Roxanne Dryden-Edwards, MD
Dr. Roxanne Dryden-Edwards is an adult, child, and adolescent psychiatrist. She is a former Chair of the Committee on Developmental Disabilities for the American Psychiatric Association, Assistant Professor of Psychiatry at Johns Hopkins Hospital in Baltimore, Maryland, and Medical Director of the National Center for Children and Families in Bethesda, Maryland.
Melissa Conrad Stöppler, MD
Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
In this Article
- Generalized anxiety disorder facts
- What is generalized anxiety disorder (GAD)?
- What are the different types of anxiety?
- How common is generalized anxiety disorder?
- What are causes and risk factors for anxiety?
- What are anxiety symptoms and signs?
- How is generalized anxiety disorder diagnosed?
- What is the treatment for anxiety?
- What are the side effects of anxiety medications?
- What are complications of generalized anxiety disorder?
- Is it possible to prevent anxiety?
- What is the prognosis of generalized anxiety disorder?
- Are there support groups for those with generalized anxiety disorder?
- Where can people find additional information on generalized anxiety disorder?
- Find a local Psychiatrist in your town
What are anxiety symptoms and signs?
Common symptoms and signs of anxiety disorder can include
- restlessness or feeling edgy,
- becoming tired easily,
- trouble concentrating,
- feeling as if the mind is going "blank,"
- muscle tension,
- sleep problems (trouble falling or staying asleep or having sleep that is not restful).
Anxiety that is associated with specific (specific or simple phobia) or social fears (social phobia) may also result in avoidance of certain situations or an elevation of symptoms to the level of panic. In addition to the more general symptoms of anxiety previously described, worry that is associated with a traumatic event (posttraumatic stress disorder) may also result in the following symptoms:
- Avoidance of people, places, or situations that are reminiscent of the traumatic event
- Re-experiencing the trauma in repeated nightmares, flashbacks, or pseudohallucinations (thinking one is hearing, seeing, or otherwise "hallucinating" about the trauma)
- Difficulty trusting others
- Excessive attention to staying safe or keeping loved ones safe (for example, hypervigilance)
- A tendency to startle easily
- A sense of a bleak or foreshortened future
When anxiety intensifies to the level of becoming a panic attack, signs and symptoms can include both physical and emotional symptoms such as
- chest pain, chest tightness or other discomfort, feeling like one is having a heart attack;
- shortness of breath or trouble breathing;
- sweating of the palms;
- nausea or other stomach upset;
- trembling or shaking;
- feeling dizzy, unsteady, lightheaded, or faint;
- derealization (feelings of unreality) or depersonalization (feeling detached from oneself);
- fear of losing control or going insane;
- numbness or tingling sensations;
- chills or hot flashes;
- feeling like one is choking;
- a sense of impending doom;
- feeling like one is dying.
Anxiety symptoms and signs in children and teenagers
The similarities and differences in symptoms of anxiety in adults compared to children and adolescents depend on the specific condition that is causing the anxiety. For example, symptoms of social phobia or specific phobia are quite similar in children and teens compared to adults except that children and teens are less likely to recognize that their thoughts or behaviors are irrational. In addition to some of the differences in the symptoms themselves, in children and adolescents, boys and girls seem to develop panic disorder and generalized anxiety disorder at equal rates. Symptoms of anxiety in children and teens tend to be consistent with how they express feelings in general. For example, lacking the higher ability to express feelings verbally compared to older children, younger children tend to express anxiety by complaining of physical symptoms like stomach upset or headaches. They are also more likely to cry, have tantrums, or become clingy. Compared to anxiety symptoms in children, in teens, the symptoms of anxiety will more closely approximate those in adults. However, adolescents are more likely than adults to exhibit anxiety by becoming irritable or angry. Anxious teens are also more likely to have wide mood swings from normal (euthymic) to anxious, angry, and irritable.
Children with an anxiety disorder tend to develop the illness in early childhood, with symptoms being persistent, coming and going into adulthood.
Anxiety symptoms and signs in men and women
Studies indicate that men seem to experience different types of effects of anxiety compared to women. Specifically, men tend to exhibit more psychological symptoms of anxiety, like tension, irritability, and a sense of impending doom. In contrast, women tend to develop more physical symptoms like chest pain, palpitations, insomnia, shortness of breath, and nausea. Further, it seems that women with such physical symptoms of anxiety are more at risk for developing heart problems.
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