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Generalized anxiety disorder
We worry about physical ailments, medical examinations, exams or when someone close to us is unavailable for a long time and much more - worries characterize our everyday lives. However, if these fears and worries increase, persist over a longer period of time, become uncontrollable, interfere with everyday life and lead to considerable distress, we speak of a generalized anxiety disorder.
The content of the worries relates to many different areas, such as health, relationships, family, work/career, finances, etc. They mainly occur in the morning or evening and last for several hours for many of those affected. Fearful, threatening events are repeatedly replayed in the mind without finding a solution. These worries are often accompanied by various physical symptoms, such as restlessness, tension, headaches, sleep disorders or reduced performance.
Conditions for the development of a generalized anxiety disorder
Each treatment is preceded by a precise diagnosis. In addition, an individual explanatory model is created that provides insight into the development of the disorder. This takes into account pre-existing risk factors as well as triggers and maintaining factors of the illness.
1. examples of pre-existing risk factors
Please contact JUVENIS by phone at +43 1 236 3020by e-mail to empfang@juvenismed.at or via the contact formto make an appointment for a consultation or treatment.
2. examples of disease-causing factors
3. examples of sustaining factors
Treatments & therapies
As part of a medical examination, physical complaints that cause anxiety must be ruled out, such as heart or thyroid disease.
Talk therapy for generalized anxiety disorder GAD (ICD 10 F 41.1)
GAD is characterized by suffering from the physical manifestations of anxiety, as well as concentration disorders, nervousness, sleep disorders and polytopic fears of illness, death, accidents, etc. The individual symptoms occur in varying combinations as a subliminal permanent condition. Permanent anxiety, incessant brooding and a state of constant tension are present. Fears of losing control of all kinds and fear of fear increasingly characterize the picture, often followed by physical symptoms such as heart stumbling, palpitations, blood pressure fluctuations, globus sensation, subjective feeling of not being able to breathe, non-specific digestive disorders, muscle tension, tinnitus and vertigo etc. as well as catastrophizing interpretations of physical sensations. An inability to switch off and relax gradually develops, coupled with increasing anxiety and sensitivity to noise.
At the beginning of therapy, anxiety patients often need structure and process-oriented "guidance" as well as psychoeducational explanations of the therapeutic procedure and the inner psychological experience. After clarifying a therapeutic goal and establishing a therapeutic alliance, the deficits in self-experience are gradually uncovered and the underlying self-pathology is compensated for. The central emotional schema in generalized anxiety disorder is a worrying, overly responsible feeling.
Increased tolerance for negative affects, changes in specific negative self-beliefs and identification/modification of defenses against organismic experiences gradually lead to an increased willingness to relate authentically to oneself and others. Learning compassionate self-soothing and dialogue with wounded parts of the self is central to this, as is verbalizing emotional content, learning to name and establish a personal relationship to fear, fear-spitting and learning to distinguish between primary and secondary maladaptive emotional reactions ("unfinished business", "empty chair work" with former relevant attachment figures, etc.). Symbolization of experiences, activation of positive experiences and existing successful coping strategies gradually lead to more self-control and confidence in one's own abilities, so that fear of self-damaging experiences and avoidance behaviour can be reduced in the course of therapy. However, the central element in all of this is the quality of the therapeutic relationship.
Costs
| Treatment | Price |
|---|---|
| 1 therapy session (50 minutes) for the treatment of generalized anxiety disorder by Dr. Jutta Leth | € 200 |
In talking therapy for generalized anxiety disorder, a frequency of 1 session per week is usual.
The costs of "clinical-psychological treatment" are not reimbursed by the health insurance company. Some private supplementary insurances often cover part of the costs - however, patients should ask their supplementary insurer about this.
It is also possible to deduct clinical-psychological treatment from tax as an extraordinary burden.
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Responsible for the content of this page: MedR. OÄ Dr. med. Jutta Leth