Generalized Anxiety Disorder: Symptoms and Coping Strategies

Generalized Anxiety Disorder (GAD) can lead to increased fatigue and difficulty sleeping?

Hello, currently I am feeling anxious about my performance at work and in life, which has been unsatisfactory.
Since February of this year, I have experienced a loss of appetite, and starting in March, I have had no desire to eat throughout the day.
I have been feeling nauseous and dry heaving, with dry mouth and throat.
I only manage to eat one or two meals a day, with portions reduced by half compared to before, and I eat very slowly.
I can only drink water and beverages relatively easily.
After the passing of a family member in May, I have been unable to fall asleep until three, four, or even five in the morning.
Earlier this year, I felt like I was not getting enough sleep, which made me prone to daytime drowsiness, often sleeping until noon.
However, in the last month or two, even after sleeping for a long time, I still feel heavy and fatigued, and I wake up without motivation or energy to get up.
I don't even know what meaningful activities I could do upon waking.
Could this be a symptom of generalized anxiety disorder, or could it be depression or chronic fatigue? This state makes me feel even more exhausted and hopeless about living.
I don't know what to do, and even when I talk to others, I only receive responses suggesting that I am under too much stress or that I just need someone to talk to...

Shui Yan, 20~29 year old female. Ask Date: 2020/06/22

Dr. Huang Xiaoxian reply Psychiatry

Hello, Shui Yan.
Thank you for your question.
Based on your description, it seems that you have been experiencing a significant amount of stress recently.
In such situations, it is possible to develop imbalances in mood-related neurotransmitters, which can lead to depression and anxiety disorders.
If psychological adjustments do not lead to substantial improvement (as the chances of natural recovery are lower at this point), I recommend that you visit a psychosomatic medicine clinic for a comprehensive evaluation.
This will allow for appropriate medication and psychotherapy to be administered, aiming to alleviate the related symptoms early on.

Reply Date: 2020/06/22

More Info

Generalized Anxiety Disorder (GAD) is a common mental health condition characterized by excessive and persistent worry about various aspects of life, including work, health, and social interactions. The symptoms of GAD can manifest both psychologically and physiologically, leading to a significant impact on daily functioning.

Symptoms of Generalized Anxiety Disorder
1. Psychological Symptoms:
- Excessive Worry: Individuals with GAD often find themselves worrying excessively about everyday matters, even when there is little or no reason to do so.

- Restlessness: A constant feeling of being on edge or unable to relax.

- Difficulty Concentrating: Trouble focusing on tasks or making decisions due to overwhelming anxiety.

- Irritability: Increased sensitivity to stress and a tendency to become easily frustrated or annoyed.

2. Physical Symptoms:
- Fatigue: Chronic tiredness, even after a full night's sleep, is common.

- Sleep Disturbances: Difficulty falling asleep, staying asleep, or experiencing restless sleep.

- Muscle Tension: Persistent tightness or discomfort in muscles, often leading to headaches or other pain.

- Gastrointestinal Issues: Symptoms such as nausea, diarrhea, or irritable bowel syndrome can occur.

- Changes in Appetite: Loss of appetite or changes in eating habits, as you described, can also be a symptom.

Coping Strategies and Treatment Options
1. Cognitive Behavioral Therapy (CBT): This is one of the most effective treatments for GAD. CBT helps individuals identify and challenge negative thought patterns and beliefs that contribute to anxiety. It also teaches coping strategies to manage anxiety symptoms.

2. Medication: Antidepressants (such as SSRIs like Prozac) and anti-anxiety medications (like Xanax) can be prescribed to help manage symptoms. It's essential to discuss the potential side effects and long-term implications of medication use with a healthcare provider, especially concerning liver and kidney health.

3. Lifestyle Modifications:
- Regular Exercise: Physical activity can significantly reduce anxiety levels and improve mood.

- Healthy Diet: Eating a balanced diet can help stabilize mood and energy levels.

- Sleep Hygiene: Establishing a regular sleep schedule and creating a restful environment can improve sleep quality.

- Mindfulness and Relaxation Techniques: Practices such as meditation, yoga, or deep breathing exercises can help reduce anxiety and promote relaxation.

4. Support Systems: Engaging with friends, family, or support groups can provide emotional support and reduce feelings of isolation. Sharing experiences with others who understand can be incredibly beneficial.

5. Professional Help: If symptoms persist or worsen, seeking help from a mental health professional is crucial. They can provide a comprehensive assessment and tailor a treatment plan that suits your specific needs.

Conclusion
Your symptoms, including loss of appetite, sleep disturbances, and feelings of fatigue and hopelessness, could indicate GAD, but they may also overlap with symptoms of depression or chronic fatigue syndrome. It is essential to consult with a mental health professional who can provide a thorough evaluation and appropriate diagnosis. Remember, you are not alone in this, and there are effective treatments available that can help you regain a sense of control and well-being in your life. Seeking help is a vital step towards recovery, and with the right support, it is possible to manage anxiety and improve your quality of life.

Similar Q&A

Understanding Anxiety Disorders: Symptoms and Management Strategies

I am currently a student, but I am very afraid of attending classes or being in somewhat serious situations, such as meetings with a group of people. I find it difficult to make eye contact with the teacher or speaker, and I experience an inexplicable sense of fear and anxiety. M...

Dr. Chen Wenke reply Psychiatry
Hello Vivi: Based on your description, my assessment is that you are experiencing an anxiety disorder. Your symptoms, in addition to subjective feelings of anxiety, fear, and apprehension, also include physiological symptoms. Many individuals with this type of condition seek cons...

Effective Strategies to Overcome Exam Anxiety and Nervousness

I would like to ask, I often feel uncomfortable or anxious due to exams or unfamiliar environments. Is this because I haven't prepared myself mentally? Are there medical treatments available for these symptoms? Or are there any methods to cope with this? I have an exam comin...

Dr. Chen Wenke reply Psychiatry
Hello: From the issues you've described, it is clear that you have an adjustment disorder, which you often manifest through symptoms of anxiety. Are you someone who tends to be impatient and frequently puts a lot of pressure on yourself, often displaying tense emotions? Indi...

Understanding Generalized Anxiety Disorder: Seeking Help and Support

Recently, I have been feeling anxious. I have experienced this before, but I managed to overcome it with the support of my friends and other focal points in my life. Now, due to unemployment and isolation at home, I feel lonely. Although I don't have financial pressure, I st...

Dr. Duan Yongzhang reply Psychiatry
Hello! I can sense that you are currently struggling with feelings of anxiety. You have experienced similar lows in the past, and I believe you can overcome this one as well. Your condition may not necessarily be "generalized anxiety disorder"; it could also be symptoms...

Coping with Anxiety: Managing Panic Attacks and Stressful Situations

Hello, I previously consulted with a mental health specialist in Taoyuan who diagnosed me with anxiety disorder. Now that I am living with my mother-in-law, her presence has caused me to need to take more medication to relax. Currently, I am experiencing tension, difficulty breat...

Dr. Huang Weiqin reply Psychiatry
Hello, based on your description, it is indeed possible that you are experiencing the effects of anxiety disorder. It is advisable to visit a psychiatrist (or a psychosomatic specialist) accompanied by a family member for a re-evaluation and appropriate treatment. Thank you for y...