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Johns Hopkins Health Alert

Spinning Out of Control With GAD

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Generalized anxiety disorder (GAD) is characterized by excessive, recurrent, and prolonged anxiety and worrying. People with generalized anxiety disorder typically agonize over everyday concerns, such as job responsibilities, finances, health, or family well-being or even such minor matters as household chores, car repairs, being late for appointments, or personal appearance. The focus of anxiety may shift frequently from one concern to another, and sensations may vary from mild tension and nervousness to feelings of dread.

Generalized anxiety disorder affects millions of Americans each year. Although people with generalized anxiety disorder know that the intensity, duration, and frequency of their anxiety and worry are out of proportion to the actual likelihood or impact of the feared event, they still have difficulty controlling their emotions.

Perpetual anxiety may impair concentration, memory, and decision-making ability, decrease attention span, and lead to a loss of confidence. Normal activities, such as working, socializing with friends, and maintaining intimate relationships, may become difficult or even impossible.

Generalized anxiety disorder may also produce a range of physical symptoms, including heart palpitations, restlessness, sweating, headaches, and nausea. Some generalized anxiety disorder sufferers, not realizing that generalized anxiety disorder is a treatable illness, become accustomed to their condition and assume that it is normal to feel on edge all the time. But the constant anxiety can lead to alcohol or drug abuse. The physical symptoms of generalized anxiety disorder, along with alcohol or drug abuse, are often what finally compel a person to seek treatment.

Despite its more chronic course, generalized anxiety disorder responds better to treatment than does panic disorder. Psychotherapy helps many people, either by itself or in combination with medication. In addition, relaxation techniques, such as deep breathing exercises or meditation, may relieve symptoms of generalized anxiety disorder.

The antidepressant medications duloxetine (Cymbalta), escitalopram (Lexapro), Paxil, and Effexor are FDA approved for the treatment of generalized anxiety disorder, but other serotonin and norepinephrine reuptake inhibitors, SSRIs, tricyclics, benzodiazepines, and BuSpar are also commonly used to treat generalized anxiety disorder.

Posted in Depression and Anxiety on December 31, 2008


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Health Alerts registered users may post comments and share experiences here at their own discretion. We regret that questions on individual health concerns to the Johns Hopkins editors cannot be answered in this space.

The views expressed here do not constitute medical advice, and do not represent the position of Johns Hopkins Medicine or Remedy Health Media, LLC, which has no responsibility for any comments posted on this site.


This article was very beneficial. The information indicates that my behavior and symptoms are most likely due to GAD and not because I'm anal, as my children suggest :>)

Posted by: KatCor | January 4, 2009 9:13 PM

Meditation may help with some symptoms of the GAD specially it will help with the stress management. I have find out that exercise is also very helpful, it reduces the severity of the anxiety in addition it is good for health. Being with family and friends and doing voulenteer work also helps a lot.

For free guided meditation I will recommend

http://www.clicktomeditate.com/slow_down_and_relax.html

You can get a lot of different kind of meditations at

http://www.clicktomeditate.com

Posted by: clicktomeditate | June 20, 2009 3:32 PM

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