Generalized Anxiety Disorder

GENERALIZED ANXIETY
DISORDER
VIDEO
VIDEO
VIDEO
INTRODUCTION
GENERALIZED ANXIETY DISORDER
• A person with GAD worries excessively and feels highly

anxious.
• Unable to control their focus on worry.
• People with GAD tend to be described as "worrying about
everything all the time”
• Common in women than men
• Can be seen in Child, Adolescence, and adult
GENERALIZED ANXIETY
DISORDER (GAD)
• Is characterized by persistent and
excessive worry about a number of
different things.
• People with GAD may anticipate disaster
and may be overly concerned about
money, health, family, work, or other
issues.
• People with GAD worry excessively and
uncontrollably about daily life events and
activities.
GENERALIZED ANXIETY
DISORDER (GAD)
• They often experience uncomfortable
physical symptoms, including fatigue and
sore muscles, and they can also have
trouble sleeping and concentrating.
• 5-6 % of adults will experienced GA at
some point in their lives.
Symptoms in Child and
Adolescence
• Many worries about things • Muscle aches or tension
before they happen
• Sleep problems
• Many worries about friends,
school, or activities • Extreme tiredness (fatigue)
• Fears about their safety • Lack of concentration
• Refusing to go to school • Being easily startled
• Frequent stomachaches, • Being grouchy
headaches, or other physical • Inability to relax
complaints
Symptoms in Adults
• Carrying every option in a • Inability to relax, restlessness,
situation all the way out to its and feeling keyed up or on edge
possible negative conclusion • Inability to set aside or let go of
• Difficulty concentrating a worry
• Difficulty handling uncertainty • Persistent worrying or obsession
or indecisiveness with small or large concerns
that's out of proportion to the
• Distress about making
impact of the event
decisions for fear of making
the wrong decision • Worrying about excessively
worrying
Causes of GAD in a child or teen
• Experts believe GAD is caused by
both biological and environmental
factors.
• A child may inherit a tendency to
be anxious.
• An imbalance of 2 chemicals in the
brain (norepinephrine and
serotonin) most likely plays a part.
• A child can also learn anxiety and
fear from family members and
others.
Causes of GAD in adults
• Differences in brain chemistry

and function.
• Genetics
• Differences in the way threats
are perceived
• Development and personality
INTERVENTION
✓ Stay calm and be
nonthreatening
✓ Assure client of safety
✓ Be clear and concise with
words
INTERVENTIONS ✓ Provide a non-stimulating
environment
✓ Administer medications as
prescribed
✓ Recognize precipitating factors
✓ Encourage client to verbalize
feelings
MANAGEMENT
• Learning about • Dietary adjustments
anxiety • Exercise
• Mindfulness • Learning to be
• Relaxation assertive
techniques • Building self-
• Correct breathing esteem
techniques • Structured problem
• Cognitive therapy solving
• Behaviour therapy • Support groups
• Counselling
TREATMENT
PSYCHOTHERAPY MEDICATION
• Cognitive Behavioral • Selective serotonin
Therapy (CBT) reuptake inhibitor (SSRI)
• Acceptance and • Buspirone
Commitment Therapy (ACT) • Benzodiazepines
NURSING
CARE PLAN
Assessment Nursing Diagnosis Goal of care
Subjective: Short term goal:
➢ Stimulus believe to be At the end of 30 minutes to
threat 1 hour nursing intervention
➢ Decrease in self-assurance the client will be able to
➢ Increase tension display lessened fear as
evidenced by appropriate
Fear related to phobic range of feelings and relief
Objective: stimulus of signs and symptoms
➢ Increase in alertness
➢ Impulsiveness Long term goal:
➢ Focus narrowed to the The client will be able to
source of fear resolve the key issue that is
the source of the fear
Nursing Interventions Rationale Evaluation
Stay with the client or make Providing the client with usual
arrangements to have someone or desired support persons can
else be there diminish feelings of fear
This helps in understanding
Determine the client’s age and
usual or typical fears
developmental level
experienced by individuals
Emotion connected to
thought, and changing to a Goal met:
Suggest that the client more positive thought can Client will be able to
substitute positive thoughts for decrease the level of anxiety acknowledge and discuss
negative ones experienced. This also gives
fears
the client an alternative way
of looking at the problem.
This provides a role model,

Encourage contact with a peer
and the client is more likely to
who has successfully dealt with
believe others who have had
a similarly fearful situation
similar experiences
Subjective:
➢ Inability to deal with a
situation
➢ Alteration in sleep pattern
Objective: Ineffective coping At the end of 4 hours

➢ Ineffective coping related to inadequate nursing intervention the
strategies confidence in ability to client verbalized feelings
➢ Difficulty organizing deal with a situation congruent with behavior
information
➢ Inability to attend to
information
Assess client’s level of anxiety. Helping the client recognize the
Investigate the types of situationsprecipitating factors is the first
that increase anxiety and result instep in teaching the client to
ritualistic behaviors interrupt the escalating anxiety
To identify successful techniques
Determine previous methods of
that can be used in the current
dealing with life problems
situation
Determine alcohol intake, drug This mechanisms are often used
use, smoking habits, and sleeping when the individual is not coping Goal met:
and eating patterns effectively with stressors Client will be able to
Using the client’s name acknowledge and discuss fears
Call the client by name. ascertain
enhances sense of self and
how the client prefers to be
promotes individuality and self-
addressed
esteem
Provide gradual implementation

This enhances commitment to
and continuation of necessary
plan
behavior/lifestyle changes
Subjective: Short term goal:

➢ Aloneness The client will willingly
➢ Inability to meet attend therapy activities
expectations of others accompanied by trusted
staff member in 1 week
Objective:
Social isolation related
➢ Sad or flat affect Long term goal:
to alteration in mental
➢ Preoccupation with own The client will voluntarily
status
thoughts spend time with other
➢ Absence of support system clients and staff members
in group therapeutic
activities
Promotes trust, allowing
Establish therapeutic nurse-
client to feel free to discuss
client relationship
sensitive matters
Identify behavior response of

May also potentiate isolation
isolation
Provide positive Goal met:
Encourages continuation of
reinforcement when client Client expresses increased
efforts
makes move toward others sense of self-worth.
Involve children and

adolescents in age- To promote socialization
appropriate programs and skills and peer contact
activities
This Presentation is Prepared by
GROUP 4
AHMAD, NURHADA
CADENAS, MICHE JUBEL
DELOS SANTOS, MARY ANN
PABILLORE, JOCEL
PAPA, DEVELYN

Generalized Anxiety Disorder

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GENERALIZED ANXIETY

• A person with GAD worries excessively and feels highly

• Differences in brain chemistry

This provides a role model,

Objective: Ineffective coping At the end of 4 hours

Provide gradual implementation

Subjective: Short term goal:

Identify behavior response of

Involve children and

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