Generalised Anxiety Disorder (GAD)

Overview

What is Generalised Anxiety Disorder (GAD)?

Anxiety and fear are common emotions. But, while fear is a normal response to a perceived threat, anxiety is an unwarranted or inappropriate fear to a vague or ill-defined threat.

However, when these emotions are persistent, excessive, and irrational, they may affect:

  • The way a person leads his life.
  • The person's ability to work.
  • The person's ability to cope with the demands of life or relationships.
  • When this happens, anxiety becomes a disorder.

Causes

There is usually a combination of factors that contribute to GAD.

  • Genetic – a family member suffers from a mental health condition.
  • Biochemical – hormonal and chemical imbalance.
  • Cognitive – misinterpreting physical sensation as threatening or having a serious medical condition.
Signs & Symptoms

In GAD, the anxiety symptoms occur most of the day, persistent, and may not be restricted to any event.

You may feel some/all the unpleasant mental symptoms such as:

  • Apprehension
  • Confusion
  • Worry
  • Feeling keyed up or on edge.
  • A sense of helplessness.
  • Repeated negative thoughts.

It also triggers a wide range of physical symptoms such as:

  • Muscle tension and weakness.
  • Pounding heart (palpitations).
  • Difficulty breathing.

Detection & Treatment

Treatment for GAD often includes a combination of psychotherapy (such as cognitive - behavioural therapy) and medications.

  • Psychotherapy helps individuals understand and manage anxious thoughts and behaviours.
  • Medications like benzodiazepines or selective serotonin reuptake inhibitors (SSRIs) can be prescribed to alleviate symptoms.

 

Others

  • Sharing one's feelings with a supportive person.
  • Performing relaxation techniques such as deep breathing exercises.
  • Meditation or distracting oneself with favourite activities.
  • Doing physical exercises.
  • Using positive self talk, e.g. "I can do this"; "Things won't be as bad as I predict".
  • Picturing oneself successfully facing and conquering that fear.

Care Management

Regular communications with a mental health professional is essential to monitor progress and make adjustments to the treatment plan if needed. Lifestyle changes, stress management, and self-care are also crucial components of managing GAD.

Specialties & Services