12/05/2025
Generalized Anxiety Disorder (GAD) is one of the most common anxiety disorders in teens and for the past decade it is clear that it is only increasing for this population. GAD is associated with heightened activity in brain regions involved in threat detection, such as the amygdala, along with reduced regulatory control from the prefrontal cortex. These patterns make chronic worry feel automatic and difficult to turn off, especially in environments marked by uncertainty or instability.
Contemporary research consistently shows that evidence-based psychotherapies—particularly trauma focused cognitive behavioral and acceptance-based approaches mixed with play therapy interventions produce significant and lasting reductions in GAD severity.
REMEMBER: GAD reflects dysregulation of the nervous system, not personal failure.
References:
Carpenter, J. K., Andrews, L. A., Witcraft, S. M., Powers, M. B., Smits, J. A. J., & Hofmann, S. G. (2018). Cognitive behavioral therapy for anxiety and related disorders: A meta-analysis of randomized placebo-controlled trials. Journal of Clinical Psychiatry, 79(4), 17r11522.
Hall, J., Kellett, S., Berrios, R., Bains, M. K., & Scott, S. (2016). Efficacy of cognitive behavioral therapy for generalized anxiety disorder in adults: A meta-analysis. Clinical Psychology Review, 43, 1–13.
Papola, D., Ostuzzi, G., Gastaldon, C., et al. (2024). Psychotherapies for generalized anxiety disorder in adults: A systematic review and network meta-analysis. JAMA Psychiatry.