His parents report he frequently asks repetitive reassurance questions, such as “Are you sure you’ll be okay?” and “What if I fail my test?”
History: Jason was a full-term birth with no significant medical complications. He has always been described as “sensitive” and “cautious.” In the last year, his worries have become more impairing. He avoids sleepovers, checks homework repeatedly, and experiences stomachaches and headaches, particularly before school. No history of trauma or abuse is reported.
School Performance: Academically above average but teachers note he appears tense, fidgets often, and avoids answering questions in class for fear of being wrong.
Mental Status Exam (MSE): Jason is cooperative but restless. His mood is “nervous,” affect is anxious, and thought process is logical but preoccupied with worries. No hallucinations, delusions, or suicidal ideation noted.
Questions:
1. What is the minimum duration of symptoms required for a DSM-5-TR diagnosis of GAD in children?
A. 2 weeks
B. 1 month
C. 3 months
D. 6 months
2. Which of the following symptoms is most consistent with GAD in children?
A. Flashbacks of traumatic events
B. Obsessions and compulsions
C. Excessive and uncontrollable worry
D. Recurrent panic attacks
3. Which of the following medications is often considered when CBT alone is insufficient for pediatric GAD?
A. Antipsychotics
B. SSRIs (Selective Serotonin Reuptake Inhibitors)
C. Benzodiazepines as first-line treatment
D. Stimulants
Answers:
1. D. 6 months
2. C. Excessive and uncontrollable worry
3. D. SSRIs (Selective Serotonin Reuptake Inhibitors)