All are seen in general anxiety disorder EXCEPT:
**Core Concept**
General anxiety disorder (GAD) is characterized by excessive and persistent worry about everyday things, even when there is no apparent reason to worry. This excessive worry is accompanied by symptoms such as restlessness, being easily fatigued, difficulty concentrating, irritability, muscle tension, and sleep disturbances.
**Why the Correct Answer is Right**
The correct answer is related to the diagnostic criteria for GAD. According to the DSM-5, individuals with GAD experience excessive worry that is difficult to control, and this worry is associated with at least three of the following symptoms: restlessness, being easily fatigued, difficulty concentrating, irritability, muscle tension, or sleep disturbances. **Option C** is not a symptom of GAD, and it is not related to the diagnostic criteria for this disorder.
**Why Each Wrong Option is Incorrect**
* **Option A:** This is a common symptom of GAD, characterized by excessive worry that is difficult to control.
* **Option B:** This is also a common symptom of GAD, characterized by difficulty concentrating due to excessive worry.
* **Option D:** This is a common symptom of GAD, characterized by muscle tension due to excessive worry.
**Clinical Pearl / High-Yield Fact**
GAD is often comorbid with other anxiety disorders, such as major depressive disorder, substance use disorders, and somatic symptom disorder. It is essential to assess for these comorbidities when diagnosing GAD.
**Correct Answer:** D.