GAD

Question 1

What are 4 predisposing factors for GAD?

Answer 1

1. Genetic
2. Temperament (behavioural inhibition and neuroticism - negative emotionality)
3. Parental overprotection
4. Childhood adversity

Question 2

What is an example of positive beliefs about worry? (Type 1 worry)

Answer 2

Worry helps me solve problems

Question 3

What are 2 examples of negative beliefs about worry? (Type 2 worry)

Answer 3

1. Beliefs about dangerous consequences of worry - “Worry is harmful for my health”
2. Worry is uncontrollable - “I’m going to have a breakdown”

Question 4

What are the maintains factors for GAD?

Answer 4

1. Behaviours - reassurance seeking or seek information to determine if a situation is safe, avoidance, e.g., avoiding news triggering items
2. Thought control - try not to think about topics that trigger worry

Question 5

What does normalising worry and worry awareness training involve?

Answer 5

Psychoeducation re worry normal but their level of worry has become unhelpful exaggerated
Self monitoring of worry (triggers, patterns, and frequency of worry

Question 6

What does the overcoming avoidance intervention involve?

Answer 6

Naming fear underlying “what if?” question (e.g., personal harm or harm of loved ones)
Help client to address these fears

Question 7

What does the accepting uncertainty intervention involve?

Answer 7

Helping clients to tolerate uncertainty by doing behavioural experiments to test negative predictions about enduring uncertainty (e.g., going out without over preparing, such as checking the weather and traffic beforehand, leaving extremely early)

Question 8

What does cognitive restructuring in GAD involve?

Answer 8

Restructure meta-cognitions about worry (e.g., I must worry so I’m not caught unprepared, worrying will damage my heart)

Question 9

What does teaching alternative responses to worrying involve?

Answer 9

E.g., problem solving or distraction, scheduling worry time

Question 10

What does the worry decision tree involve?

Answer 10

Guides through a series of questions.
What am I worried about? Is there anything I can do about this? Is there anything I can do right now? If no, distraction. If yes, engage in problem solving and planning.