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To understand your symptoms, a provider may: Ask about your worries and how long they have been happening Ask how anxiety affects your work, school, sleep, and relationships Review your medical history Ask about stress, trauma, family history, or substance use Use a mental health screening or questionnaire Recommend a physical exam or lab tests if another medical condition may be involved A provider may diagnose GAD when worry is hard to control, happens on most days for at least 6 months, and comes with symptoms such as restlessness, fatigue, trouble focusing, irritability, muscle tension, or sleep problems