American Board of Internal Medicine (ABIM) Certification Practice Exam

What is the main characteristic of generalized anxiety disorder?

1. Persistent worry about various events occurring less than 6 months

2. Difficulty controlling worry occurring most days for less than 3 months

3. Excessive anxiety and worry occurring most days for at least 6 months

4. Worry that is easily manageable and controlled

The correct answer is: Excessive anxiety and worry occurring most days for at least 6 months

Generalized anxiety disorder (GAD) is primarily characterized by excessive anxiety and worry that is difficult to control. The main requirement for the diagnosis is that these feelings occur most days for a duration of at least 6 months. Individuals with GAD typically find it challenging to manage their anxiety, which can span a variety of topics, including health, finances, work, and social interactions. In contrast to the other options, which either specify a time frame that is too short or suggest that the worry can be easily managed, the correct answer reflects the chronic nature of GAD. The diagnostic criteria emphasize the duration and intensity of the anxiety, which must be pervasive and impact daily functioning, rather than being sporadic or manageable. This distinction is crucial for understanding the impact of GAD on a patient’s life and the need for appropriate therapeutic interventions.