6 Generalized Anxiety Disorder (GAD)

Anxiety disorders represent a broad category of mental health conditions characterized by excessive fear, worry, or nervousness that interferes with daily functioning. According to the Centers for Disease Control, 11% of children ages 3-17 had a diagnosed anxiety disorder. According to the National Institute of Mental Health, 19.1% of adults in the US experience an anxiety disorder in a given year, and 6.8 million of those adults are impacted by Generalized Anxiety Disorder (GAD).  These anxiety disorders are among the most common mental health concerns, especially among young adults, including college students. Within this spectrum,  GAD is one of the most prevalent and often misunderstood diagnoses.

 

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The National Institutes of Health explains that GAD is defined by persistent and excessive worry about a wide range of everyday topics—such as school performance, health, finances, or social relationships—that is difficult to control. Unlike more specific anxiety disorders, such as phobias (which focus on a particular object or situation) or panic disorder (which involves sudden, intense episodes of fear), GAD is marked by a more constant, free-floating sense of anxiety that doesn’t always have a clear trigger.

 

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To meet the diagnostic criteria for GAD (as outlined in the DSM-5), a person must experience excessive worry more days than not for at least six months, along with at least three of the following symptoms: restlessness, fatigue, difficulty concentrating, irritability, muscle tension, and sleep disturbances. Importantly, this worry is often perceived by the individual as difficult to control and causes significant distress or impairment in daily life.  Compared to other anxiety disorders, GAD tends to develop more gradually and may go unnoticed for more extended periods because the worries can seem like everyday concerns, just more intense or prolonged. However, the emotional and physical toll can be substantial, particularly for individuals trying to balance academics, work, and social responsibilities.

 

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Manualized CBT for Treating Anxiety Copyright © 2026 by Michael Campbell, Ashley Toland, and Elizabeth Ruegg is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License, except where otherwise noted.