Introduction & Theoretical Background
Everyone worries to some extent, but people with GAD find that their worries form chains of thoughts and images that progress in ever more catastrophic and unlikely directions. GAD is experienced by between 2 and 6 people out of every 100 (Stansfield et al, 2016; Kessler et al, 2005), but like many anxiety disorders, it is under-diagnosed and often goes unrecognized (Munk-Jørgensen et al, 2006; Kasper, 2006).
DSM-5 diagnostic criteria for GAD include:
- Excessive anxiety and worry, occurring most days for at least 6 months, about more than one event or activity.
- Finding it difficult to control one’s worry.
- Anxiety and worry which is associated with 3 or more of the following 6 symptoms (with at least some symptoms present on most days for the past 6 months):
- Restlessness, feeling ‘keyed up’, on edge, or easily fatigued
- Difficulty concentrating or mind going blank
- Irritability
- Muscle tension
- Sleep disturbance (difficulty falling or staying asleep, or having unsatisfying sleep)
- Anxiety, worry, or