Generalised Anxiety:

The NICE recommended treatment for generalised anxiety is cognitive behavioural therapy (CBT). During your treatment, your therapist will assess the components of your anxiety and they will work with you to set goals and develop a formulation of the problem. Your therapist will look at factors, such as your ability to tolerate uncertainty, ways that you behaviourally react to uncertainty and beliefs that you have about the function of worry. Your therapist will work with you to understand how your beliefs, behaviours and the function of worry are maintaining your anxiety. This formulation will provide a template for future work, such as bespoke behavioural experiments and in session cognitive methods. Relapse maintenance will form an important aspect of your treatment, to help maintain the gains you have achieved during therapy.

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What to look out for:

  • Difficulty to stop or intercept a worry cycle.

  • Feeling constantly nervous and on edge.

  • Worrying excessively about different things.

  • Having difficulty relaxing or switching off.

  • Being restless, fidgety and on edge.

  • Becoming easily annoyed, irritable.

  • Difficulties falling asleep due to worry or fragmented sleep.

  • Having a constant sense of foreboding or fear of a catastrophe.

Treatment FOCUS

Type: CBT

Sessions: 10+

Length: 50 mins

Treatment Focus:

  • Assessment

  • Goal Setting

  • Formulation

  • Understanding the roll of uncertainty

  • Thought/worry monitoring

  • Belief modification

  • Problem solving

  • Behavioural Experiments

  • Exposure

  • Responsibility Appraisals

  • Relapse Prevention

Links

NICE Guidelines

https://www.nice.org.uk/guidance/cg113

NHS

https://www.nhs.uk/conditions/generalised-anxiety-disorder/self-help/