2337792
Description
Mind Map by rafferty.ma94, updated more than 1 year ago
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Created by rafferty.ma94
about 8 years ago
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Generalized Anxiety Disorder (GAD)
- Diagnostic Criteria:
- Duration/how long it's been a problem
- Thoughts/cognitions
- Emotions
- Behaviors
- Physiological Symptoms
- Muscle tension distinguishes GAD from normal, non-anxious people
- Muscle tension distinguishes GAD from normal, non-anxious people
- Duration/how long it's been a problem
- DSM Criteria
- Excessive anxiety and worry occurring more days than not for at least 6 months
- About several events/activities
- About several events/activities
- Difficulty controlling worry
- At least 3 of the following:
- Difficulty concentrating on other things; blank mind
- Muscle tension
- Restlessness; keyed up or on edge
- Fatigue
- Irritability
- Difficulty sleeping
- Difficulty concentrating on other things; blank mind
- Significant distress or impairment
- Not limited to one specific issue
- Excessive anxiety and worry occurring more days than not for at least 6 months
- Statistics
- 3.1% of population in a given year
- 5.7% meet criteria at some point in their life
- Similar rates around the world
- 66% females, 33% males
- 3.1% of population in a given year
- Course
- Once developed it takes a chronic course
- Once developed it takes a chronic course
- Onset
- Onset is in early adulthood
- Typically after a stressor
- Earlier and more gradual onset than other anxiety disorders
- Typically after a stressor
- Onset is in early adulthood
- Causes
- General Biological Vulnerability
- Tends to run in families
- 30%
- Inherited tendency to become anxious, no GAD
- Nervousness
- Low frustration tolerance
- Nervousness
- Tends to run in families
- Unconscious mental processes
- More readily focus attention on threat than non-anxious people
- Sensitivity to threat developed in stressful events that seemed dangerous or uncontrollable
- More readily focus attention on threat than non-anxious people
- Chronic worriers
- General Biological Vulnerability
- Comorbidity
- 90% of those with GAD have a second disorder
- 42% of people with GAD have major depression or dysthymia
- Also social and specific phobias
- 90% of those with GAD have a second disorder
- Treatment
- Medications
- Benzodiazepines
- Minor tranquilizers
- Short term relief, modest effects
- Not studied longitudinally
- Side effects
- Impaired motor functioning
- Impaired cognitive functioning
- Impaired motor functioning
- Minor tranquilizers
- Physical and psychological dependence
- Antidepressants provide more support
- Benzodiazepines
- Psychological treatment
- Behavioral and Cognitive Behavioral
- CBT is superior to psychoanalytic treatment
- 72% "good outcome" with CBT vs. 31% "good outcome" with
psychoanalytic
- 72% "good outcome" with CBT vs. 31% "good outcome" with
psychoanalytic
- CBT is superior to psychoanalytic treatment
- Same short term benefits as medication
- Better long-term, reduces use of meds
- Behavioral and Cognitive Behavioral
- Medications
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