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Generalized Anxiety Disorder and Its Frequent Comorbidities

Generalized Anxiety Disorder and Its Frequent Comorbidities
The More the Unmerrier: Birds of a Feather Mock Together   GAD stands for generalized anxiety disorder, an exaggerated state of persistent worrying that is uncontrollable and impairing, occurring more than 50% of the time over at least 6 months. It arises from genetic, neuropsychological, and developmental/personality factors. Unfortunately, the majority of people (two-thirds) with GAD also have major depression or other anxiety disorders, such as social anxiety disorder (SAD), specific phobia, or panic disorder. It can also be seen with substance abuse, PTSD, and obsessive-compulsive disorder.1 Like the flock of birds alighting on the jungle gym in the Alfred Hitchcock thriller, the more there are, the more vicious the attack.   Comorbidities often seen with GAD3 Social anxiety disorder (SAD) Also known as social phobia, SAD is an extreme fear of situations subject to scrutiny by others. A person with SAD fears embarrassment or humiliation, so endures these si ...

What Are Anticonvulsants? What about Seizures?

What Are Anticonvulsants? What about Seizures?
So You Went and Had a Seizure. Now what?   Why go and do a thing like that? Not funny. No one wants seizures, of course. But this question is actually important, because the reason someone has a seizure is used to determine whether he or she needs to go on anticonvulsants—anti-seizure medication to prevent them. Epilepsy, defined as a “sudden change in behavior caused by electrical hypersynchronization of neuronal networks in the cerebral cortex,” is diagnosed officially after two or more unprovoked (see below) seizures more than 24 hours apart. If this happens, there is the likelihood more seizures are coming1. Often, getting them is a lifelong commitment, so things must be sorted out clearly on the front end. And even though they may not end up being a lifelong commitment, a commitment to anticonvulsants is always a mistake if that decision is wrong.   Should anticonvulsants be started after a first seizure? If epilepsy is diagnosed aft ...

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