Literature Review
Generalized Anxiety Disorder
Generalized anxiety disorder (GAD) is a disorder in which an individual may feel persistent, excessive, and worry about everyday things that may not even happen. Individuals with this disorder may feel worry, excessive anxiety, and have thoughts of the worst even when there is no need for concern. A person experiencing GAD may expect a disaster. They may worry about their finances, money, health, family, work, or any issue that may come to mind. This disorder may be present when a person worrying increases on more days than one for at least six months. GAD can interfere with work, school, family, and even social activities. GAD can be diagnosed in adults when they experience at least three of the symptoms. These symptoms include restlessness or feeling on the edge, fatigue, difficulty focusing or mind going blank, irritability, muscle tension, pain in back or headaches, and sleep disturbance (ADAA, n.d.).
According to the Mayo Clinic, genetics may play a role as well as other factors, but is not fully known. Some of the risk factors for GAD is personality, genetics, and sex. With personality, a person who is shy, have negative thoughts, or who avoids dangerous situations may be more prone to generalized anxiety disorder than others are. GAD may run in the family, thus being a genetic factor. Also, women are more prone to have GAD than men. The common two treatments for GAD include medication and psychotherapy. Psychotherapy
GAD affects approximately 6.8 million Americans, or about 3.1% of the population, between the ages of 18 and 54. (www.helpguide.org) Women are affected almost twice the number of times as men. Sadly, almost 2/3 of all people with a severe mental illness never receive treatment. (www.mentalhealth.com) The cost of treating patients with anxiety disorders (including GAD) are astronomical. According to "The Economic Burden of Anxiety Disorders," a study commissioned by the ADAA and based on data gathered by the association and published in the Journal of Clinical Psychiatry, anxiety disorders cost the U.S. more than $42 billion a year, almost one third of the $148 billion total mental health bill for the U.S. More than $22.84 billion of those costs are associated with the repeated use of healthcare services, as those with anxiety disorders seek relief for symptoms that mimic physical illnesses. People with an anxiety disorder are three-to-five times more likely to go to the doctor and six times more likely to be hospitalized for psychiatric disorders than non-sufferers. (www.anxietycentre.com)
Generalized anxiety disorder (GAD) is an anxiety disorder that is characterized by excessive, uncontrollable and often irrational worry about everyday things that is disproportionate to the actual source of worry. This excessive worry often interferes with daily functioning, as individuals suffering GAD typically anticipate disaster, and are overly concerned about everyday matters such as health issues, money, death, family problems, friend problems, relationship problems or work difficulties.[1] They often exhibit a variety of physical symptoms, including fatigue, fidgeting, headaches, nausea, numbness in hands and feet, muscle tension, muscle aches, difficulty swallowing, bouts of difficulty breathing, trembling, twitching, irritability,
Those with GAD experience lavish amounts of worry, usually anticipating the worst even when there is no reason to. Unlike phobias, the anxiety isn't connected directly to something, it just a worry that is always present. These worries that these individuals experience are what normal people experience, such as reaching to work safely, but taken to the extreme. The difference between normal worrying and GAD is that, is that the worrying involved in GAD is excessive and often unnecessary. For example, after watching a news report about a school shooting, the average person might feel a temporary sense of worry for their kids. If you have GAD, however, the individual might be up all night after it and continue worrying for days about a worst case scenario that could happen, maybe even keeping your kids from going to school. To deal with GAD, individuals are given suggestions such as to practice deep breathing, meditation. In terms of treatment, presciprdtions are often given to them. One of the drugs prescribed to patients is buspirone. This is an anti-anxiety drug and takes the edge off but does not completely eliminate the anxious feeling. Benzodiazepine is also a drug prescribed which calms the body (“Generalized Anxiety Disorder
Generalized Anxiety Disorder (GAD) is characterized by excessive anxiety and worry that is not limited to one subject, situation or activity (Nevid, Rathus & Greene, 2017). People with GAD are known to worry about many things in their lives; their health, their finances, their well-being and that of their children. It is a worry that can be describe as excess and one that impairs one from functioning (Nevid, Rathus & Greene, 2017).
Current epidemiological data suggest anxiety disorders are the most prevalent type of childhood psychological disorders. Generalized Anxiety Disorder or GAD is described by excessive worrying about a variety of events, including those in the past, present, and future. Children with this disorder worry excessively about a number of issues, including past conversations or actions, upcoming events, school, family health, their own health, competence in sports or academics, and world events. Typically, children experiencing such excessive worry find it difficult to control the amount of time that they worry, and the worrying interferes in their daily life. Sometimes children don’t realize their anxiety is excessive considering the situation.
Generalized Anxiety Disorder (GAD) is one of the most diagnosed mental disorders today, and can often be closely linked to concurrent symptoms or disorders including physiological, behavioral, other anxiety disorders, depression and substance abuse. (Merino, Senra & Ferreiro, 2016) (Cacioppo & Fregberg, 2013, p. 688). GAD most notably produces symptoms of excessive worry and anxiety related to non-specific risks, which often leads to functional decline both socially and professionally (Roberge et al., 2015). GAD reveals instances of links to biological origins such as heredity and biochemistry, as well as, ties to an individual’s cognitive development and socioeconomic environment (Cacioppo & Fregberg, 2013).
Anxiety disorders are the most common psychiatric disorder in the United States. Between 15 - 19% of the population suffers from this disorder, which impairs the quality of life and functioning (Stuart 218). What is anxiety? Abnormal Psychology describes anxiety as “an adaptive emotion that helps us plan and prepare for a possible theat.” The text book further states, “worrying about many different aspects of life becomes chronic, excessive, and unreasonable.” This is also known as generalized anxiety disorder or GAD (Butcher 201). DSM IV-TR specifies that GAD is a worry that occurs more days then not for at least 6 months, and that it must be experienced as difficult to control (Butcher 201). 25% of those that suffer from this
Generalized anxiety disorder (GAD) is characterized by persistent, excessive, and unrealistic worry about everyday things. People with the disorder often experience exaggerated fear and expect the worst, even when there is no apparent reason for concern. They anticipate disaster and are overly concerned about money, health, family, work, or other issues. This disorder affects 6.8 million adults, or 3.1% of the U.S. population, in any given year (Van der Heiden, 2011). GAD comes on gradually and can endure across the life cycle, though the risk is highest between childhood and middle age. Women are twice as likely to be affected.
Like most other disorders of diseases, risks are usually prevalent. People who are divorced, living alone, or people who are a single parent are more likely to get GAD (Thomas). Gender is similarly a large factor; women have twice as much of a chance to get GAD when compared to men (A.D.A.M.). Additionally, according to A.D.A.M. being shy can contribute to this disorder because they may be a focus for bullies, causing the shy individual to develop anxiety and have trouble enduring uncertainty.
Generalized Anxiety Disorder (GAD) is a very common anxiety disorder; symptoms include nervousness, worrying and tension. The anxiety is not linked to one thing and patients can be overwhelmed by a general feeling of dread. A patient with GAD will worry about the same things as any unaffected person, for example, their health, personal relationships or work. What sets them apart is that the degree of worry or tension is higher than normal levels. The worrying can be both persistent and debilitating. Symptoms are moderate but long lasting persisting for longer than one month. Possible treatment methods for GAD include Cognitive Behavioural Therapy, Psychopharmacological Therapy, and Acceptance Based Behaviour Therapy. It will be argued that CBT is overall a better treatment for GAD and has been found to be effective and tolerable in the treatment of GAD.
The main feature of (GAD) is characterized by “excessive anxiety and worry (apprehensive expectation) about a number of events or activities” (American Psychiatric Association, 2013). Individuals, who are diagnosed with GAD, often have worrisome thoughts that are hard to control which inhibits them from concentrating on everyday tasks. To distinguish GAD from nonpathological anxiety, it is important to keep in mind several features. The worries associated with GAD are excessive and problematic for psychical functioning, more pervasive, pronounced and distressing, and are accompanied by physical symptoms (e.g., restlessness) (American Psychiatric Association, 2013). It is important to note that symptoms of GAD can be misunderstood for different reasons. Risk and prognostic factors can be temperamental, environmental, and genetic and physiological, additionally, cultural factors in the expression of GAD also need to be considered. Given the information above about GAD, it can be concluded that it is important to have treatment for such disorder in order to help individuals have
As in many mental disorders there are no set causes for Generalized Anxiety Disorder, but there are many contributing factors. Some of those factors include: genetics, environmental
Generalized Anxiety disorder (GAD) is a disorder consisting of excessive worrying, tension and nervousness. This condition can occur over and over again and if left untreated can lead to suicidal and violent thoughts in the patient. Even though there are certain triggers to the condition, the person eventually becomes so used to worrying and taking stress that they can't control the feeling. These dreadful feelings and excessive thinking eventually overtakes them and leads them into more and more depression. Consequently, the stress and anxiety interferes with the patient's ability to lead a normal life. The major symptoms of this order are motor tension, violence, autonomic hyperactivity, apprehension, and vigilance. GAD has been defined as a state of worry and anxiety that lasts for at least six months and is accompanied by any of the associative symptoms. Associative symptoms included irritability, insomnia, and fatigability.
Generalized anxiety disorder(GAD) is much more than the normal anxiety people experience everyday. It is a chronic condition that is chracterized by excessive worry and anxiety, even though there aren't any reasonable explanations for the cause. It is diagnosed when a person spends a least 6 months worrying excessively about numerous everyday problems.
According to the Diagnostic and statistical manual of mental disorders: DSM-5 (2013), Generalised Anxiety Disorder (GAD) is classified as having excessive anxiety and worry occurring more often than not for at least 6 months, that is difficult to control and that impairs daily functioning. At least three symptoms must be present and include restlessness, easily fatigue, difficulty concentrating, irritability, muscle tension and sleep disturbance.