Generalized Anxiety Disorder
Generalized anxiety disorder (GAD) is much more than the normal anxiety people experience day to day.
It's chronic and exaggerated worry and tension, even though nothing seems to provoke it. Having this
disorder means always anticipating disaster, often worrying excessively about health, money, family, or
work. Sometimes, though, the source of the worry is hard to pinpoint. Simply the thought of getting
through the day provokes anxiety.
People with GAD can't seem to shake their concerns, even though they usually realize that their anxiety is
more intense than the situation warrants. People with GAD also seem unable to relax. They often have
trouble falling or staying asleep. Their worries are accompanied by physical symptoms, especially
trembling, twitching, muscle tension, headaches, irritability, sweating, or hot flashes. They may feel
lightheaded or out of breath. They may feel nauseated or have to go to the bathroom frequently. Or they
might feel as though they have a lump in the throat.
Many individuals with GAD startle more easily than other people. They tend to feel tired, have trouble
concentrating, and sometimes suffer depression, too.
Usually the impairment associated with GAD is mild and people with the disorder don't feel too restricted
in social settings or on the job. Unlike many other anxiety disorders, people with GAD don't
characteristically avoid certain situations as a result of their disorder. However, if severe, GAD can be
very debilitating, making it difficult to carry out even the most ordinary daily activities.
GAD comes on gradually and most often hits people in childhood or adolescence, but can begin in
adulthood, too. It's more common in women than in men and often occurs in relatives of affected persons.
It's diagnosed when someone spends at least 6 months worried excessively about a number of everyday