What is Generalized Anxiety Disorder?
Generalized Anxiety Disorder is a mental health condition marked by persistent, excessive worry about everyday situations that feels impossible to control. People with GAD often experience physical symptoms like restlessness, fatigue, and muscle tension, and their minds rarely stop racing through worst-case scenarios.
What Does It Look Like?
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Constant Worry About Everything
Even when things are going well, they find something to fear, and the fear is always shifting. -
Physical Symptoms Without Clear Cause
Chronic headaches, stomach issues, muscle tension, or fatigue that doctors can't fully explain. -
Difficulty Relaxing or Being Present
They can't seem to turn off their mind. Vacations and celebrations feel stressful, peace seems impossible. -
Avoidance of Decisions or Situations
The fear of making the wrong choice leads to paralysis, procrastination, or avoiding situations entirely.
How Does GAD Contribute to Relapse?
For someone with GAD, the mind never stops producing fear and dread. Substances offer a form of relief they can reach for at will.
- Self-Medication Provides Relief
Alcohol or drugs help to quiet the relentless internal noise. - Short-Term Programs Lack Depth
Managing chronic anxiety requires them to build new neural pathways and coping skills, which takes time. - Without Treating GAD, Relapse is Likely
They leave treatment and return to the same thoughts and fears that led to substance use.
Dual Diagnosis Stats:
Prevalence: 5.7% of U.S. adults in their lifetime¹
Co-Occurrence: 50% develop a substance use disorder²
Relapse Risk: Significant
Decreased recovery rates with increased recurrence³
Treating GAD and Chronic Relapse at Burning Tree Ranch
Treating GAD is not an easy or fast process. The anxiety has been building for years, often decades, and the coping patterns are deeply ingrained.
Our long-term, progress-based model gives clients the extended time needed to develop real anxiety management skills while building a life that doesn’t require substances to feel bearable. Clients advance through the program when they demonstrate consistent change in how they handle stress and uncertainty.
“The pain of chronic anxiety is invisible to everyone except the person living it. They've spent years trying to escape their own mind. Our work is helping them build the capacity to tolerate discomfort without reaching for something to numb it.”
Meghan Bohlman, LPC-S, LCDC, EMDR-Trained
Executive Clinical Director, Burning Tree Ranch
Dual Diagnosis Treatment for GAD Co-Occurring with Addiction
When GAD and addiction occur together, treating only one leads to relapse. Anxiety drives substance use as the brain’s attempt to find relief, and substance use worsens the underlying anxiety.
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Treating Both Conditions Together
Without addressing the chronic anxiety, the urge to self-medicate remains. -
Building Distress Tolerance Skills
Coping with uncomfortable feelings and fears requires resilience and practical skills. -
Providing Enough Time
It takes months to rewire the brain's response to anxiety and stress.
Dual Diagnosis:
The presence of both a substance use disorder and a mental health condition occurring together. Effective treatment for dual-diagnosis addictions must address both aspects simultaneously.