Anxiety Disorders 257
7.3 • Feedback Loops in Action: Generalized Anxiety Disorder
Figure 7.3g73
Mental Processes and
Mental Contents
Hypervigilance for
threats
Affect
Anxiety
Behavior
Learning worry-related
behaviors through
negative
reinforcement
Stressful Life Events
Problematic
relationships
Work problems
Gender/Culture
Genetics
Inherited
tendency to
be anxious
Neural Communication
NeuroPsychoSocial
GABA
Dopamine
Serotonin
Norepinephrine
Brain Systems
Superior temporal
gyrus
Right frontal lobe
Overresponsive
parasympathetic
nervous system
NeuroPsychoSocial NeuroPsychoSocial
Family
Death in family
No known major
contribution
Treating 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