Generalized anxiety disorder (GAD), referred to as generalized anxiety disorder, is a chronic anxiety disorder characterized by continuous significant nervousness, autonomic neural excitation and over-vigilance. It is the most common anxiety disorder.
People with generalized anxiety disorder often have characteristic features such as twisted facial muscles, furrowed brows, tense posture, restlessness and even trembling, pale skin, and sweat in the palms, soles, and armpits.
It is important to note that although the patient is prone to crying, it is a reflection of a general state of anxiety and not indicative of depression.
Generalized anxiety disorder is common, affecting 3 to 5 percent of the population within a year, twice as many women as men. It is often associated with stress. The disorder usually begins in childhood or adolescence, but it can start at any age.
1. The genetic
The heritability of the disease is about 30%. Some studies have suggested that the genetic predisposition to the disorder is not as significant as panic disorder.
Generalized anxiety disorder is characterized by a feeling of loss of control rather than a fear of threat.
Generalized anxiety disorder is characterized by frequent or persistent, comprehensive, no clear object or fixed tension and excessive anxiety. This anxiety has nothing to do with any particular situation around it and is generally caused by excessive worry.
Typical manifestations are often excessive worry or annoyance about some problems in real life, such as worry about illness or accident of oneself or relatives, abnormal worry about economic situation, excessive worry about work or social ability.
In general, anxiety symptoms in patients with GAD are variable and can occur with a range of physical and psychological symptoms.
1. Anxiety and worry
It is expressed in the constant fear of some kind of dangerous or unfortunate event that may happen in the future and is difficult to predict. Fear of expectations, irritability, sensitivity to noise, restlessness, decreased concentration, worry.
If the patient is not clearly aware of the object or content he is worried about, known as free floating anxiety. But he may also be worried about one or two unrealistic threats, or about an unfortunate event in his life that may happen to him or a friend or relative.
For example, they worry about their children going out and having a car accident. This kind of anxiety and worry is called the worry of waiting, is the core symptom of generalized anxiety.
Such patients often have a premonition of panic, all day upset, restless, care-laden, as if misfortune is about to come on them or relatives. It is difficult to concentrate and lose interest in things in their daily life, so that their study and work are seriously affected.
2. Motor disturbance
Rubbing hands, stamping feet, walking back and forth, nervousness, inability to sit still, finger tremors, or self-induced tremors.
(1) Digestive system: dry mouth, difficulty in swallowing, stomach discomfort, nausea, abdominal pain, diarrhea.
(2) Respiratory system: chest pressure, breathing difficulty, breath stimulation and asphyxia, hyperrespiration.
(3) Cardiovascular system: palpitation, precardiac discomfort, arrhythmia.
(4) Genitourinary system: frequent and urgent urination, erectile dysfunction, dysmenorrhea, amenorrhea.
(5) Nervous system: tremor, tingling, tinnitus, vertigo, headache, muscle pain.
(6) Sleep disorders, insomnia and night terrors.
(7) Other symptoms: depression, obsessive thinking and depersonalization.
(8) Autonomic nervous function: excitability, sweating, facial redness or paleness and other symptoms.