Normal Anxiety Versus Generalized Anxiety Disorder

How Do I Know If My Anxiety is "Normal"?

Tense spectators watching sporting event. Credit: Jose Luis Pelaez Inc

Differentiating between normal anxiety and generalized anxiety disorder (GAD) can be tricky. How do you know, especially if you are a little more anxious than others, whether or not your anxiety is significant enough to qualify as a disorder.

What is Generalized Anxiety Disorder?

Many people feel anxious from time to time, especially during times of stress. However, when you worry excessively, so much so that it interferes with day-to-day activities, you might have GAD.

Some people develop GAD as a child while others do not see symptoms until they are an adult. Either way, living with GAD can last a long time. In many cases, it occurs along with other anxiety or mood disorders. In most cases, it improves with medications or talk therapy (psychotherapy). Making lifestyle changes, learning coping skills and using relaxation techniques also can help.

Symptoms of Generalized Anxiety Disorder

GAD symptoms can include:

  • Persistent worrying or obsession about small or large concerns that's out of proportion to the impact of the event
  • Inability to set aside or let go of a worry
  • Inability to relax, restlessness, and feeling keyed up or on edge
  • Difficulty concentrating, or the feeling that your mind "goes blank"
  • Worrying about excessively worrying
  • Distress about making decisions for fear of making the wrong decision
  • Carrying every option in a situation all the way out to its possible negative conclusion
  • Difficulty handling uncertainty or indecisiveness

Physical signs and symptoms may include:

  • Fatigue
  • Irritability
  • Muscle tension or muscle aches
  • Trembling, feeling twitchy
  • Being easily startled
  • Trouble sleeping
  • Sweating
  • Nausea, diarrhea or irritable bowel syndrome
  • Headaches


The following is a brief guide to determining whether generalized anxiety disorder may be something that you are struggling with.

 

1. “Severe”

Although at times the anxiety that all people experience can be somewhat severe, a characteristic of GAD is that this anxiety is usually more intense and long-lasting. If you have more severe anxiety than most other people you know, then it may be more than normal anxiety.

2. “Disproportionate”
The experience of anxiety for most people is proportionate to the intensity of the situation. For example, if there was a minor anxiety-provoking situation, then the experience of anxiety is typically minor as well. People with GAD tend to become more anxious than the situation appears to warrant. Therefore, if you are someone who has more severe anxiety over “things that shouldn’t be a big deal,” it may be more than normal anxiety.

3. “About Everything”
When people experience normal anxiety they tend to worry about things related to the anxiety-provoking situation, or several other things that make them fearful. People with GAD tend to be described as "worrying about everything all the time”.

If that describes you, it may be more than normal anxiety.

4. “No Control”
Most people can reduce and control their anxiety through a variety of coping techniques and the ability to calm oneself. However, people with GAD have significant difficulty finding relaxation, calm, and time away from their worries. If you have more difficulty than other people you know in controlling your anxiety, it may be more than normal anxiety.

Reference:

Mayo Clinic. Generalized Anxiety Disorder. http://www.mayoclinic.org/diseases-conditions/generalized-anxiety-disorder/basics/definition/con-20024562

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