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Anxiety attack
I get anxious about everything
Insomnia
Irrational fear
So much anxiety I can't do anything
Uneasy feeling in body
Anxiety keeps waking me up
Difficulty concentrating
Short temper
Anxiety flare up
I'm getting anxiety for no reason
Feeling great anxiety or nervousness
Not seeing your symptoms? No worries!
Generalized Anxiety Disorder is a condition in which a person experiences intense, excessive, and persistent worry about a variety of things for six or more months. While anxiety is normal in stressful situations, excessive anxiety can be an indicator of an underlying anxiety disorder and interfere with daily living.
Your doctor may ask these questions to check for this disease:
Mild anxiety can often be managed with coping mechanisms, life changes, and counseling. For severe cases, medication like antidepressants, anxiolytics, and sedatives may be advised along with therapy.
Reviewed By:
Weston S. Ferrer, MD (Psychiatry)
Weston Ferrer is a physician leader, psychiatrist, and clinical informaticist based in San Francisco. With nearly a decade of experience in academia and more recent immersion in industry, he has made significant contributions to the fields of digital health, health tech, and healthcare innovation. | As an Associate Professor at UCSF, Weston was involved in teaching, leadership, and clinical practice, focusing on the intersection of technology and mental health. He recently led mental health clinical for Verily (formerly Google Life Sciences), where he applied his expertise to develop innovative solutions for mental healthcare using the tools of AI/ML, digital therapeutics, clinical analytics, and more.. | Weston is known for his unique ability to innovate and support product development while bringing pragmatism to technology entrepreneurship. He is a strong advocate for patient-centered care and is committed to leveraging technology to improve the health and well-being of individuals and communities. |
Yu Shirai, MD (Psychiatry)
Dr. Shirai works at the Yotsuya Yui Clinic for mental health treatment for English and Portuguese-speaking patients. He treats a wide range of patients from neurodevelopmental disorders to dementia in children and participates in knowledge sharing through the Diversity Clinic.
Content updated on Dec 8, 2024
Following the Medical Content Editorial Policy
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Q.
How to tell if you are a narcissist.
A.
Signs you might be a narcissist include persistent grandiosity, craving admiration, low empathy, and disproportionate anger or shame at criticism—especially when these patterns harm relationships, work, or daily life. Because narcissism exists on a spectrum, there are several factors to consider—see below for specific behaviors to watch for, the difference between grandiose and vulnerable types, self-reflection questions and a free screening to try, plus when to seek a professional evaluation and what treatments can help.
References:
Pincus AL, Ansell EB, Pimentel C, Cain NM, Wright AG, & Levy KN. (2009). Initial construction and validation of the Pathological N… Psychological Assessment, 19739466.
https://pubmed.ncbi.nlm.nih.gov/19739466/
European Association for the Study of the Liver & Asociación Latinoamericana para el Estudio del Hígado. (2015). EASL–ALEH clinical practice guidelines: non-invasive tests… Journal of Hepatology, 26174303.
https://pubmed.ncbi.nlm.nih.gov/26174303/
Tsochatzis EA, Gurusamy KS, Ntaoula S, Cholongitas E, Davidson BR, & Burroughs AK. (2014). Elastography for the diagnosis of severity of liver fibrosis in… Journal of Hepatology, 23619173.
Q.
What is a covert narcissist?
A.
A covert narcissist is someone with the core traits of narcissistic personality disorder—grandiosity, need for admiration, and low empathy—who expresses them in a quiet, self-effacing, or victim-tinged way (think passive-aggression, envy, and hypersensitivity to criticism) that can be just as harmful to relationships. There are several factors to consider, including key red flags, how it differs from overt narcissism, and next steps like screening, diagnosis, therapy, and boundary-setting—see details below.
References:
Pincus AL, Cain NM, & Wright AGC. (2009). Initial construction and validation of the Pathological Narcissism I… Journal of Personality Assessment, 19337415.
https://pubmed.ncbi.nlm.nih.gov/19337415/
Tsochatzis EA, Gurusamy KS, Tocchi A, Davidson BR, & Burroughs AK. (2011). Meta-analysis: the diagnostic accuracy of transient elastogr… Alimentary pharmacology & therapeutics, 21435028.
https://pubmed.ncbi.nlm.nih.gov/21435028/
European Association for the Study of the Liver. (2018). EASL clinical practice guidelines for the management of pati… Journal of Hepatology, 29207207.
Q.
What is generalized anxiety disorder (GAD); do I have it?
A.
Generalized anxiety disorder (GAD) is a common, treatable condition marked by persistent, excessive worry most days for months that’s hard to control and often causes restlessness, muscle tension, sleep problems, and impaired daily functioning. If these patterns fit you, tools like the GAD-7 (a score of 10 or higher suggests higher likelihood) can guide you to seek a professional diagnosis and care—there are several factors to consider, so see below for key symptoms, risks, self-checks, effective therapies and medications, self-help steps, and urgent warning signs that can shape your next steps.
References:
Spitzer RL, Kroenke K, Williams JB, & Lowe B. (2006). A brief measure for assessing generalized anxiety disorder… Arch Intern Med, 16717171.
https://pubmed.ncbi.nlm.nih.gov/16717171/
Wittchen HU. (2002). Generalized anxiety disorder: prevalence, burden, and cost to society… Depress Anxiety, 12209855.
https://pubmed.ncbi.nlm.nih.gov/12209855/
Tsochatzis EA, Bosch J, & Burroughs AK. (2014). Liver cirrhosis… Lancet, 24581686.
Q.
Can caffeine affect anxiety medication?
A.
Caffeine can interact with anxiety medications and might make anxiety symptoms worse. It's important to be careful with caffeine if you're taking these medications. See below to understand more.
References:
Broderick PJ, Benjamin AB, & Dennis LW. (2005). Caffeine and psychiatric medication interactions: a review. The Journal of the Oklahoma State Medical Association, 16206866.
https://pubmed.ncbi.nlm.nih.gov/16206866/
McCusker RR, Fuehrlein B, Goldberger BA, Gold MS, & Cone EJ. (2006). Caffeine content of decaffeinated coffee. Journal of analytical toxicology, 17132260.
https://pubmed.ncbi.nlm.nih.gov/17132260/
Broderick P, & Benjamin AB. (2004). Caffeine and psychiatric symptoms: a review. The Journal of the Oklahoma State Medical Association, 15732884.
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Link to full study:
https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1American Psychological Association - Beyond Worry
https://www.apa.org/topics/anxiety/disordersDSM - GAD
https://www.verywellmind.com/dsm-5-criteria-for-generalized-anxiety-disorder-1393147