In a generalized anxiety disorder (GAD), a permanent state of increased anxiety and concern with strong anxiety, fear and anxiety is present. The clinical symptoms may be shaking, sweating, multiple somatic complaints and fatigue. The diagnosis is made clinically. The treatment is a relaxation therapy, sometimes together with drug therapy.
In a generalized anxiety disorder (GAD), a permanent state of increased anxiety and concern with strong anxiety, fear and anxiety is present. The clinical symptoms may be shaking, sweating, multiple somatic complaints and fatigue. The diagnosis is made clinically. The treatment is a relaxation therapy, sometimes together with drug therapy. Symptoms and discomfort children have diverse and diffuse concerns that are aggravated by stress. These children often have difficulty concentrating and may be hyperactive and restless. They often sleep poorly, sweat excessively, feel tired and complain of physical discomfort (eg. As stomach pain, muscle aches, headache). Diagnosis Clinical criteria Generalized anxiety disorder (GAD) is diagnosed in children and adolescents when the clearly visible and debilitating symptoms is not a specific disorder such as social anxiety disorder (social anxiety disorders in childhood and adolescence) or panic attacks (panic disorder in children and adolescents ) can be assigned. In addition, the GAS is an appropriate diagnosis for children who have a specific anxiety disorder such. B. separation anxiety include, but additional other pronounced anxiety symptoms, which can go far beyond the one specific anxiety disorder. Specific criteria include excessive anxiety and worry that can be hard kontrolieren patients and occurring on most days for ? 6 months. The symptoms must cause significant stress or limit the social or educational function level and are accompanied by ? 1 of the following: restlessness or a tense feeling light tired difficulty concentrating irritability muscle tension insomnia Uncommon GAS can be confused (ADHD Attention Deficit Disorder and Attention Deficit / Hyperactivity Disorder hyperactivity (ADD, ADHD)) because GAS can cause difficulties in concentration and lead to psychomotor restlessness. In ADHD, however, the children also have difficulty concentrating, and feel uneasy when they are not afraid. Some children have both ADHD and an anxiety disorder. Therapy Relaxation therapy Sometimes anxiolytics, usually SSRI Treatment of GAS with behavioral therapy is a major challenge because the complaints are spread over many points. Relaxation training is sometimes more appropriate. Patients with severe GAS or patients who do not respond to psychotherapeutic intervention, need anxiolytics. As with other anxiety disorders SSRI agents of first choice (see table: drugs for long-term treatment of anxiety and related disorders). Buspirone is sometimes used in children who can not tolerate the SSRI; However, it is much less effective. The first dose of buspirone is 5 mg p.o. 2 times a day; the dose is increased (daily depending on the tolerance or 20 mg 3 times) gradually changing to 30 mg 2 times a day. Abdominal pain and headaches can be the limiting factors in the treatment.