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Generalized Anxiety Disorder: A Guide for Teens

  • B Allison, J Hamilton, Q Hines, T Kuzu, M Mazaher, J Navarro
  • Apr 12, 2024
  • 3 min read

What is Generalized Anxiety Disorder: A Guide for Teens

Do you feel like you worry about anything and everything? Unfortunately, too many people suffer in silence. This guide is meant for teens, but people of all ages could benefit from talking more about Generalized Anxiety Disorder (GAD). We will start by defining GAD, going over symptoms, and risk factors, and reviewing some treatment options.

 

What is Generalized Anxiety Disorder (GAD)?

GAD is when someone has excessive and uncontrollable worry, about a variety of things,that lasts for at least six months (American Psychiatric Association, 2022). It can interfere with day-to-day life. It usually starts in adolescence, or early adulthood, and can continue if left untreated (Andrews et al., 2010).


Life Impact

(Roemer & Orsillo, 2012)

Always feeling anxious is not a fun time and can impact someone’s life in many ways. People with GAD may have relationship difficulties because of excessive worrying. GAD can also interfere with school or part-time work responsibilities. Some people with GAD even worry about being worried! Ignoring the symptoms can lead to more distress. By seeking treatment, individuals can improve their overall well-being.


Examples of Symptoms

(American Psychiatric Association, 2022)

Generalized Anxiety Disorder can disrupt a teen’s life both mentally and physically. The mental symptoms are:

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Dorfner, M. (2015). Are anxiety disorders really only in your head? [Photograph]. Mayo Clinic. https://newsnetwork.mayoclinic.org/discussion/are-anxiety-disorders-really-only-in-your-head/

●        Excessive worrying

●        Trouble focusing

●        Poorer school performance

●        Lack of sleep


Physical symptoms include:

●        Shakiness

●        Difficulty breathing

●        Chest tightness

●        Nausea


Risk Factors

(American Psychiatric Association, 2022)

GAD can be passed down through a family’s genes. It can also be triggered by life experiences, such as having a difficult home life. Women are more likely to have an anxiety disorder, so teen girls are particularly at risk.


Neural Basis

(Buff et al., 2016)

In everyone’s brain, there is a threat detector (the amygdala). In people with GAD, this part of the brain is overactive. This can lead to a constant state of anxiety, even when there is no true threat.

 

Treatment Options

(National Institute of Mental Health, 2022)


●       Cognitive Behavioural Therapy (CBT)

  1.  Seeing a therapist one-on-one, or in a group

  2.   Learn strategies to manage anxiety in tough situations

  3.   Learn to reframe unhelpful thoughts

  4.   May have to practice, through “homework”


●       Medication

  1.    Antidepressants, or anti-anxiety medication

  1.        Might have some side-effects

  2.        Takes a few weeks to start to work

  3.        No shame in taking it; no one has to know


●       Lifestyle Changes

  1.       Get a good night’s sleep

  2.       Avoid caffeine

  3.       Exercise

  4.       Practice mindful, deep-breathing


Feeling overwhelmed? Remember, the first step is to see a doctor.


Closing

Worrying all the time sucks, but it is not a sign of weakness. GAD is manageable with a combination of medication, lifestyle changes, and counseling. Lots of help is available and things will get better!

 

Call-to-Action

Have a personal experience with GAD or a suggestion for someone else? Help reduce the stigma by commenting below. Check out our other blog posts for more advice on maintaining mental wellness. Remember, managing GAD takes time. Looking forward to reading the comments!


References

 

American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders:  DSM-5-TR. https://doi-org.libaccess.senecapolytechnic.ca/10.1176/appi.books.9780890425787


Andrews, G., Hobbs, M. J., Borkovec, T. D., Beesdo, K., Craske, M. G., Heimberg, R. G., Rapee, R. M., Ruscio, A. M., & Stanley, M. A. (2010). Generalized worry disorder: a review of DSM-IV generalized anxiety disorder and options for DSM-V. Depression and Anxiety, 27(2), 134–147.  https://doi.org/10.1002/da.20658


Buff, C., Brinkmann, L., Neumeister, P., Feldker, K., Heitmann, C., Gathmann, B., & Andor, T. (2016). Specifically altered brain responses to threat in generalized anxiety disorder relative to social anxiety disorder and panic disorder. NeuroImage: Clinical, 12, 698-706. https://doi.org/10.1016/j.nicl.2016.09.023


National Institute of Mental Health. (2022). Generalized anxiety disorder: When worry gets out of control. https://www.nimh.nih.gov/health/publications/generalized-anxiety-disorder-gad


Roemer, L., & Orsillo, S. M. (2002). Expanding our conceptualization of and treatment for generalized anxiety disorder: Integrating mindfulness/acceptance-based approaches with existing cognitive-behavioral models. Clinical Psychology (New York, N.Y.), 9(1), 54–68. https://doi.org/10.1093/clipsy.9.1.54


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Holly has a PhD (Psychology; Brain, Behaviour and Cognitive Sciences Area), and a Graduate Diploma in Neuroscience, both from York University. She is a full-time faculty member at Seneca Polytechnic and a proud Mom of a child with Ehlers-Danlos Syndrome.

 

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Melissa has a PhD (General Psychology) from Capella University, and an MA (Counselling Psychology; Marriage and Family Therapy Specialization) from Chestnut Hill College. She worked as a marriage and family therapist for over 12 years and is now an Assistant Teaching Professor at Penn State Scranton.  

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