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2007
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Definition
GAD syndrome of ongoing anxiety about events or thoughts that the patient recognises as excessive and inappropriate
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Diagnostic criteria
Xs anxiety/worry occurring more days than not about a number of events and activities for > 6/12
Difficult to control worry Associated with 3 or more of
Restlessness Easily fatigued Poor concentration Irritability Sleep disturbance Muscle tension
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Autonomic arousal symptomsPalpitationsSweatingTremblingDry mouth
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Symptoms involving chest and abdomen
Breathing difficultyFeeling of chokingChest painNausea or abdominal distress
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Symptoms involving mental state Dizziness Unsteady, faint, light
headedness Feeling that objects are unreal
(derealisation) Feeling of loss of control Fear of dying
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General symptoms
Hot flushes of cold chills Numbness or tingling
sensations Muscle tension aches and pains Restlessness inability to relax Lump in throat difficulty
swallowing
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Exclusions
Panic disorderPhobic anxiety disorderOCDHypochondriacal disorder
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Useful treatments
Psychological CBT Anxiety management training Self help books and CD’s
Pharmacological SSRI’s TAD’s Avoid benzodiazepaines
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