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Anxiety (Generalized Anxiety Disorder)

Rhonda A. Faulkner, PhD Reviewed 06/2020
 


BASICS

DESCRIPTION

  • A condition characterized by persistent, excessive, and difficult-to-control worry associated with significant symptoms of motor tension, autonomic hyperactivity, and/or disturbances...

DIAGNOSIS

HISTORY

  • Diagnosis is primarily made through history taking. Pathologic anxiety must be distinguished from normal anxiety reactions.

  • Diagnostic and Statistical Manual of Mental Disorders, 5th e...

TREATMENT

GENERAL MEASURES

  • Assess for suicidality given increased risk.

  • Identify and treat coexisting substance abuse and other psychiatric conditions.

  • Psychoeducation recommended for all patients in add...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Clinical follow-up with patient every 6 months is recommended.

  • Follow up within 2 to 4 weeks from starting new medications.

  • Medications should be ...

REFERENCES

1
Ruscio A, Hallion L, Lim C, et al. Cross-sectional comparison of the epidemiology of DSM-5 generalized anxiety disorder across the globe. JAMA Psychiatry.  2017;74(5):465–475.
2
Patel G...

ADDITIONAL READING

SEE ALSO

Algorithms: Anxiety; Depressive Episode, Major 

CODES

ICD10

F41.1 Generalized anxiety disorder 

ICD9

  • 300.00 Anxiety state, unspecified

  • 300.02 Generalized anxiety disorder

  • 300.09 Other anxiety states

  • 300.01 Panic disorder without agoraphobia

SNOMED

21897009...

CLINICAL PEARLS

  • Psychiatric comorbidities, especially depression, are extremely common with GAD; patients are at increased risk for suicidality.

  • CBT and SSRIs (possibly in combination) are the treatmen...

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