Generalized Anxiety Disorder: Development, Diagnosis, Comorbidity and Treatment

Introduction Generalized anxiety disorder (GAD), one of the most common mental disorders in the United States, is an important diagnostic consideration for many experts (Fricchione, 2004). GAD is known as "reason not to worry" (Wehrenberg & Prinz, 2007, p. 116) and can affect multiple ages. Children can develop GAD and suffer in the rest of their lives. Adults can also develop it. This is common to women and aging population. This is also the result of social pressure on men who do not recognize symptoms (Wehrenberg & Prinz, 2007).

Hoffman: Yes, all anxiety disorders are very coexistent. Co-morbidity is the coexistence of two or more problems in humans. The most common problem of patients with social anxiety disorder is really depression. Thereafter, there are other forms of anxiety, in particular generalized anxiety disorder and panic disorder. But for almost all diseases - they overlap each other. By the way, this will cause psychiatric diagnostic problems. Because it thinks that there is not such a high overlap, it exists.

Major depression is in good agreement with other psychoses. The National Consumer Questionnaire (USA) in 1990-92 reported that half of patients with severe depression also had lifestyle anxiety disorders and related disorders such as generalized anxiety disorder. Anxiety symptoms may have a significant impact on the course of depression, such as delayed recovery, increased risk of recurrence, increased disability, increased suicide attempts, etc. Alcohol addiction and drug abuse rates increase with increasing dependence, and about one-third of people diagnosed with ADHD develop depression. Post traumatic stress disorder and depression often occur simultaneously. Depression may co-exist with attention deficit hyperactivity disorder (ADHD), complicating both diagnosis and treatment. Depression often coexists with alcohol abuse and personality disorder

Psychotherapy is the main treatment of borderline personality disorder. Treatment should be based on individual needs, not a general diagnosis based on BPD. It can be used to treat co-morbidities such as depression and anxiety. Short term hospitalization was not found to improve the prognosis or long-term suicidal behavior of BPD patients more effectively than community care. More stringent treatment is not superior to treatment that is not very strict. There are six cures: Dynamic Dismantle Psychotherapy (DDP), Psychotherapy (MBT), Metastatic Psychotherapy, Reproductive Behavior Therapy (DBT), General Psychiatry Treatment, Model-Centered Treatment. Although DBT is the most commonly studied therapy, all of these treatments appear to be effective in treating BPD, except for model-centered treatments.