Generalised Anxiety Disorder (GAD)

Generalised Anxiety Disorder (GAD) is the experience of regular, seemingly uncontrollable worries about numerous things in life rather than about a specific trigger. Anxiety can result in differing symptoms between people, but individuals with GAD typically feel anxious most days and can struggle to feel relaxed.

Overview

Generalised Anxiety Disorder (GAD) is the experience of regular, seemingly uncontrollable worries about numerous things in life rather than about a specific trigger. Anxiety can result in differing symptoms between people, but individuals with GAD typically feel anxious most days and can struggle to feel relaxed.

Causes & Symptoms

Causes of GAD

GAD is a common condition, thought to affect up to 5% of the UK population. Whilst there is no one definitive cause, the following factors have been found to increase the likelihood of developing GAD:

  • Genetic vulnerability: sometimes illustrated through family history of GAD, or other mental health disorders
  • Increased activity in brain areas concerned with emotions and behaviour
  • An imbalance of brain chemicals (serotonin and noradrenaline) that are involved in mood regulation
  • Experience of trauma, including abuse and bullying
  • History of chronic physical illness or pain condition
  • A history of drug (including tobacco) or alcohol misuse
  • Excessive caffeine consumption
  • Stressful or significant life event

 

Symptoms of Generalised Anxiety Disorder (GAD)

GAD encompasses both physical and psychological symptoms. The severity and number of symptoms experienced varies between people.

Physical

  • Dizziness
  • Tiredness or fatigue
  • Trouble sleeping
  • Heart palpitations: a noticeably strong, fast or irregular heartbeat
  • Muscle aches and tension
  • Trembling or shaking
  • Dry mouth
  • Sweating
  • Shortness of breath
  • Stomach-ache
  • Nausea, or irritable bowel
  • Headaches or migraines
  • Pins and needles
  • Difficulty with sleep

 

Psychological:

  • Persistent worry
  • Feeling restless, unable to relax
  • Nervousness
  • Overthinking
  • Perfectionistic traits
  • Lack of confidence
  • Negative thinking (i.e. worst case scenarios)
  • Difficulty handling change or uncertainty
  • Difficulty making decisions
  • Decreased energy
  • A sense of dread
  • A feeling of constantly being ‘on edge’
  • Difficulty concentrating
  • Irritability
  • Low self-esteem

Treatments

The treatments and support we provide

We provide a very comprehensive and holistic range of interventions and support. This means we are able to find the mechanisms for recovery, which will be different for each patient. Everyone will have a highly personalised treatment programme. 

The programme is reviewed every week by the patient’s multi-disciplinary team (MDT), encompassing the different professionals involved in their care. Our MDT consists of: consultant psychiatrist, psychotherapist/psychologist, family therapist and occupational therapist. The MDT is at the centre of our approach, ensuring all the progress made across the programme is understood, built upon and applied. Our model provides consistency and continuity. 

Individual programmes are tailor-made to each patient’s needs and progress. The following provides a guide to the typical building blocks of our day treatment programmes, all of which include a number of weekly 1:1 sessions with members of the MDT.

  Full-day Programme Half-Day Programme
Days  Monday to Friday Monday to Friday
Hours 7 - 8 hours per day 4 - 5 hours per day
Programme length Up to 4 weeks Up to 4 weeks
Detailed group therapy 5 - 6 sessions 3 - 4 sessions
Daily meals Lunch/snacks Lunch/snacks

We provide the following therapies and interventions. These may be delivered on a 1:1 or group basis by members of the MDT.

Psycho-education Cognitive behaviour therapy (CBT) Mindfulness
Relapse prevention Self-esteem / resilience  Movement
Peer Led Support Dialectical Behaviour Therapy (DBT) Food preparation / cooking
Applied relaxation Art / drama Interpersonal therapy
Social issues Family therapy Schema

Treatments are available at the following locations

Schoen Clinic Chelsea

Our Address
Schoen Clinic
Centre for Mental Health Chelsea
13a Radnor Walk
Chelsea
London SW3 4BP
General Telephone Enquiries
0203 146 2300
Specialist Areas
Anorexia Nervosa Binge Eating Disorder Bulimia Nervosa Other Specified Feeding and Eating Disorders (OSFED) +7 More

Specialists

Dr James Woolley

Consultant Psychiatrist BSc(Hons) MBBS MRCP MRCPsych PGDip (CBT)

Depression
Anxiety Disorders (health, social, generalised)
17 More ...
Depression
Anxiety Disorders (health, social, generalised)
Panic Disorder (with and without agoraphobia)
Obsessive compulsive disorder Bipolar disorder
15 More ...
Full Profile
Dr Samantha Cobb

Counselling Psychologist DPsych CPsychol

Adjustment Disorders
Anger Management
19 More ...
Adjustment Disorders
Anger Management
Anxiety Disorders (health, social, generalised)
Bipolar Disorder
17 More ...
Full Profile
Dr Niraj Arora

Consultant Psychiatrist

Depression
Anxiety
11 More ...
Depression
Anxiety
Stress related illness
Mood instability
9 More ...
Full Profile
Dr Werner Kierski

Psychotherapist DProf. MA, MBACP (Snr. Accred.), ISST

Personality disorder
Mood disorders
16 More ...
Personality disorder
Mood disorders
Depression
Anxiety
14 More ...
Full Profile