Generalized anxiety disorder

In our practice, we offer treatment for generalized anxiety disorder in Cologne and Frechen, including specialist diagnostics and individual therapy.

Generalized anxiety disorder (GAD) is a long-term and often chronic anxiety disorder characterized by excessive and inappropriate anxiety. Those affected often fear future events and have difficulty controlling their anxiety.

The symptoms of generalized anxiety disorder (GAD) encompass a wide range of physical and psychological symptoms, including heart palpitations, sweating, trembling, fatigue, sleep disturbances, difficulty concentrating, and irritability. Panic attacks can also occur.

The diagnostic criteria according to ICD-10 include the presence of excessive and inappropriate anxiety that lasts for more than six months and interferes with daily life. In addition, at least three of the following symptoms must be present: restlessness or heightened agitation, difficulty concentrating or obsessive thoughts, anticipation of a bad outcome, muscle tension, or sleep disturbances.

The primary medication for generalized anxiety disorder (GAD) involves prescribing antidepressants, particularly selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs). These medications can alleviate anxiety symptoms and improve mood. Other medications, such as benzodiazepines, are also available, but these should only be used for short periods due to the potential for dependence and tolerance.

Psychotherapeutic treatment for generalized anxiety disorder (GAD) primarily involves behavioral therapy and cognitive behavioral therapy. These therapies aim to identify and modify the negative thoughts and behavior patterns that maintain anxiety. A combination of medication and psychotherapy is often the most successful approach.

Mindfulness exercises and meditative techniques play an important role in the treatment of GAS.

Mindfulness refers to the ability to be present in the here and now and to consciously perceive thoughts and feelings without judging or trying to change them. Through the practice of mindfulness, patients learn to better understand and manage their anxiety and worries. They learn to observe their thoughts and feelings, accept them, and not be overwhelmed by them.

Meditative practices such as yoga, progressive muscle relaxation, and breathing exercises can also be helpful in reducing the symptoms of GAD. They help improve body awareness and focus attention on the present moment. This can help alleviate anxiety and lower stress levels.

Regarding the prognosis, it is important to emphasize that GAD is generally very treatable. A combination of medication, psychotherapy, and mindfulness exercises can lead to significant symptom improvement. However, it is crucial that treatment is continued regularly to prevent relapse.

Read more here about the causes, course, and treatment.