Diagnostic Criteria for Generalized Anxiety Disorder

by Beth McHugh | More from this Blogger

17 Jun 2006 05:00 PM

Feeling anxious a lot of the time? Are you ruled by worry? Can't get a handle on out-of-control troublesome thoughts? Approximately 4% of the population meets the criteria for generalized anxiety disorder (GAD). Unlike people suffering from phobic anxiety, those experiencing GAD worry about minor, everyday issues in life, such as being on time, household chores, children's minor illnesses, job performance. The list goes on. If you suspect that you or a friend may be suffering from Generalized Anxiety Disorder, the guidelines listed below will discern whether you are dealing with GAD or you are simply a common everyday "worry-wart".

The DSM-IV lists the following criteria for Generalized Anxiety Disorder:

1. Excessive anxiety and worry occurring almost daily for a period of at least six months. The anxiety is related to a number of situations and events, rather than just one particular issue.

2. The sufferer finds it difficult to control the anxiety and worry.

3. The anxiety and worry are associated with at least three of the following symptoms, and these symptoms occur on most days for a period of six months. i) restlessness or feeling wound up and on edge ii) irritability iii) difficulty concentrating or mind going blank iv) lack of stamina, easily tired v) consistent muscle tension and associated pain vi) sleep disturbances

4. The anxiety is not associated with fear of panic (as in Panic Disorder), fear of social situations (Social Phobia), obsessional in nature (Obsessive-Compulsive Disorder), being away from home or loved ones (Separation Anxiety), or other obvious psychological causes. 5. The worry and anxiety cause significant distress to the sufferer and impair personal and working relationships.

6. The worry and anxiety is not a result of legal or illegal substances, or a physical medical condition, such as hyperthyroidism.

As with most anxiety disorders, genetics seems to play a part in the manifestation of the disorder. GAD appears to run in families and twin studies would also suggest that genes are at least partly responsible for the disorder. However, genetics only dictates a tendency for any condition to develop and as with other anxiety disorders, there is usually a history of stressful circumstances surrounding the development of the illness.

Short term use of benzodiazepines (minor tranquillizers) is one means of treating GAD, but psychological methods are preferred due to the addictive nature of these drugs. Cognitive-Behavioral Therapy, a method where disturbing, worrying thoughts are recognized, challenged, and replaced by more positive thoughts, is the treatment of choice for this condition.

Contact Beth McHugh for further information or assistance regarding this issue.

Learn more about Beth McHugh

Beth McHugh began her career as a geologist and worked both in industry and as a university researcher.

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jserio (60) 04 Feb 2009 09:06 PM

Beth did a good job of summarizing the disorder as described in the DSM.

However, as all of us know, secular psychology has no way of really resolving this issue.

The only real answers for anxiety and most other mental health issues are found in only one place: The bible.

Beth McHugh (12962) 16 Feb 2009 05:11 PM

I believe that God uses people to help others in many practical ways, that includes medical intervention when necessary.