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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

 

Additional Resources


NHG_Generalised Anxiety Disorder (GAD).pdf

NHG_Generalised_Anxiety_Disorder_GAD_Chi.pdf

NHG_Generalised_Anxiety_Disorder_GAD_Mal.pdf

NHG_Generalised_Anxiety_Disorder_GAD_Tam.pdf

nhg_polyclinics_understanding_and_managing_anxiety.pdf (Original)

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.