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General
Anxiety Disorder (GAD) is characterized by the individual
worrying excessively about events that may happen. Individuals
suffering with GAD will often feel overwhelmed by their worry
and find it difficult to control. This excessive worrying
can go on for years. People with GAD worry about many facets
of their lives, including work, relationships, finances, the
well-being of one’s family, potential misfortunes, and
impending deadlines. They will often experience physical ailments
such as insomnia, fatigue, headaches, trembling, irritable
bowel syndrome, and muscle tension. It is also possible that
they will have occasional panic attacks.
It
is reported that individuals suffering with GAD were more
likely than those without the disorder to be unmarried or
have experienced multiple divorces, earn a low income, and receive disability benefits. Individuals with GAD were
found to perceive themselves as less emotionally and physically
healthy than others, and when compared with individuals with
diabetes and congestive heart failure, showed greater impairment
in the areas of mental health, social functioning, and vitality.
GAD
has a significant impact on the quality of life of the individual
as well as the individual's family. A person dealing with
GAD can experience financial loss, impairment in social functioning,
in marital functioning, and disruption of family routines,
interactions, and leisure activities.
Effective treatments for GAD include cognitive-behavioral
therapy which will assist the individual with recognizing
thinking patterns that contribute to their symptoms. Individuals
are taught relaxation techniques, and to recognize and react
differently to physical changes that result from and facilitate
their anxiety. It is very important for the families of individuals
suffering from GAD to be involved in the treatment process.
Family members can assist the therapist with reality checking
the client on worrisome issues. The family can also assist
the client with recognizing unhelpful thinking processes of
worrying and rumination. Family involvement in the treatment
process also breaks the clients isolation and assists them
with re-establishing family relationships and becoming engaged
in activities that once were satisfying.
Although GAD is considered chronic, worsening during times
of stress, cognitive-behavioral therapy has been found to
be a very effective treatment that gives individuals suffering
with the disorder a means of achieving greater functionality
and quality of life.
REFERENCES:
Mogotsi, M., Kaminer, D., and Stein, D.J. (2000).
Review: Quality of Life in the Anxiety Disorders. Harvard
Review of Psychiatry, December. pp.273-283.
National
Institute of Mental Health. (2005). Generalized Anxiety Disorder
(GAD).
Online at: http://www.nimh.nih.gov/HealthInformation/gadmenu.cfm
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