There must be at least three of the following symptoms, unrelated to drugs, substances or medical conditions, on more days than not for at least six months: "restlessness or feeling keyed up or on edge, being easily fatigued, difficulty concentrating or mind going blank, irritability, muscle tension and sleep disturbance" (American Psychiatric Association, 2013, p. 222). GAD is the most common anxiety disorder diagnosed internationally. The American Psychiatric Association (2103), states that globally, the 12-month prevalence for GAD is between 0.4% to 3.6%, and is twice as common in women than in men. GAD diagnoses are spread widely over ages but tends to peak during middle age (45-50 years), and declines later in life. GAD tends to co-occur with other anxiety and depressive disorders (American Psychiatric Association, 2013). The average age onset of GAD is 30 years, though earlier symptoms in life may be described as an anxious temperament. Symptoms tend to be chronic over lifetime with low remission rates. There are cultural differences in the way the symptoms of GAD present, some cultures somatic symptoms such as muscle tension are prominent, while in other cultures cognitive symptoms predominate (American Psychiatric Association, 2013). Typically, Europeans report GAD more often than Asian, African, Native American and Pacific Island people, and
There must be at least three of the following symptoms, unrelated to drugs, substances or medical conditions, on more days than not for at least six months: "restlessness or feeling keyed up or on edge, being easily fatigued, difficulty concentrating or mind going blank, irritability, muscle tension and sleep disturbance" (American Psychiatric Association, 2013, p. 222). GAD is the most common anxiety disorder diagnosed internationally. The American Psychiatric Association (2103), states that globally, the 12-month prevalence for GAD is between 0.4% to 3.6%, and is twice as common in women than in men. GAD diagnoses are spread widely over ages but tends to peak during middle age (45-50 years), and declines later in life. GAD tends to co-occur with other anxiety and depressive disorders (American Psychiatric Association, 2013). The average age onset of GAD is 30 years, though earlier symptoms in life may be described as an anxious temperament. Symptoms tend to be chronic over lifetime with low remission rates. There are cultural differences in the way the symptoms of GAD present, some cultures somatic symptoms such as muscle tension are prominent, while in other cultures cognitive symptoms predominate (American Psychiatric Association, 2013). Typically, Europeans report GAD more often than Asian, African, Native American and Pacific Island people, and