James Arthur – Recovery – Concept & Choreography by Janelle Ginestra
Directed, Filmed & Edited by Tim Milgram

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Dancers: Zach Venegas, Macy Swaim, Emily Crouch, Alex ‘Sparkles’ Lund, Chiara Gonzalez, Monika Felice Smith, Sam McWilliams, Cat Cogliandro, Catalina Moore, Kira Leach, Idaliz Cristian, Deanna Jenkins, Sam Holmberg, Audrey Lane-Partlow, Liv Simone, Caleb Brauner, Carly Lawrence, Janelle Ginestra, Savanna Kubat, Amari Smith

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Panelists: Kathleen L Davenport, MD, Jason Mayerhofer, DPT, David M Popoli, MD, Kristina Quirolgico, MD, Stephanie Swensen Buza, MD, and Madelyn Ho, MD
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This is a video from Wil Wheaton, (@wilw) an actor, writer, and king of the internet. Wil is best known for his work on Star Trek: The Next Generation and The Big Bang Theory. Wil talks about his struggles with Generalized Anxiety Disorder.

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Project UROK is an initiative of the Child Mind Institute founded in 2014 by Jenny Jaffe. Our mission is to create funny, meaningful videos for teenagers struggling with mental health issues, made by people who have been there before. In doing so, we will provide not only practical assistance, but also a sense of belonging, a sense of comfort, and a sense of hope.

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GAD: Symptoms, pathophysiology, risk factors, diagnostic criteria, treatment options. This video is available for instant download licensing here: https://www.alilamedicalmedia.com/-/galleries/all-animations/brain-and-nervous-system-videos/-/medias/2bd0693f-b6bf-4283-a8b9-8410ec3638a6-generalized-anxiety-disorder-narrated-animation
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Voice by : Marty Henne
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All images/videos by Alila Medical Media are for information purposes ONLY and are NOT intended to replace professional medical advice, diagnosis or treatment. Always seek the advice of a qualified healthcare provider with any questions you may have regarding a medical condition.
Generalized anxiety disorder, GAD, is a very common mental disorder characterized by excessive, difficult to control, and often irrational, worry about everyday activities. The worry is persistent and typically encompasses different areas of life including work, health, finance, family and relationships. Patients have hard time with daily tasks, and often present with psychological as well as physical symptoms, such as restlessness, muscle tension, digestive problems, headaches and sleep disturbance.
The mechanism of GAD is not well understood. Some evidence suggests that GAD patients may experience persistent activation in areas of the brain that process stimuli associated with fear, anxiety, and emotions. Dysfunction of brain pathways involved in anxiety, such as serotonin and noradrenergic systems, is thought to be responsible.
Development of GAD is likely due to a combination of genetic and environmental factors such as significant life changes or traumatic events. Women are somewhat more affected than men. Other risk factors include lower level of education, chronic illnesses and other mental disorders.
Diagnosis of GAD is challenging. Patients must be tested to rule out other medical conditions, psychiatric disorders, or use of substances that may produce similar symptoms.
Diagnostic criteria published by the American Psychiatric Association include:
– excessive anxiety occurring for more than half of the time, and ongoing for at least six months.
– the anxiety is difficult to control; and is associated with at least 3 of the following symptoms: restlessness, fatigue, difficulty concentrating, irritability, muscle tension, and sleep disturbance.
– the anxiety results in significant distress or impairment in social and occupational areas.
– symptoms are not due to other conditions or substance use.
The GAD-7, a questionnaire of 7 items, is usually used as a screening tool and for severity assessment. Greater GAD-7 scores indicate greater severity.
Treatments are most effective when combining life style changes, psychotherapy and medications.
Lifestyle recommendations include identifying and removing possible triggers, eating healthy, practicing relaxation techniques, improving sleep and doing physical exercise.
Medications include antidepressants, anti-anxiety agents, and benzodiazepines.
Selective serotonin reuptake inhibitors and serotonin-norepinephrine reuptake inhibitors are considered first-line therapy. All antidepressants should be tested for optimal dosage and taken for at least 4 weeks to determine efficacy. Patients must be monitored for adverse effects. On the other hand, benzodiazepines are generally prescribed only for relieving acute anxiety on a short-term basis because of potential risk for misuse and dependence.
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