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DiagnosisThe recent publication of the updated Diagnostic and Statistical Manual of Mental Disorders (DSM-5) brought about no changes to the definition and criteria for GAD diagnosis.19 The typical clinical presentation of an adolescent with GAD includes complaints of excessive age-inappropriate worry, difficulty controlling worries, at least one somatic symptom, and a perfectionist personality type.20The physical complaints reported by patients with GAD are often confusing and ill-defined, indicating a somatic nature, and also may disappear on the weekends or during vacations.21 Adolescents with GAD often present with complaints that include headaches, gastrointestinal problems, and decreased ability to concentrate.22Cutting behaviors, substances abuse, and suicidal ideation or threats may also be indicators of GAD as the underlying disorder
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