Generalized anxiety: when worry won’t switch off
Signs of generalized anxiety disorder, skills to quiet worry, and how treatment helps.
Earl Johns, MSN, PMHNP-BC
Board-certified psychiatric nurse practitioner and founder of Wellthy Psychiatry & Wellness
✓ Medically reviewed by Earl Johns, MSN, PMHNP-BC
Some worry is normal. But when it jumps from topic to topic and never seems to stop, it may be generalized anxiety disorder (GAD).
Signs of GAD
Constant worry that’s hard to control, restlessness, muscle tension, fatigue, irritability and trouble sleeping are common. Symptoms usually last most days for six months or more.
Why worry sticks
Worry can feel protective, like you’re preparing for every possibility. But it rarely solves problems and often keeps the body on high alert.
Skills to try
Set a daily 15-minute “worry time” and postpone worries until then. Write them down. Practice slow breathing and gentle movement to calm the body.
Treatment works
CBT is highly effective for GAD. Medications such as SSRIs or SNRIs can also help. Many people do best with a combination.
A gentle next step
A free 15-minute phone consult is an easy way to see if Wellthy Psychiatry feels like the right fit for you.
This article is for general education and isn’t medical advice. If you’re in crisis, call or text 988, the Suicide & Crisis Lifeline, or call 911.
About the author
Earl Johns, MSN, PMHNP-BC
Board-certified psychiatric nurse practitioner · UCSF-trained · Founder of Wellthy Psychiatry & Wellness
Earl provides LGBTQ+ and neurodivergent-affirming psychiatric care, blending medication management, therapy and whole-person approaches. He sees clients in San Francisco and by telehealth across California.
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