PsychEd: educational psychiatry podcast PsychEd Episode 6: Diagnosing Generalized Anxiety Disorder with Dr. Jared Peck
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Mar 23, 2018 Dr. Jared Peck, Staff Psychiatrist at Mount Sinai Hospital in Toronto, discusses diagnosing Generalized Anxiety Disorder. Topics include DSM-5 criteria, using standardized scales for assessment, navigating differential diagnosis, substance use in coping with anxiety, and distinguishing normal vs. pathological anxiety.
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Silent Suffering
- GAD sufferers often experience significant distress but may not express it openly.
- They frequently consult primary care physicians for physical symptoms related to their anxiety.
GAD Epidemiology
- GAD affects women twice as much as men, with onset often in adolescence or early adulthood.
- However, it can also emerge later in life, sometimes triggered by chronic physical illness.
Diagnosing GAD
- Diagnose GAD using DSM-5 criteria: excessive worry, most days, for six months, impacting function.
- Look for at least three associated symptoms: restlessness, fatigue, poor concentration, irritability, muscle tension, or sleep problems.