Generalised Anxiety Disorder

08/12/2013 by admin | Psychiatry

Definition:characterized by excessive, uncontrollable and often irrational worry about everyday things that is disproportionate to the actual source of worry

*** it is very common to have comorbid depression alongside anxiety disorders such as GAD ***

Classification / type of disease:

Epidemiology:

  • 3% of the popn suffer with GAD in their lives
  • Median age of onset is 31
  • M:F – 1:2

Presenting symptoms / signs:   fatiguefidgetingheadachesnauseanumbness in hands and feet, muscle tension, muscle aches, difficulty swallowing, bouts of difficulty breathing, difficulty concentratingtremblingtwitchingirritability,agitationsweatingrestlessnessinsomniahot flashes, and rashes and inability to fully control the anxiety

Diagnostic investigations: the above symptoms must co-exist and be present for >6/12 for a formal diagnosis to be made.

Aetiology:

  • Substance induced:longterm benzodiazepines and alcohol.
  • Neurological disease

Differentials:

Transmission:

Treatment:

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