General anxiety disorder
Anxiety
Psychological symptoms
Fearful anticipation • Irritability
Sensitivity to noise • Restlessness
Poor concentration
Worrying thoughts
Insomnia and/or nightmares • Depression
Obsessions
Depersonalization
Fear of losing control/dying
Physical symptoms
Dry mouth
Tremor
Dizziness
Epigastric discomfort
Difficulty swallowing
Diarrhea
Chest discomfort
Shortness of breath
Palpitations
Sexual dysfunction
Menstrual problems
Paraesthesia
Headache
Generalized anxiety disorder- Symptoms of anxiety for most days for > 6 months
Investigations
TSH
Management
SSRI such as sertraline 50 mg daily
Refer to psychologist / Do mental health plan