Diagnostic Formulation From an ACT Approach: GAD

Michelle-Woidneck2

Utah State University
Boys Town Center for Behavioral Health

Key Points

  1. Jane meets the DSM-5 diagnostic criteria for generalized anxiety disorder (GAD).
  2. From an ACT perspective, the therapist is more concerned about the function of behavior behind symptoms and how Jane reacts to them than a diagnosis per se.
  3. Jane’s main GAD symptoms revolve around avoidance, as she fears future negative outcomes and negative feedback from others.
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Diagnoses

DSM-5

Jane meets the DSM-5 diagnostic criteria for generalized anxiety disorder (GAD). While some social anxiety symptoms are present, the symptomatology is better accounted for by GAD, as her worries appear more chronic and extend beyond social situations.

ACT

ACT is more concerned with function of behavior than a diagnosis per se: the ways symptoms interfere with Jane’s life, how she responds to inner experiences, and her thoughts and feelings about symptoms. Using a symptom measure like the GAD-7 or GAI will provide more detail about symptoms and their intensity, but this is not ACT’s main target.

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