Condition

Generalized Anxiety Disorder

Anxiety disorders are the most common emotional disorder and affect more than 25 million Americans.

Mental health

Overview

Anxiety disorders are the most common emotional disorder and affect more than 25 million Americans.

Generalized anxiety disorder (GAD) is a mental health condition in which a person is often worried or anxious about many things and finds it hard to control this anxiety.

Fear and anxiety are part of life, but GAD involves more than temporary worry or fear. For people with GAD, the anxiety does not go away and it gets worse over time. People may have chest pains or nightmares, or they may even be afraid to leave home. In many cases, GAD occurs along with other anxiety or mood disorders. GAD has symptoms that are similar to panic disorder, obsessive-compulsive disorder, and other types of anxiety, but they are all different conditions.

People with GAD have ongoing, severe tension that interferes with daily functioning. They worry constantly and feel helpless to control these worries. The worries often focus on job responsibilities, family health, or minor matters such as chores, car repairs, or appointments. They may have problems sleeping, muscle aches or tension, feel shaky and weak, and have headaches. People with GAD can be irritable and often have problems concentrating and working effectively.

In most cases, GAD improves with medications or talk therapy (psychotherapy). Making lifestyle changes, learning coping skills and using relaxation techniques also can help.

Symptoms

  • Persistent worrying or obsession about small or large concerns that's out of proportion to the impact of the event
  • Inability to set aside or let go of a worry
  • Inability to relax, restlessness, and feeling keyed up or on edge
  • Difficulty concentrating, or the feeling that your mind "goes blank"
  • Worrying about excessively worrying
  • Distress about making decisions for fear of making the wrong decision
  • Carrying every option in a situation all the way out to its possible negative conclusion
  • Difficulty handling uncertainty or indecisiveness
  • Physical signs and symptoms may include:
  • Fatigue
  • Irritability
  • Muscle tension or muscle aches
  • Trembling, feeling twitchy
  • Being easily startled
  • Trouble sleeping
  • Sweating
  • Nausea, diarrhea or irritable bowel syndrome
  • Headaches
  • Performance at school or sporting events
  • Being on time (punctuality)
  • Earthquakes, nuclear wa,r or other catastrophic events
  • Feel overly anxious to fit in
  • Be a perfectionist
  • Redo tasks because they are not perfect the first time
  • Spend excessive time doing homework
  • Lack confidence
  • Strive for approval
  • Require a lot of reassurance about performance
  • Depression (which often occurs with generalized anxiety disorder)
  • Substance abuse
  • Trouble sleeping (insomnia)
  • Digestive or bowel problems
  • Headaches
  • Heart-health issues

Causes & risk factors

The exact cause of GAD is unknown, but areas of the brain that control fear responses may have a role in some anxiety disorders. Anxiety disorders can run in families, which suggests that a combination of genes and environmental stresses can contribute to anxiety disorders, including GAD.

When to get help

Talk with your doctor if worry is hard to control or interferes with daily life, work, or sleep. Call or text 988 if you have thoughts of harming yourself.

Related health news

All information on this site is provided “as-is” for informational purposes only and is not a substitute for medical advice or treatment. You should consult with a medical professional if you have any questions about your health.