroneuro.2005.04.010. [en.wikipedia.org]

Pathophysiology

Retrieved 2018-12-19. ^ a b "Anxiety Disorders: Background, Anatomy, Pathophysiology". 1 December 2016 – via eMedicine. ^ Kessler, Ronald C.; Chiu, WT; Demler, O; Merikangas, KR; Walters, EE (2005). [en.wikipedia.org]

Prevention

If you have suicidal thoughts and fear for your safety, or that of people around you, see the Preventing suicide page. You will find further information on help and resources available. [quebec.ca]

Then they engage in response-prevention instruction that prevents them from avoiding the image and motivates alternative outcomes to the feared stimulus. [en.wikipedia.org]

Allgulander C, Florea I, Huusom AK: Prevention of relapse in generalized anxiety disorder by escitalopram treatment. Int J Neuropsychopharmacol 2006; 9: 495–505. CrossRef MEDLINE e46. [aerzteblatt.de]

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