What is generalized anxiety disorder?
Generalized anxiety disorder (GAD) is characterized by persistent, excessive worry about a wide range of topics — work, health, family, money, everyday situations. Unlike the normal anxiety most people experience, GAD worry is difficult to control and causes significant distress or functional impairment.
Symptoms of GAD
- Excessive worry occurring more days than not for at least 6 months
- Difficulty controlling the worry
- Physical symptoms: restlessness, fatigue, difficulty concentrating, irritability, muscle tension, sleep problems
- Significant distress or impairment in daily functioning
Who develops GAD?
GAD affects approximately 6.8 million[1] American adults. It's twice as common in women as men and often co-occurs with depression. GAD frequently develops gradually and can be triggered or worsened by chronic stress, major life changes, or trauma.
Evidence-based treatment
CBT is the most well-researched treatment for GAD, with studies showing significant symptom reduction in 12–16 sessions[2]. CBT helps identify worry triggers, challenge catastrophic thinking, and develop practical coping strategies. Medication — particularly SSRIs and SNRIs — is also effective and is often used in combination with therapy for moderate to severe GAD.
Finding a GAD specialist
Look for therapists who specifically mention GAD or generalized anxiety as a specialty. Ask about their CBT training and experience. Many GAD specialists also offer interoceptive exposure techniques and relaxation training as part of a comprehensive treatment plan.