Cognitive Behavioral Model Of Generalized Anxiety Disorder (GAD)

A licensed copy of Dugas and colleagues (1998) cognitive behavioral model of generalized anxiety disorder (GAD).

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Professional version

Offers theory, guidance, and prompts for mental health professionals. Downloads are in Fillable PDF format where appropriate.

Overview

Individuals with generalized anxiety disorder (GAD) report significant worry which they find difficult to control and experience as distressing. Numerous models of GAD have been developed. The Cognitive Behavioral Model Of Generalized Anxiety Disorder (GAD) presented here (the 'Laval model') describes four factors, including intolerance of uncertainty, which are thought to be important in the maintenance of GAD.

Why Use This Resource?

Understanding the underpinnings of generalized anxiety disorder (GAD) is important for effective intervention. This resource helps clinicians to:

  • Understand the maintenance mechanisms associated with GAD.
  • Explain key aspects of GAD, such as beliefs about worry and cognitive avoidance.
  • Develop appropriate case formulation for clients struggling with GAD.

Key Benefits

Insight

Deepens understanding of how GAD is maintained.

Education

Acts as an informative client handout.

Discussion

Promotes exploration of key factors in GAD.

Learning

Supports clinician knowledge and supervision.

Who is this for?

Generalized anxiety disorder (GAD)

Designed to help clients understand and learn more about GAD.

Integrating it into your practice

01

Learn

Understand more about the cognitive behavioral model of generalized anxiety disorder (GAD).

02

Organize

Use the model as a template to organize your case formulations.

03

Educate

Use your knowledge of the model to explain maintenance processes to clients.

04

Discuss

Engage clients in discussions about their beliefs and behaviors.

05

Tailor

Customize interventions based on individual maintenance mechanisms.

06

Reflect

Use in supervision to discuss case conceptualizations and treatment plans.

Theoretical Background & Therapist Guidance

Individuals with generalized anxiety disorder (GAD) report significant worry which they find difficult to control and experience as distressing. Other common symptoms include restlessness, physical arousal, difficulty concentrating, muscle tension, and poor sleep. Numerous models of GAD have been developed. Early models conceptualized GAD in the relatively generic cognitive terms of an individual’s heightened preoccupation with danger and underestimation of their ability to cope (e.g Butler et al, 1987; Borkovec et al, 1993). Second-generation conceptualizations including the Laval model (presented here) and Wells’ metacognitive model (e.g. Wells, 1999) are significant advancements.

The Cognitive Behavioral Model Of Generalized Anxiety Disorder (GAD) presented here describes four factors which are thought to be important in the maintenance of GAD. These include intolerance of uncertainty (IoU), positive beliefs about worry, negative problem orientation, and cognitive avoidance.

What's inside

  • A graphical depiction of the model.
  • Insights into key maintenance mechanisms.
  • Guidelines for using the resource with clients.
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FAQs

GAD is an anxiety disorder characterized by persistent and excessive worry, as well as symptoms such as restlessness, fatigue, and difficulty concentrating.
The model describes mechanisms maintaining GAD, focusing on cognitive and behavioral factors like intolerance of uncertainty and cognitive avoidance.
Clinicians use it to guide their case formulation, helping them to effectively target their interventions.

How This Resource Improves Clinical Outcomes

By applying the model, therapists and clients benefit from:

  • Targeted interventions focusing on key maintenance mechanisms.
  • Enhanced client engagement through increased understanding of their difficulties.
  • Improved treatment outcomes by addressing core psychological features.

References And Further Reading

  • Borkovec, T. D., & Costello, E. (1993). Efficacy of applied relaxation and cognitive-behavioral therapy in the treatment of generalized anxiety disorder. Journal of Consulting and Clinical Psychology, 61(4), 611.
  • Butler, G., Cullington, A., Hibbert, G., Klimes, I., & Gelder, M. G. (1987). Anxiety management for persistent generalised anxiety. The British Journal of Psychiatry, 151(4), 535-542.
  • Dugas, M. J., Gagnon, F., Ladouceur, R., & Freeston, M. H. (1998). Generalized anxiety disorder: A preliminary test of a conceptual model. Behaviour Research and Therapy, 36(2), 215-226.
  • Wells, A. (1997). Cognitive therapy of anxiety disorders: A practice manual and conceptual guide. Chichester, UK: Wiley.