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General Anxiety Disorder (GAD)

General Anxiety Disorder (GAD)

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General Anxiety Disorder (GAD)

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  1. General Anxiety Disorder (GAD) Heather Hendrickx

  2. History (Van derHeiden, Methorst, Muris, &Van derMolen, 2011)

  3. What is GAD? How would you define excessive anxiety or worry? Why might an individual and/or a general practitioner have difficulties identifying these symptoms as a psychological disorder? (American Psychiatric Association, 2000)

  4. Epidemiology • Between 4-7% lifetime • 1.5-3% current prevalence* • Could be as high as 5-8% current. • Women are more likely to be affected. • Typically on-set late teens-early 20s • People with lifetime GAD: • Comorbidity rate: 45-98% • Meet criteria for other Axis I disorders: 90% • No other anxiety disorder have severity rate of GAD Why do you think women are more likely to be affected? Newman, Przeworski, Fisher, & Borkovec, 2010).; Ruscio, et al., 2007, Van derHeiden, Methorst, Muris, & Van derMolen, 2011) )

  5. Etiology (Van derHeiden, Methorst, Muris, & Van derMolen, 2011)

  6. Current Research

  7. Assessment (Scott & Sembi, 2006; Van derHeiden, Methorst, Muris, & Van derMolen, 2011)

  8. Treatment (Anxiety Disorders Association of America, 2010-2011;Bruce, Yonkers, Otto, Eisen, Weisberg, Pagano, et al. ,2005; Fisher, 2006)

  9. Controversies (Lawrence, Liverant, Rosellini, & Brown, 2009; Mennin, Heimberg, Fresco, & Ritter, 2008; Watson, 2005)

  10. Commonly Confused Disorders with GAD

  11. Case Study What about Linda is note-worthy? What could be Linda’s diagnosis? Linda is a 39-year-old woman working as a high-school teacher. She is married and has two children. She is referred to a psychologist after she called in sick at work. Linda reports being sad and hopeless. She feels tense and nervous, has problems with sleeping, and is tired all the time. She has difficulty in enjoying things and is not very interested in daily life. She worries about anything and everything, and calls herself “a real ‘doom and gloom’ type of person who sees danger lurking everywhere.” Examples of rent worry themes are the possible negative consequences of her calling in sick, her personal health, her upcoming 40th birthday party, and her younger brother moving house. Her complaints have increased in the last 2 years as a result of the reorganization at her work and her own change of house 2 years ago. However, Linda reports that she was often nervous and worried when she was a child. Three months before she went to consult her GP Linda called in sick at work, “because otherwise all I’ll do is worry in case I said or did something wrong.” When asked whether she avoids things or does things to deal with her anxiety and worry, she reports keeping track of the schedules of seven people that are close to her. She telephones her parents, brother, sister, and two friends very often, and then casually asks them about what they will be doing in the near future. She records these activities in a diary, along with the upcoming activities of her partner, who is the other person whose schedule she tracks closely. (Van derHeiden, Methorst, Muris, &Van derMolen, 2011)

  12. Discussion Any Additional Questions?