What are the first signs of generalised anxiety disorder?

Generalised anxiety disorder involves worry across several parts of life, such as health, work, family or finances. Early changes may include difficulty controlling anxious thoughts, irritability, restlessness, muscle tension and trouble concentrating. Some people notice tiredness after unsettled sleep, dizziness, trembling or needing to urinate more often. These symptoms can also occur with other physical or mental health problems, so a symptom alone does not establish the condition.

Keep a short record of when worry appears, what triggers it, how long it lasts and how it affects sleep, concentration or routines. A GP consultation can review your symptoms, medicines and general health, and may suggest appropriate support. Gentle activity, regular meals, a consistent sleep routine and reducing caffeine may make symptoms easier to manage while you seek help.

Arrange a clinical review when worry is difficult to control, continues to interfere with work or relationships, or causes ongoing sleep problems or exhaustion. Seek urgent help if anxiety comes with thoughts of harming yourself, severe confusion, fainting, chest pain or difficulty breathing. Call local emergency services when there is immediate danger.

Ask whether the pattern of worry fits generalised anxiety disorder or another problem, whether any physical causes or medicines could contribute, and which treatments or talking therapies may suit you. You can also ask how to monitor sleep, physical symptoms and progress.