Center for Integrative Psychiatry

Generalized Anxiety Disorder with Panic Attacks

Generalized Anxiety Disorder with panic attacks is a condition where individuals experience chronic anxiety along with sudden, intense episodes of fear known as panic attacks. People with GAD often feel anxious about a variety of things on most days, and the addition of panic attacks can severely impact their daily lives and well-being.

What is Generalized Anxiety Disorder?

Generalized Anxiety Disorder is characterized by excessive, uncontrollable worry about various aspects of life, such as work, health, and social interactions. This worry is often disproportionate to the actual situation and can interfere with daily activities.

What are Panic Attacks?

Panic attacks are sudden episodes of intense fear or discomfort that peak within minutes. Symptoms include heart palpitations, sweating, trembling, shortness of breath, and feelings of impending doom. These attacks can occur unexpectedly or be triggered by specific situations.

Panic Disorder vs Generalized Anxiety Disorder

Key Difference Between Generalized Anxiety Disorder and Panic Disorder

When comparing panic disorder vs generalized anxiety disorder, several key differences emerge:

  • Nature of Anxiety: GAD involves chronic, pervasive anxiety about a range of topics, whereas panic disorder is marked by recurrent, unexpected panic attacks.
  • Focus of Anxiety: In GAD, anxiety is more generalized and persistent, while in panic disorder, anxiety often centers around the fear of having future panic attacks.
  • Duration: GAD is a long-term condition with ongoing worry, whereas panic attacks are episodic but intense.

Can You Have GAD and Panic Disorder?

It is possible to have both GAD and panic disorder. In fact, the coexistence of these conditions can complicate the diagnosis and treatment process. Individuals with both disorders may experience a combination of chronic anxiety and frequent panic attacks, making it essential to develop a comprehensive treatment plan.

Generalized Anxiety Disorder with Panic Attacks Treatment

Cognitive Behavioral Therapy (CBT)

One of the most effective treatments for generalized anxiety disorder with panic attacks is Cognitive Behavioral Therapy (CBT). CBT helps individuals identify and challenge negative thought patterns and behaviors, teaching them coping mechanisms to manage anxiety and prevent panic attacks.


Medications can also play a crucial role in treating GAD with panic attacks. Commonly prescribed medications include:

  • Selective Serotonin Reuptake Inhibitors (SSRIs): These antidepressants can help reduce anxiety and the frequency of panic attacks.
  • Benzodiazepines: These are used for short-term relief of acute anxiety and panic symptoms but are not recommended for long-term use due to the risk of dependence.
  • Beta-Blockers: These can help manage physical symptoms of anxiety, such as rapid heartbeat and trembling.

Lifestyle Changes

In addition to therapy and medication, lifestyle changes can significantly impact the management of GAD and panic attacks. Some effective strategies include:

  • Regular Exercise: Physical activity can help reduce anxiety and improve mood.
  • Healthy Diet: Eating a balanced diet can influence overall well-being and reduce anxiety symptoms.
  • Adequate Sleep: Ensuring sufficient rest is crucial for managing anxiety and preventing panic attacks.
  • Mindfulness and Relaxation Techniques: Practices such as yoga, meditation, and deep-breathing exercises can help reduce stress and anxiety.

Generalized Anxiety Disorder and Panic Disorder in Adults

Prevalence and Impact

Generalized anxiety disorder and panic disorder in adults are common and can significantly affect daily life. Adults with these conditions may experience difficulties at work, in relationships, and in maintaining their overall quality of life. Understanding the impact and seeking appropriate treatment is vital for managing these disorders.

Diagnosis and Assessment

Diagnosing GAD and panic disorder involves a thorough assessment by a mental health professional. This typically includes:

  • Clinical Interviews: Discussing symptoms, their duration, and impact on daily life.
  • Questionnaires and Rating Scales: Tools such as the GAD-7 and Panic Disorder Severity Scale can help quantify the severity of symptoms.
  • Medical Evaluation: Ruling out other medical conditions that could be contributing to the symptoms.

Comprehensive Treatment Approaches

A comprehensive approach to treating GAD with panic attacks in adults often involves a combination of therapies tailored to the individual’s needs. This can include:

  • Integrated Therapy: Combining CBT with other therapeutic approaches like Acceptance and Commitment Therapy (ACT) or Dialectical Behavior Therapy (DBT) can enhance treatment effectiveness.
  • Support Groups: Participating in support groups provides a sense of community and shared understanding, which can be beneficial for managing anxiety and panic attacks.
  • Psychoeducation: Educating patients about their conditions and the importance of treatment adherence can empower them to take an active role in their recovery.


Understanding and managing generalized anxiety disorder with panic attacks requires recognizing the symptoms, seeking appropriate treatment, and making lifestyle adjustments. By differentiating between GAD and panic disorder, individuals can better navigate their mental health journey and find effective strategies to improve their well-being.

Contact Us

If you or a loved one is experiencing symptoms of generalized anxiety disorder or panic attacks, contact the Center for Integrative Psychiatry today at 1-877-283-5336. Our team of experts is dedicated to providing personalized and effective care. Reach out to us to schedule an appointment or learn more about our services.

Medical Disclaimer

This article is for informational purposes only and should not be considered medical advice. Always consult a healthcare professional for medical diagnosis and treatment.

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