Pediatric Generalized Anxiety Disorder Workup

Updated: Oct 27, 2017
  • Author: Dennis Anthony Nutter, Jr, MD; Chief Editor: Caroly Pataki, MD  more...
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Approach Considerations

Consider urine drug screening (especially with adolescents), thyroid-stimulating hormone level assessment, and less common laboratory tests based on history and physical findings.

Excessive laboratory exclusion of somatic complaints is to be avoided; however, careful interview and physical examination assessment of stress-related symptoms should be repeated if the psychological diagnostic picture is unclear.

Many substances of abuse and even prescribed medications can contribute to anxiety manifestations (eg, stimulants for attention deficit-hyperactivity disorder, beta-2 agonists and corticosteroids for reactive airway disease). Furthermore, both use and/or withdrawal from substances of abuse may contribute to anxiety signs and symptoms.