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Generalized Anxiety Disorder: A Case Study

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Generalized anxiety disorder (GAD) is a disorder characterized by persistent excessive anxiety and worry that is usually accompanied with other symptoms such as restlessness or feeling keyed up, easy fatigability, difficulty concentration, irritability, muscle tension and sleep disturbance. Generalized anxiety disorders are common anxiety disorders in Canada, it affects 3% of general population in a given year.(1) It is twice common in women compared to men. GAD often begins in childhood or adolescence. Usually, anxiety symptoms of GAD become less with age, however, it depends on pre-morbid personality functioning, the stability of the relationship, work, and severity

of environmental stress. Considering the chronic nature of GAD makes it difficult treat and many patients experience frequent relapsing symptoms. The use of nutritional supplementation and diet modification can be promising interventions for the management of patients with generalized anxiety disorders.

MEDICAL HISTORY AND PRESENTING CONCERNS
On March 2016, 52-year-old
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The etiology of GAD is complex; it could be related to genetic, neurobiological or psychosocial factors. With regard to treatment, both psychotherapy and medication can be employed according to current treatment guidelines.(1) Cognitive behavior therapy is the commonly employed psychotherapy for anxiety disorders. As for pharmacological treatment, antidepressants (SSRI/SNRI) are commonly used. In addition, simple lifestyle changes such as reduce intake of caffeine, avoidance of alcohol, and stress management are helpful in many patients. In this patient, irrespective of her Antidepressant therapy she continues to experience anxiety symptoms. Initially, the patient was prescribed 5HTP, it was a precursor for serotonin. However, prescribing 5HTP with SSRI can increase the risk of serotonin syndrome but no case reports or research evidence found with regards to Serotonin Syndrome and
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