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Flashcards in GAD Deck (17):

What is GAD characterised by?

The tendency to worry about everything.


Upon what does the client usually focus in GAD?

The future - often missing things in the present which leads to a poor quality of life


What are the six possible symptoms of GAD and how many are necessary for a diagnosis?

Easily fatigued
Difficulty concentrating/mind going blank
Muscle tension
Sleep disturbance


What are the prevalence rates for GAD?

2-4% of population in any given year
4-7% will develop at some point in their lives
Either early onset (11-20) or middle ages
More common in women than in men


Upon what will a CBT assessment of GAD focus?

Intolerance of uncertainty
Poor problem orientation
Cognitive avoidance
Beliefs about worry
Goals - I want to get rid of my worry


What other symptoms are common to GAD?

Depressive symptoms


Who developed the model of GAD?

Dugas et al. (1998)


How do Dugas et al. (1998) conceptualise GAD?

As a syndrome driven by pervasive, excessive and uncontrollable worry.


What is the ultimate treatment goal of CBT in GAD?

Develop a greater tolerance for uncertainty.


What are Dugas et al's (1998) six treatment modules?

Pyshcoeducation and worry awareness training
Uncertainty recognition and behavioural exposure
Re-evaluation of the usefulness of worry
Problem solving training
Imaginal exposure
Relapse prevention


What does worry awareness training consist of?

Identification of times of worry and then categorising them into:

worries about the current problem
worries about a hypothetical situation


When shouldn't you use problem solving in GAD?

When the hypothetical worries would be better met with tolerance of uncertainty
Unless preparing self for something like a job interview/writing a will
When things in the past cannot be resolved (e.g. why didn't my mother love me?)


What are the three elements of Dugas et al's (1998) relapse prevention?

Daily maintenance of appropriate exercises
Identifying at risk situations
Preparing for at risk situations - difference between lapse and relapse


According to Wells (1995), what is a type 1 worry in GAD?

External daily events


According to Wells (1995), what is a type 2 worry in GAD?

Worry about the worry


What are some of the positive beliefs about worry according to Wells (1995) in GAD?

Worry increases sensitivity to threat information


Overall, when assessing in anxiety what do we need to know?

What are the thoughts, fears, avoidance and safety behaviours?