Anxiety Disorders 257
7.3 • Feedback Loops in Action: Generalized Anxiety Disorder
Figure 7.3g73Mental Processes and
Mental Contents
Hypervigilance for
threatsAffect
AnxietyBehavior
Learning worry-related
behaviors through
negative
reinforcementStressful Life Events
Problematic
relationships
Work problemsGender/CultureGenetics
Inherited
tendency to
be anxiousNeural CommunicationNeuroPsychoSocial
GABA
Dopamine
Serotonin
NorepinephrineBrain Systems
Superior temporal
gyrus
Right frontal lobe
Overresponsive
parasympathetic
nervous systemNeuroPsychoSocial NeuroPsychoSocial
Family
Death in familyNo known major
contributionTreating Generalized Anxiety Disorder
Treatment for GAD can target neurological, psychological, or social factors, although
neurological or psychological factors are the predominant focus of treatments. As usual,
interventions targeting any type of factor have ripple effects to the other factors.
Targeting Neurological Factors: Medication
The antianxiety medication buspirone (Buspar) effectively reduces the symptoms
of GAD, probably by decreasing serotonin release. Serotonin facilitates changes in