Generalized Anxiety Disorder

While precise causes for GAD have not been determined, the disorder is believed to be the result of abnormalities in the brain that may be, at least partially, hereditary. Hormonal changes, like those that occur prior to or during menstruation or during menopause, may be a factor in the development of the disorder, accounting for the fact that females are noticeably more prone to the disorder than men. GAD is thought to be exacerbated by environmental factors like trauma or extreme stress.

Generalized anxiety disorder is typically diagnosed through a full medical history and a psychological evaluation. In order to be diagnosed with GAD, a patient has to meet the following criteria:

• Experience extreme anxiety for at least 6 months
• Be unable to overcome or control anxiety
• Have difficulty with everyday activities because of anxiety
• Have anxiety unrelated to another medical or psychiatric disorder

In addition, in order to be diagnosed with GAD, adult patient must experience three of the following and children must experience at least one:

• Fatigue
• Sleep disturbances
• Irritability
• Restlessness
• Muscle tension
• Difficulty concentrating

Generalized anxiety disorder is typically treated through a combination of medication and psychotherapy. The types of medications typically prescribed for generalized anxiety disorder include antidepressants, tranquilizers, busiprone, beta blockers, and benzodiazepines. These medications may differ in the length of time they require to provide symptomatic relief. Sometimes patients are given benzodiazepines, such as Xanax or Valium, to use temporarily until other medications, such as antidepressants, take effect. Several varieties of psychotherapy may be used in treating GAD. Cognitive behavioral therapy has been found to be particularly helpful.

Alternative therapies, including various relaxation techniques and meditation are reported to assist some patients in maintaining a sense of calm. Maintaining a healthy lifestyle, including eating a healthy diet, getting regular exercise, and avoiding alcohol, caffeine and other stimulants can also help relieve the symptoms of GAD. A strong support system of family and friends is also beneficial.