Generalized anxiety disorder (GAD) is characterized by frequent or persistent, comprehensive, no clear object or fixed content of 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.This kind of nervousness, worry or annoyance and reality are not commensurate very much, make the patient feels hard to bear, but cannot get rid of,often accompany autonomic nervous function hyperfunction, motility is nervous and excessive vigilance.In general, anxiety symptoms in patients with GAD are variable and can occur with a range of physical and psychological symptoms.
Clinical manifestations of generalized anxiety disorder:
1. Anxiety and annoyance
Excessive mental worry is at the heart of the symptoms of anxiety.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.Irritability, sensitivity to noise, restlessness, decreased concentration, worry.If the patient is not clearly aware of the object or content he is worried about, but just a nervous, nervous intense inner experience, 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.
The degree of such anxiety and worry is not commensurate with reality,called the waiting for worry,is the core symptom of generalized anxiety disorder.Such patients often have a premonition of panic, all day upset, restless, worry, as if misfortune is about to come on their own or relatives of the head.It is difficult to concentrate and lose interest in things in their daily life, so that their study and work are seriously affected.
2. Body representation
Performance for movement restlessness and muscle tension. Movement uneasiness can behave for rub hand stop foot, cannot sit quietly, move ceaselessly, increase in small movement without purpose.
3. Autonomic nervous dysfunction
(1) Digestive system: dry mouth, difficulty in swallowing and a sense of blockage, foreign body sensation in the esophagus, excessive exhaust, increased or decreased intestinal peristalsis, 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, easy to wake up.
(7) Excited and sweaty, facial redness or paleness.
4. Other symptoms
It is often accompanied by fatigue, depression, obsessive thinking, panic attacks, depersonalization and other symptoms.