Somatic Symptom Disorder vs. Generalized Anxiety Disorder
Key Differences
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Fear of failure
Somatic Symptom Disorder:
Associated
Generalized Anxiety Disorder:
Core
Explanation: Fear of failing is more likely to be a central, ongoing driver in generalized anxiety, while in somatic symptom disorder it may be present but is usually less defining.
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People pleasing
Somatic Symptom Disorder:
Associated
Generalized Anxiety Disorder:
Core
Explanation: Generalized anxiety is more likely to involve repeatedly trying to keep others comfortable or avoid disapproval, whereas this is less central in somatic symptom disorder.
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Low energy or fatigue
Somatic Symptom Disorder:
Core
Generalized Anxiety Disorder:
Common
Explanation: Fatigue is more defining in somatic symptom disorder, where distressing body sensations and low energy may become a major focus, while in generalized anxiety it is common but less specific.
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Compulsive or repetitive behaviours
Somatic Symptom Disorder:
Common
Generalized Anxiety Disorder:
Associated
Explanation: Repetitive checking or reassurance-related behaviours may be more noticeable in somatic symptom disorder, especially when focused on bodily concerns, while they are less central in generalized anxiety.
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Struggling to Keep Up with Basic Self-Care
Somatic Symptom Disorder:
Common
Generalized Anxiety Disorder:
Associated
Explanation: Somatic symptom disorder is more likely to interfere with basic self-care through persistent physical distress, while generalized anxiety may affect self-care but less consistently.
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Key Similarities
| Symptom | How it is similar |
|---|---|
| Excessive worry | Both can involve persistent worry that feels hard to quiet and takes up significant mental space. |
| Feeling constantly anxious or on edge | Both may involve a steady sense of tension, unease, or being unable to fully relax. |
| Difficulty coping with uncertainty | Both can make uncertain situations feel especially stressful and difficult to tolerate. |
| Seeking constant reassurance | Both may lead someone to repeatedly seek confirmation that things are okay or that feared outcomes are unlikely. |
| Muscle tension | Both can show up physically as ongoing body tension, tightness, or stress-related discomfort. |