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A key symptom of chronic stress
is anxiety that is persistent over a long time (longer
than 6 months) and widespread on a wide range of events
or activities (such as work or school performance), not
being restricted to a particular situation in phobias or
appeared only in the form of crisis, as in the case of
panic disorder. The state of almost permanent anxiety,
fluctuating slightly during the day and affecting the
quality of sleep. Anxiety is often linked to
concerns over (called apprehensive expectation). For
example, fear that a close relative or person who suffers
from this disorder may have an accident, illness or
death. The person finds it difficult to control this
state of constant concern. Anxiety and worry are associated
with 3 or more of the following symptoms:
Stress, worry or physical
symptoms cause significant discomfort or a deterioration
in family relationships, social, occupational or other
important areas of activity of the person. Stress symptoms in
generalized anxiety disorder are constant unlike what happens
in panic disorder where panic-anxiety appears as
paroxysmal and usually lasts no more than 30 minutes but
leaves the patient with a lot more fear to feed a new
crisis. This "fear of fear" is called "anticipatory
anxiety" and can be confused with generalized anxiety
disorder. It is also important to rule out that the
symptoms of stress are not
due to the intake of any substance ansiogénica or
stimulant: caffeine, amphetamines or a medical illness
(eg hyperthyroidism). is much more than what a normal
person experiences in their daily lives. Chronic tension
and concern prevails even if there was no real cause to
provoke these symptoms. The suffering in this disorder
means always anticipating disaster, often overly
concerned with health, money, family or work. However,
sometimes the root of this concern is difficult to
locate. The mere fact of thinking, or addressing the day
can cause anxiety. Case Report "I always thought I was
apprehensive. I felt restless and could not rest.
Sometimes these feelings came and went. Other times they
were constant. They could last for days. I was worried if
I was going out for dinner to prepare for the party or
what would be a great gift for someone. Just could not
leave anything behind. It was this tension that I
experienced that at times made me desperate. A horrible
feeling. He had problems sleeping. There
were stressful times when waking in the morning or in the
middle of the night, sweating and shivering. I worked
hard to concentrate even while reading the newspaper or a
book. Sometimes I felt a bit distressy. My heart beat was
too fast or hit me in the chest. This worried me even
more. all day long I was concerned about what could
happen, could not concentrate on the present, or routine
tasks.... " Treatment of Generalized Anxiety
Disorder includes the use of specific forms of medication
and psychotherapy, the most effective treatment for GAD
typically combine psychotherapy and hypnosis,
hypnotherapy. There is considerable variation
in terms of cultural expression of stress (eg, in some
cultures the anxiety is expressed through somatic
symptoms and other symptoms through cognitive). It is
important to take into account the cultural context to
assess the excessive nature of some concerns. In children
and adolescents with generalized anxiety disorder,
anxiety and concerns tend to refer to the performance or
competition in the school or sports, even when these
individuals are evaluated by others. Sometimes time is
the issue that concerns focused excessive. Other times,
catastrophic events like earthquakes or nuclear war.
Children who have the disorder can be displayed openly
conformists, perfectionists, and unsure of themselves
inclined to repeat their dissatisfaction by excessive
work in the light of the results fail to reach
perfection. In pursuing the approval of others may show a
suspicious characteristic; excessive need to ensure the
quality of their performance or other issues that
motivate their concern. In general, the symptoms of GAD
tend to decrease with age. The disorder is slightly more
common in women than in men when studying samples of
medical centers (approximately 55-60% of diagnoses are
made by women). In epidemiological studies of the general
population of women is two thirds for women.
Generalized Anxiety Disorder
(GAD)
Treatment of panic, stress and
anxiety
Symptoms of stress and panic
depend on the culture, age and sex: