Generalized Anxiety Disorder (GAD)


Mind Map on Generalized Anxiety Disorder (GAD), created by rafferty.ma94 on 03/22/2015.
Mind Map by rafferty.ma94, updated more than 1 year ago
Created by rafferty.ma94 about 8 years ago

Resource summary

Generalized Anxiety Disorder (GAD)
  1. Diagnostic Criteria:
    1. Duration/how long it's been a problem
      1. Thoughts/cognitions
        1. Emotions
          1. Behaviors
            1. Physiological Symptoms
              1. Muscle tension distinguishes GAD from normal, non-anxious people
            2. DSM Criteria
              1. Excessive anxiety and worry occurring more days than not for at least 6 months
                1. About several events/activities
                2. Difficulty controlling worry
                  1. At least 3 of the following:
                    1. Difficulty concentrating on other things; blank mind
                      1. Muscle tension
                        1. Restlessness; keyed up or on edge
                          1. Fatigue
                            1. Irritability
                              1. Difficulty sleeping
                              2. Significant distress or impairment
                                1. Not limited to one specific issue
                                2. Statistics
                                  1. 3.1% of population in a given year
                                    1. 5.7% meet criteria at some point in their life
                                      1. Similar rates around the world
                                        1. 66% females, 33% males
                                        2. Course
                                          1. Once developed it takes a chronic course
                                          2. Onset
                                            1. Onset is in early adulthood
                                              1. Typically after a stressor
                                                1. Earlier and more gradual onset than other anxiety disorders
                                              2. Causes
                                                1. General Biological Vulnerability
                                                  1. Tends to run in families
                                                    1. 30%
                                                      1. Inherited tendency to become anxious, no GAD
                                                        1. Nervousness
                                                          1. Low frustration tolerance
                                                        2. Unconscious mental processes
                                                          1. More readily focus attention on threat than non-anxious people
                                                            1. Sensitivity to threat developed in stressful events that seemed dangerous or uncontrollable
                                                            2. Chronic worriers
                                                            3. Comorbidity
                                                              1. 90% of those with GAD have a second disorder
                                                                1. 42% of people with GAD have major depression or dysthymia
                                                                  1. Also social and specific phobias
                                                                  2. Treatment
                                                                    1. Medications
                                                                      1. Benzodiazepines
                                                                        1. Minor tranquilizers
                                                                          1. Short term relief, modest effects
                                                                            1. Not studied longitudinally
                                                                              1. Side effects
                                                                                1. Impaired motor functioning
                                                                                  1. Impaired cognitive functioning
                                                                                2. Physical and psychological dependence
                                                                                  1. Antidepressants provide more support
                                                                                  2. Psychological treatment
                                                                                    1. Behavioral and Cognitive Behavioral
                                                                                      1. CBT is superior to psychoanalytic treatment
                                                                                        1. 72% "good outcome" with CBT vs. 31% "good outcome" with psychoanalytic
                                                                                      2. Same short term benefits as medication
                                                                                        1. Better long-term, reduces use of meds
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