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How to Know If Your Worries Are a Deeper Problem

generalized anxiety disorder

A world of worry

Jim Folks mental health odyssey began in 1974 with an upset stomach. Next came muscle tension, dizziness and heart palpitations. At the time, Folk was 21 years old and working in his familys auto-repair shop in Regina. When his symptoms didnt go away, he grew worried. Whenever I had an ache or pain, Id freak out, says Folk, now in his sixties.After a few months, he saw his doctor, who told him it was just stress and to go home and rest. But I didnt feel stressed, Folk says. And I couldnt figure out why every time I tried to relax, my symptoms went full tilt.At first, Folk was convinced he had multiple sclerosis, or maybe cancer, even when doctors reassured him that he didnt. He began experiencing non-stop nausea coupled with debilitating panic attacks. Id start trembling all over, feel dizzy and have hot flashes, he says. I was in the bathroom countless times, heaving with intense stomach upset. My symptoms were robbing me of more and more of my life.

Years passed, but his health failed to improve.

Folk saw several doctors and mental health professionals and tried an array of pills and herbal remedies. Nothing worked. My whole life revolved around a few blocksto work and back home again. I could barely drive, couldnt visit friends, couldnt enjoy my family. Eventually his wife at the time told him he needed to get better or their marriage was over. Folk booked an appointment with a psychologist. Two weeks laterand 10 years after the onset of his symptomshe was finally diagnosed with generalized anxiety disorder and panic disorder.Generalized anxiety disorder, or GAD, is a condition characterized by persistent, excessive worryeven when theres nothing concrete to worry about. People with GAD try to plan for every eventuality, all the time, says Dr. Melisa Robichaud, a psychologist in Vancouver. Its cognitively exhausting. It can be physically taxing, too, with symptoms ranging from fatigue and irritability to difficulty maintaining concentration to restlessness or agitation.At its core, Robichaud says, anxiety is the bodys most basic survival mechanism, the fight-or-flight response you get when you feel threatened. Anxiety is like the bodys smoke alarm: whether theres smoke or fire, it makes the same noise. It can be triggered by real danger but also by anything we perceive as dangerous.People with GAD think through what-if scenarios excessively, and this cycle of worries can end up provoking even more anxiety. The thought of an unpaid bill can quickly escalate to worrying about what theyll do if they wind up homeless. Theyre constantly in their heads and they cant stop their worrying once it begins, Robichaud says.

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