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Generaliserat ångestsyndrom (GAD)

Senast reviderad:
Sakkunnig:


Definition:
Uttalad oro, under flera månader, kring flera olika händelser eller aktiviteter de flesta dagar tillsammans med symtom (se nedan).
Förekomst:
Livstidsprevalensen är cirka 3–6 % och ungefär dubbelt så vanligt hos kvinnor som hos män.
Symptom:
Typiska symtom är rastlöshet, trötthet, koncentrationssvårigheter, irritabilitet muskelspänning och/eller sömnsvårigheter.
Kliniska fynd:
Eventuellt tecken på ångest. I övrigt normala kliniska fynd.
Diagnostik:
Typisk anamnes, eventuellt stöd av M.I.N.I.  Bedömning av psykiatriska differentialdiagnoser eller psykiatrisk komorbiditet. Kompletterande undersökningar om andra sjukdomar misstänks, till exempel blodprover för att utesluta hypotyreos, hypertyreos eller anemi.
Behandling:
I första hand KBT, och vid behov läkemedelsbehandling.
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  • Anna Nager, med dr och specialist i allmänmedicin, Karolinska institutet

Tidigare sakkunniga

  • Sergej Andréewitch, överläkare, Psykiatri Sydväst, Karolinska universitetssjukhuset
  • Ola Nordviste, psykiater
  • Terje Johannessen, professor i allmennmedisin, Trondheim