Generalized anxiety disorder (GAD): Symptoms, causes, and treatments

Generalized anxiety disorder (GAD): Symptoms, causes, and treatments

(function() {
var useSSL = ‘https:’ == document.location.protocol;
var src = (useSSL ? ‘https:’ : ‘http:’) +
–><!– –><!– –>

For full functionality, it is necessary to enable JavaScript. Here are instructions how to enable JavaScript in your web browser.

Welcome to Medical News Today

Healthline Media, Inc. would like to process and share personal data (e.g., mobile ad id) and data about your use of our site (e.g., content interests) with our third party partners (see a current list) using cookies and similar automatic collection tools in order to a) personalize content and/or offers on our site or other sites, b) communicate with you upon request, and/or c) for additional reasons upon notice and, when applicable, with your consent.

Healthline Media, Inc. is based in and operates this site from the United States. Any data you provide will be primarily stored and processed in the United States, pursuant to the laws of the United States, which may provide lesser privacy protections than European Economic Area countries.

By clicking “accept” below, you acknowledge and grant your consent for these activities unless and until you withdraw your consent using our rights request form. Learn more in our Privacy Policy.

You have chosen to share the following article:

How elderberries can help you fight the flu

To proceed, simply complete the form below, and a link to the article will be sent by email on your behalf.
Note: Please don’t include any URLs in your comments, as they will be removed upon submission.

We do not store details you enter into this form. Please see our privacy policy for more information.

Message sent successfully

The details of this article have been emailed on your behalf.

Click here to return to the Medical News Today home page.

Generalized anxiety disorder (GAD) causes feelings of intense anxiety, worry, or nervousness about everyday life. People with GAD struggle to control these feelings, and the condition tends to interfere with daily activities and personal relationships.

GAD, a type of anxiety disorder, is very common. It affects 3.1% of the population (or 6.8 million adults) in the United States in any given year. It is more common in women.

Living with anxiety can be challenging. However, like other anxiety disorders, GAD is highly treatable. Some of the most effective treatments include psychotherapy, medication, and making lifestyle changes.

In this article, we provide an overview of GAD, including its symptoms and causes. We also list some potential treatment options.


A person with GAD may experience uncontrollable and persistent worries, fears, and concerns.

The symptoms of GAD can vary from one individual to another.

Symptoms may get better or worse at different times. Periods of high stress or physical illness, for example, often cause symptoms to worsen for a while.

Emotional and cognitive symptoms of GAD include:

  • uncontrollable and persistent worries, fears, and concerns
  • an inability to deal with uncertainty about the future
  • intrusive thoughts
  • excessive planning and troubleshooting
  • difficulty making decisions
  • fear of making the “wrong” decision
  • problems concentrating
  • an inability to relax

Physical symptoms include:

  • tense or tight muscles
  • aches and pains
  • difficulty sleeping
  • fatigue
  • feeling restless, jumpy, or twitchy
  • digestive problems, such as nausea or diarrhea
  • being easily startled
  • excessive sweating
  • needing to urinate more frequently than usual

Behavioral symptoms include:

  • being unable to relax or spend “quiet” time alone
  • switching between tasks or not finishing tasks due to finding it difficult to concentrate
  • spending excessive amounts of time completing simple tasks
  • redoing tasks because they are not “perfect”
  • avoiding situations that trigger anxiety, including socializing with others and speaking in public
  • missing school or work due to fatigue, fear, or other symptoms
  • requiring reassurance and approval from others

The presence of other conditions

People with GAD often have co-occurring conditions. These may include:

  • other anxiety disorders, such as phobias, obsessive-compulsive disorder, or social anxiety
  • depression
  • drug or alcohol misuse


A doctor may use a psychological questionnaire to diagnose GAD.

A doctor or mental health professional may diagnose GAD according to the criteria in the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders.

To receive a diagnosis of GAD, a person must have:

  • excessive anxiety and worry in several areas of their life on more days than not for at least 6 months
  • difficulty controlling these worries
  • at least three of the following symptoms (or just one symptom in the case of children):
    • restlessness
    • fatigue
    • difficulty concentrating
    • irritability
    • tense muscles
    • sleep problems
  • significant distress or problems functioning in social settings or at work

Also, these symptoms must not result from substance use or another medical condition.

To confirm a diagnosis or rule out physical conditions that may be causing symptoms, a doctor may:

  • perform a physical examination
  • take a detailed medical and family history
  • use a psychological questionnaire
  • order blood or urine tests

Causes and risk factors

The exact cause of GAD is unknown. However, it most likely occurs as a result of a combination of several factors, including:


Having a family history of GAD increases the risk of developing it, according to some research. For example, children of people with GAD are more likely to develop the condition themselves than those whose parents do not have it.

Brain chemistry and structure

Differences in brain functioning may increase the risk of developing an anxiety disorder. People with GAD also show differences in brain structure on neuroimaging studies using functional MRI scans.

An imbalance of serotonin and other brain chemicals are also present in people with GAD and other anxiety disorders.


People who are timid or pessimistic may be more likely to develop GAD.

Some research also suggests a link between anxiety disorders and neuroticism, a personality trait wherein people view the world as unsafe and threatening.

Life experiences and environmental factors

Having a history of trauma, such as abuse or bereavement, may also contribute to GAD. In addition, having a chronic illness can increase the chance of developing an anxiety disorder, as can misusing addictive substances.


Estimates suggest that females are twice as likely as males to have GAD.


GAD can affect anyone of any age. However, the chance of developing it seems to be highest “between childhood and middle age.”


Treatment options for GAD depend on the severity of a person’s symptoms and the presence of any other conditions.

Many people require a combination of treatments, such as attending psychotherapy and making lifestyle changes. Medications may also be necessary.

Treatment options include:


Working with a therapist can help people effectively manage their symptoms. Doctors and mental health professionals with often recommend cognitive behavioral therapy (CBT) for anxiety, as it is both safe and effective.

Studies suggest that CBT reduces worry in people with GAD, with the effects being equal to those of medications and more effective 6 months after treatment completion.

Other types of therapy that show promise in treating GAD include mindfulness based therapies and acceptance and commitment therapy. This is a type of therapy that uses both acceptable and mindfulness techniques.


In some cases, a healthcare professional may recommend medication to help with the symptoms of GAD.

Several types of medication can treat GAD, including:

  • Antidepressants. Most commonly, doctors will prescribe selective serotonin reuptake inhibitors or serotonin and norepinephrine reuptake inhibitors for GAD. These drugs can take several weeks to work.
  • Buspirone. This is an antianxiety medication that reduces the physical symptoms of anxiety. Buspirone can take several weeks to take effect.
  • Benzodiazepines. Occasionally, doctors may prescribe a benzodiazepine for short term anxiety relief. These medications are fast acting, but they are highly addictive and may not be suitable for people with a history of addiction.

Lifestyle changes

Regular exercise may help a person keep their symptoms under control.

Making lifestyle modifications can help people keep their worries and concerns under better control. Some examples of helpful changes to make include:

  • exercising regularly
  • eating a healthful diet
  • reducing exposure to stressors
  • prioritizing issues and events
  • practicing mindfulness, meditation, or yoga
  • keeping a journal to help identify anxiety triggers and coping strategies
  • avoiding alcohol and drugs, and limiting or avoiding nicotine or caffeine
  • setting a sleep schedule to ensure 7–9 hours sleep per night


Anxiousness is a normal part of life, but excessive anxiety or worry — especially if it interferes with everyday functioning or relationships with others — can indicate an anxiety disorder.

GAD is common and highly treatable. Individuals who have concerns about their mental health should see a doctor or psychotherapist for treatment. The earlier a person seeks treatment, the better the outlook.


Suggested Reading


What is the link between anxiety and nausea?
Anxiety can cause a range of physical symptoms. Gastrointestinal symptoms, such as nausea, are particularly common. Discover the link between anxiety and nausea here and learn about the various coping methods and treatments for anxiety.

Read now

8 ways to calm anxious thoughts
There are many ways to calm anxiety. Tips include deep breathing, drinking less caffeine, and trying other relaxation strategies. Learn more here.

Read now

What can trigger anxiety?
Certain situations and events can be anxiety triggers for some people. Strategies are available to help people avoid triggers and get their anxiety under control. Learn more here.

Read now

What to know about waking up with anxiety
A person may wake up with anxiety due to an underlying psychological condition, a chronic health issue, or a more temporary cause. Counseling and coping strategies can often help improve symptoms. Learn more about waking up with anxiety here.

Read now

Top 10 evidence based supplements for anxiety
Previous research has shown that some natural supplements — including vitamins, omega-3 fatty acids, and herbal remedies such as valerian and chamomile — can help relieve the symptoms of anxiety. We explore the evidence for these supplements here.

Read now

    Article last reviewed by Mon 23 September 2019.

    Visit our Anxiety / Stress category page for the latest news on this subject, or sign up to our newsletter to receive the latest updates on Anxiety / Stress.

    All references are available in the References tab.

    Please use one of the following formats to cite this article in your essay, paper or report:

    Leonard, Jayne. “What to know about generalized anxiety disorder.” Medical News Today. MediLexicon, Intl., 23 Sep. 2019. Web.
    24 Sep. 2019.

    Leonard, J. (2019, September 23). “What to know about generalized anxiety disorder.” Medical News Today. Retrieved from

    Please note: If no author information is provided, the source is cited instead.

Latest news

Health tips, wellness advice and more.

Healthline Media UK Ltd, Brighton, UK.

© 2004-2019 All rights reserved. MNT is the registered trade mark of Healthline Media. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional.

This page was printed from:

Visit for medical news and health news headlines posted throughout the day, every day.

2019 Healthline Media UK Ltd. All rights reserved. MNT is the registered trade mark of Healthline Media. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional.


var deferCSS_place = document.getElementsByTagName(‘body’)[0];

// 3. insert object before