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

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