Anxiety · Treatment guide

Generalized Anxiety Disorder

Chronic worry across multiple life domains, often with intolerance of uncertainty.

In this guide

Overview

GAD is driven by worry as a strategy — clients believe it prepares or protects them. Treatment targets worry behavior, intolerance of uncertainty, and avoidance, alongside relaxation and metacognitive beliefs about worry itself.

First-line treatments

Also consider

  • ACT

    Defusion from worry thoughts + values-based action interrupt the avoidance loop.

  • MBCT

    Decentering from worry; useful when rumination is prominent.

  • MI

    For clients ambivalent about giving up worry as a coping strategy.

Worked cases