Psychosocial interventions for generalised anxiety disorder

Initial treatment for generalised anxiety disorder includes psychoeducation, and advice on coping skills and relaxation techniques. Implement stress management approaches such as:

  • activity scheduling
  • modifying lifestyle factors (eg engaging in good sleep practices, minimising alcohol consumption, eating a healthy diet1, undertaking adequate physical activity2)
  • problem-focused counselling
  • specific approaches (eg structured problem solving).

Use psychological therapies, if available; these should be provided by an experienced and trained clinician. Cognitive behavioural therapy (CBT) has the best evidence for generalised anxiety disorder; it involves challenging worrying thoughts about feared events and specifically addressing the process of worrying. There is also limited evidence for psychoeducation, acceptance and commitment therapy (ACT), mindfulness-based cognitive therapy, mindfulness-based stress reduction and psychodynamic psychotherapy.

Psychosocial interventions in children should be tailored to the child’s age and family situation. Always involve the child’s family or carers in management. Consider if there is a history of past or current trauma that may be contributing to the anxiety.

Ongoing supportive psychosocial treatment (eg stress management approaches) is required in all patients.

1 For advice on a healthy diet, see Australian Dietary Guidelines. Return
2 For advice on physical activity, see Australia’s Physical Activity and Sedentary Behaviour Guidelines and the Australian 24-Hour Movement Guidelines. Return