Anxiety is a natural part of life—we all worry from time to time about work, health, or loved ones. But when worry becomes excessive, persistent, and difficult to control, it may signal Generalized Anxiety Disorder (GAD). As a therapist, I often describe GAD as living in a state of “what if,” where the mind feels stuck in loops of concern, regardless of whether or not the fears come true.
What Is Generalized Anxiety Disorder?
GAD is a mental health condition marked by chronic, exaggerated worry about everyday things. Unlike typical anxiety, which often has a clear trigger, the worry in GAD can feel free-floating, shifting from one concern to another. Even when life is relatively calm, a person with GAD may still feel tense or restless.
Common Symptoms of GAD
The symptoms of GAD extend beyond the mind and often impact the body. People may notice:
Excessive worry that is difficult to control, occurring most days for at least six months
Restlessness or feeling keyed up or on edge
Difficulty concentrating or the mind “going blank”
Irritability
Muscle tension (often in the neck, shoulders, or jaw)
Sleep difficulties—trouble falling or staying asleep, or restless, unsatisfying sleep
Fatigue due to constant mental and physical strain
These symptoms can interfere with work, relationships, and overall quality of life.
What Causes GAD?
There isn’t a single cause of GAD, but rather a combination of factors, including:
Genetics: Family history can play a role
Brain chemistry: Imbalances in certain neurotransmitters may contribute
Personality factors: People who are naturally more cautious or sensitive may be more prone
Life experiences: Chronic stress, trauma, or major life changes can trigger or worsen GAD.
In our next Blog Post, we will examine the various treatments for Generalized Anxiety Disorder (GAD).
Liza Linder, MSW, LCSW, is a therapist with 30 years of experience serving the LGBTQ+ and PLWHIV communities. Liza is in person only, in our Philadelphia offices. For more information about Liza, please click on the therapist’s bios.