PTSD Related Conditions How PTSD May Lead to Anxiety Disorders By Matthew Tull, PhD Matthew Tull, PhD Twitter Matthew Tull, PhD is a professor of psychology at the University of Toledo, specializing in post-traumatic stress disorder. Learn about our editorial process Updated on October 16, 2020 Medically reviewed Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Steven Gans, MD Medically reviewed by Steven Gans, MD Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Print Jed Share/Kaoru Share / Getty Images Post-traumatic stress disorder (PTSD) and generalized anxiety disorder (GAD) are two disorders that can occur at the same time. This is not entirely surprising given that PTSD is a trauma- and stressor-related disorder that can manifest in different ways from one person to the next. As such, PTSD (a disorder caused by exposure or threats of death, serious injury, or sexual violence) can lead to other disorders that each have their own set of unique causes, characteristics, and symptoms. In addition to GAD, other co-occurring disorders can include panic disorder (PD), social anxiety disorder, obsessive-compulsive disorder (OCD), and specific phobia. Understanding Generalized Anxiety Disorder (GAD) Generalized anxiety disorder (GAD) goes well beyond the normal worrying and fretting that most people experience. It is defined as the excessive worry about subjects or events that persist at least six months. The anxiety is something the person can’t seem to control with the object of worry often switching from one thing to the next. The worrying ultimately takes up a lot of a person’s day with little relief and to the point where relationships and work are affected. A person is diagnosed with GAD in the presence of at least three of the following physical or cognitive symptoms: Edginess or restlessnessFatigue or tiring easilyImpaired concentration or feeling as if one’s mind suddenly goes blankIrritability, either internalized or externalizedIncreased muscle tensionDifficulty sleeping or unsatisfying sleep In order to confirm a diagnosis, the symptoms cannot be explained by any other causes or conditions including prescription medications, alcohol use, illicit drug use, neurological problems, or another medical condition. Generalized Anxiety Disorder The Relationship Between PTSD and GAD Some research suggests that roughly one in six people with PTSD experience GAD at some stage in their condition. While the reasons for their coexistence are not entirely clear, we do know that worry is a common feature of PTSD. Because emotional responses are typically hyper-aroused in people with PTSD, worries can also be extended and exaggerated to the point where they can no longer be controlled. In some individuals, worry may even be used as a coping mechanism. It is not unusual to hear people with PSTD say that worrying about other events or troubles distracts them from the things that are more upsetting to them. Worry can provide people with distance from the thoughts and feelings they are unable to face. Another possible explanation is that PTSD and GAD have similar origins. While trauma is the innate cause of PTSD, it can also be the trigger that leads to GAD. Other Disorders That Co-Exist With PTSD In the same way that GAD can coexist with PTSD, other anxiety disorders and obsessive-compulsive disorders share similar origins and overlapping symptoms. Among them: Panic disorder (PD), and particularly panic attacks, are quite frequent in PTSD. Panic disorder is characterized by frequent and unexpected panic attacks and ongoing concerns about future attacks. Social anxiety disorder occurs quite frequently in people with PTSD and is defined by the intense fear and avoidance of social situations in which the individual is exposed to possible scrutiny by others. Specific phobia is estimated to occur in around 30% of people with PTSD and is typified by the fear of specific objects (such as spiders, blood, or dogs) or situations (elevators, bridges, heights). Obsessive-compulsive disorder (OCD) has been less studied in relation to PTSD, but some research suggests that over 35% of people with PTSD may have OCD. OCD is characterized by excessive obsessive and/or intrusive thoughts as well as repetitive behaviors or mental acts (compulsions) performed in response to the obsession. If you or a loved one are struggling with PTSD or another mental health issue, contact the Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline at 1-800-662-4357 for information on support and treatment facilities in your area. For more mental health resources, see our National Helpline Database. The 7 Best Online Anxiety Support Groups 5 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Price M, Legrand AC, Brier ZMF, Hébert-dufresne L. The symptoms at the center: Examining the comorbidity of posttraumatic stress disorder, generalized anxiety disorder, and depression with network analysis. J Psychiatr Res. 2019;109:52-58. doi:10.1016/j.jpsychires.2018.11.016 Locke AB, Kirst N, Schultz C. Diagnosis and management of generalized anxiety disorder and panic disorder in adults. Am Fam Physician. 2015;91(9):617-624. National Institute of Mental Health. Post-traumatic stress disorder. Updated 2020. Fontenelle LF, Cocchi L, Harrison BJ, Miguel EC, Torres AL. Role of stressful and traumatic life events in obsessive–compulsive disorder. Neuropsychiatry. 2011;1(1):61-69. doi:10.2217/npy.10.1 Morina N, Sulaj V, Schnyder U, et al. Obsessive-compulsive and posttraumatic stress symptoms among civilian survivors of war. BMC Psychiatry. 2016;16:115. doi:10.1186/s12888-016-0822-9 Additional Reading National Institute of Mental Health. Anxiety disorders. Updated July 2018. By Matthew Tull, PhD Matthew Tull, PhD is a professor of psychology at the University of Toledo, specializing in post-traumatic stress disorder. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit Speak to a Therapist for PTSD Advertiser Disclosure × The offers that appear in this table are from partnerships from which Verywell Mind receives compensation.