Generalized anxiety disorder

GAD; Anxiety disorder

The goal of treatment is to help the person function well. The success of treatment usually depends on the severity of the generalized anxiety disorder.

Cognitive-behavioral therapy (CBT) and medications are the mainstays of treatment.

Selective serotonin reuptake inhibitors (SSRIs) are usually the first choice in medications. Serotonin-norepinephrine reuptake inhibitors (SNRIs) are another choice. Other antidepressants and some antiseizure drugs may be used for severe cases.

Other anti-anxiety medications may also be prescribed. Benzodiazepines may be recommended if antidepressants don't help.

Behavioral therapies that may be used with drug therapy include:

• Cognitive behavioral therapy to change distorted and possibly harmful perceptions of severe anxiety
• Pleasant mental imagery
• Relaxation techniques

Other counseling and therapy techniques may help people gain an understanding of the illness and the factors that protect against or trigger it.

A healthy lifestyle that includes exercise, enough rest, and good nutrition can help reduce the impact of anxiety.

Support groups may be helpful for some patients with GAD. Patients have the opportunity to learn that they are not unique in experiencing excessive worry and anxiety.

Support groups are not a substitute for effective treatment, but can be a helpful addition to it.

The disorder may continue and be difficult to treat, but most patients see great improvement with medications or behavioral therapy.

People with GAD may develop other psychiatric disorders, such as panic disorder or depression. Substance abuse or dependence may become a problem if you try to self-medicate with drugs or alcohol to relieve anxiety.

Call your health care provider if:

• You are experiencing the signs and symptoms of generalized anxiety disorder
• You have been experiencing symptoms for 6 months or longer
• Your symptoms interfere with your daily functioning