Mental Health Anxiety Disorders Anxiety Disorder Guide Anxiety Disorder Guide Overview Diagnosis Treatment How Anxiety Disorder Is Diagnosed By Lana Bandoim Lana Bandoim Facebook LinkedIn Twitter Lana Bandoim is a science writer and editor with more than a decade of experience covering complex health topics. Learn about our editorial process Updated on March 10, 2021 Medically reviewed by Steven Gans, MD Medically reviewed by Steven Gans, MD Steven Gans, MD, is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Expert Board Print Table of Contents View All Table of Contents Professional Screenings Labs and Tests Self/At-Home Testing Next in Anxiety Disorder Guide How an Anxiety Disorder Is Treated Generalized anxiety disorder (GAD) is a mental health condition that causes excessive worry along with other symptoms that can get worse over time and can interfere with your daily activities. It can sometimes be challenging to diagnose GAD and may take time. If you are concerned that you or a loved one may have GAD, speak with your healthcare provider to start the diagnosis process. Verywell / Ellen Lindner Professional Screenings A healthcare provider or mental health professional can do a screening for GAD. Your primary care healthcare provider may refer you to a specialized mental health provider, such as a psychotherapist. The diagnosis process will begin with the healthcare provider asking questions about your: Medical history Current prescription and over-the-counter (OTC) medications Symptoms Concerns about your mental health Your healthcare provider will also do a physical exam and ask about any physical symptoms you may have. DSM-5 Criteria A healthcare provider will use the "Diagnostic and Statistical Manual of Mental Disorders" (DSM-5) criteria to diagnose GAD. The DSM-5 lists specific symptoms that help your healthcare provider determine the type of condition you have. DSM-5 criteria for generalized anxiety disorder include: Excessive worry and anxiety that happens more often than not for at least six months and affects different activities Problems controlling the worryWorry and anxiety affecting your ability to function Another medical condition or medication is not causing these symptoms Another mental disorder is not causing how you feel Worry and anxiety are associated with three or more of the following six symptoms: Restlessness or feeling on edge Becoming tired easily Problems concentrating or feeling like your mind is blankIrritability Muscle tension or aches Problems with sleep Generalized Anxiety Disorder Assessment (GAD-7) Your healthcare provider may also use the Generalized Anxiety Disorder Assessment (GAD-7) during diagnosis. The GAD-7 is a questionnaire that ranks your answers on a scale of zero to three. The questions focus on over the last two weeks how often you have been bothered by symptoms that might reflect GAD. Your healthcare provider adds up the answers to the seven questions to determine if you have GAD and its severity. GAD-7 Scoring The total score on the GAD-7 ranges from zero to 21. The scores indicate:Mild anxiety: 5 to 9Moderate anxiety: 10 to 14Severe anxiety: 15 to 21 Labs and Tests Although there are no specific laboratory tests that can diagnose GAD, your healthcare provider may order some to rule out the possibility of another medical condition causing your symptoms. Other Mental Health Conditions It is also possible to have GAD at the same time as a different mental health condition. You may have: Blood tests Urine testsOther tests It is possible for certain medications and medical conditions to cause symptoms that can be similar to GAD. Make sure you share all of the vitamins, herbs, prescriptions, and OTC medications you take with your healthcare provider. Self/At-Home Testing You may be wondering if you have GAD. Although you can find online self-screening tests and other tools, an at-home assessment cannot provide a proper diagnosis of a mental health condition. Even if you take this type of test, you will still need to see a healthcare provider to get a diagnosis and treatment. Accuracy of Self-Assessments Self-screening tests may not be accurate and can give false-positive or false-negative results. A self-assessment cannot replace the experience and knowledge of a mental health professional. A Word From Verywell It is normal to have some anxiety or worry once in a while, especially if you are under a lot of stress. However, GAD is more extreme and has specific symptoms. It is crucial not to wait before asking for help. Although it can be hard to seek out a diagnosis, it is the right decision. Being honest about your symptoms and what you are experiencing is essential to get the help you need. It will determine the type of care you receive. If you or a loved one is experiencing GAD, it is important to talk to your healthcare provider. Receiving the correct diagnosis is the first step on the path to wellness because understanding the mental health condition you have is important for getting the right treatment. 2 Sources Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. National Institute of Mental Health. Anxiety disorders. Locke AB, Kirst N, Shultz CG. Diagnosis and management of generalized anxiety disorder and panic disorder in adults. Am Fam Physician. 2015;91(9):617-624. By Lana Bandoim Lana Bandoim is a science writer and editor with more than a decade of experience covering complex health topics. 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