Loading…
Loading…
Generalized anxiety disorder (GAD) involves persistent, excessive worry about everyday matters that is difficult to control and may cause physical symptoms.
Quick Answer
Generalized anxiety disorder (GAD) involves persistent, excessive worry about everyday matters that is difficult to control and may cause physical symptoms. Dr. Ruja Shrestha (NMC 19766, Experienced clinical practice in psychiatry and mental health) evaluates generalized anxiety disorder at Kathmandu Neurology Clinic & Cognitive Center, Durbar Marg, Opposite of Yak & Yeti Hotel, Kathmandu 44600, Nepal — evidence-based, medically reviewed.
GAD is characterized by chronic, uncontrollable worry occurring more days than not for at least six months. It affects daily functioning, relationships, and physical health. GAD often co-occurs with depression and other anxiety disorders. Evidence-based management combines psychoeducation, cognitive-behavioral therapy (CBT), and pharmacotherapy when indicated.
Diagnosis is clinical, based on DSM-5 or ICD-11 criteria: excessive worry occurring more days than not for at least six months, with three or more somatic or cognitive symptoms. Screening tools such as GAD-7 or Hamilton Anxiety Rating Scale (HARS) support severity assessment. Medical causes (thyroid dysfunction, stimulant use) should be excluded.
First-line treatments include cognitive-behavioral therapy (CBT) and pharmacotherapy. SSRIs (escitalopram, sertraline) and SNRIs (venlafaxine, duloxetine) are commonly prescribed. Buspirone is an alternative for long-term management. Benzodiazepines may be used short-term in severe cases but carry dependence risk. Lifestyle modifications, relaxation techniques, and regular exercise complement formal treatments.
Management is individualized and discussed with benefits, limitations, and follow-up.
Early intervention for anxiety symptoms, stress management training, regular physical activity, adequate sleep, and limiting caffeine and alcohol intake may reduce risk. Psychological resilience can be strengthened through CBT-based approaches and mindfulness practices.
Normal worry is proportional, time-limited, and about specific issues. In GAD, worry is excessive, persistent, and about multiple topics, and it causes significant distress or functional impairment.
Yes. CBT and SSRIs/SNRIs are effective treatments with response rates of 50-70%. Many individuals achieve substantial symptom reduction with appropriate care.
Not always. Mild to moderate GAD may respond to CBT alone. Medication is recommended when symptoms are moderate to severe, persistent, or when psychotherapy alone is insufficient.
CBT typically involves 12-20 sessions over 3-6 months. Medication trials are usually evaluated after 6-8 weeks. Maintenance treatment may be recommended for chronic or recurrent cases.
Yes � Dr. Jitendra Prasad Yadav (NMC 8029) provides GAD assessment and treatment at Kathmandu Neurology Clinic & Cognitive Center.
Regular exercise, consistent sleep schedule, reduced caffeine, mindfulness or relaxation practices, and limiting alcohol can all support anxiety management alongside formal treatment.
Comprehensive psychiatric evaluation for mood, anxiety, psychosis, and other mental health concerns, including medication assessment and long-term care planning.
Structured, evidence-based cognitive behavioral therapy for anxiety, depression, insomnia, and related conditions.
Evaluation and management of generalized anxiety, panic disorder, social anxiety, and phobias.
Major depressive disorder (MDD) is a common mood disorder characterized by persistent sadness, loss of interest, and a range of emotional and physical symptoms that impair daily functioning.
Panic disorder is characterized by recurrent, unexpected panic attacks � sudden surges of intense fear or discomfort peaking within minutes � accompanied by persistent concern about future attacks.
Social anxiety disorder (social phobia) is characterized by marked fear or anxiety about social situations in which the individual may be scrutinized by others, leading to avoidance or endurance with intense distress.
Anxiety
Understanding Anxiety Disorders: Types, Symptoms, and Evidence-Based Approaches
A comprehensive overview of anxiety disorders, including generalized anxiety, social anxiety, panic disorder, and phobias — with guidance on symptoms, diagnosis, and treatment pathways.
CBT
Cognitive Behavioral Therapy: How It Works and What to Expect
An evidence-based explanation of Cognitive Behavioral Therapy (CBT) — the therapeutic process, core techniques, conditions treated, and what research shows about its effectiveness.
Content on this website is for general educational purposes only and does not constitute medical advice, diagnosis, or treatment. It is not a substitute for evaluation by a qualified healthcare professional. Always seek the advice of your physician or other qualified provider with any questions regarding a medical condition. Never disregard professional medical advice or delay seeking it because of something you have read on this website. In case of a medical emergency, contact emergency services immediately. No doctor–patient relationship is established by use of this site or by contacting the clinic through the site.
Reviewed by Dr. Jitendra Prasad Yadav • Last reviewed: 2026-09-04
Content is educational and aligns with standard medical references; individual evaluation may vary. External links provide context and do not imply endorsement.
Doctor — medically reviewed
Dr. Ruja Shrestha
Consultant Psychiatrist & CBT Therapist • MBBS, MD (Psychiatry) • NMC 19766
This condition guide was medically reviewed by Dr. Ruja Shrestha.
On this site
Article information
Emergency
For sudden neurologic change, thunderclap headache, or seizure >5 min, seek emergency services now.