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DSM Anx
Anxiety Disorders
| Question | Answer |
|---|---|
| A. Excessive anxiety and worry (apprehensive expectation), occurring more-days-than-not for at least 6 months, about a number of events or activities (such as work or school performance). | Generalized Anxiety Disorder |
| B. The person finds it difficult to control the worry. | Generalized Anxiety Disorder |
| C. The anxiety and worry associated with three+ of (present for the past 6 months) restlessness or feeling keyed up or on edge, being easily fatigued, difficulty concentrating or mind going blank, irritability, muscle tension, sleep disturbance | Generalized Anxiety Disorder |
| D. The focus of the anxiety and worry is not confined to features of other Axis I disorder (such as social phobia, OCD, PTSD etc.) | Generalized Anxiety Disorder |
| E. The anxiety, worry, or physical symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. | Generalized Anxiety Disorder |
| F. Is not due to the direct physiological effects of a substance or a general medical condition (e.g., hyperthyroidism), and does not occur exclusively during a mood disorder, psychotic disorder, or a pervasive developmental disorder. | Generalized Anxiety Disorder |
| unexpected, recurrent panic attacks, followed in at least once instance by at least a month of a significant and related behavior change, a persistent concern of more attacks, or a worry about the attack's consequences. | Panic Disorder |
| Animal type | fear is cued by animals or insects, generally has a childhood onset |
| Natural environment type | specified if the fear is cued by objects in the natural environment, such as storms, heights, or water, generally childhood onset. |
| Situational type | fear is cued by a specific situation such as public transportation, tunnels, bridges, elevators, flying, driving, or enclosed places. |
| Blood/injection/injury type | fear is cued by seeing blood or an injury or by receiving an injection or other invasive medical procedure. Highly familial and often characterized by stron vasovagal response. |
| Other type | if the fear is cued by other stimuli. Might include the fear of choking, vomiting, contracting an illness, fear of loud sounds or costumed characters in children. |
| A.marked and persistent fear of one or more soc/perf sits in which the person is exposed to unfamiliar people or to possible scrutiny by others. Fears that he/she will act in a way that will be humiliating or embarrassing. | Social Phobia |
| B. Exposure to the feared social situation almost invariably provokes anxiety, which may take the form of a situationally bound or situationally predisposed Panic Attack. | Social Phobia |
| C. The person recognizes that the fear is excessive or unreasonable. Note: In children, this feature may be absent. | Social Phobia |
| D. The feared social or performance situations are avoided or else are endured with intense anxiety or distress. | Social Phobia |
| E. avoidance, anxious anticipation, or distress interferes significantly with the person's normal routine, occupational (academic) functioning, or social activities or relationships, or there is marked distress about having the phobia. | Social Phobia |
| F. In individuals under age 18 years, the duration is at least 6 months. | Social Phobia |
| G. not due to the direct physiological effects of a substance or a general medical condition not better accounted for by another mental disorder | Social Phobia |
| H. If a general medical condition or another mental disorder is present, the fear in Criterion A is unrelated to it, e.g., the fear is not of Stuttering, trembling in Parkinson's disease | Social Phobia |
| A discrete period of intense fear or discomfort, four (or more) of developed abruptly and reached a peak within 10 minutes: palpitations, sweating, trembling, shortness of breath, feeling of choking, chest pain, nausea, dizzy, lightheaded, derealization | panic attack 10) fear of losing control or going crazy 11) fear of dying 12) paresthesias (numbness or tingling sensations) 13) chills or hot flushes |
| A) Both recurrent, unexpected PAs and at least one has been followed by 1 month of 1: persistent concern about having additional attacks, worry about the implications of the attack or consequences, a significant change in behavior related to the attacks | Panic Disorder |
| c) The Panic Attacks are not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition (e.g., hyperthyroidism). | Panic Disorder |
| d) The PAs are not better accounted for by another mental disorder, such as Social Phobia, Specific Phobia, Obsessive-Compulsive Disorder, PtSD, or Separation Anxiety Disorder. | Panic Disorder |
| A) anx @ being in places or situations from which escape might be diff (or embar) or in which help may not be avail in the event of an unexpected or sit pred PA or panic-like symptoms. typically involve sits like being outside home alone, crowds, or lines | Agoraphobia |
| B) The situations are avoided (e.g., travel is restricted) or else are endured with marked distress or with anxiety about having a Panic Attack or panic-like symptoms, or require the presence of a companion. | Agoraphobia |
| C) The anxiety or phobic avoidance is not better accounted for by another md, such as Social Phobia, Specific Phobia, Obsessive-Compulsive Disorder, Posttraumatic Stress Disorder, or Separation Anxiety Disorder | Agoraphobia |
| A: Exposure to a traumatic event that involved both loss of physical integrity, risk of serious injury or death, to self or others, and a response to the event that involved intense fear, horror or helplessness | PTSD |
| B: Persistent re-experiencing (1+): recurrent,distressing recollections, recurring distressing dreams, subjective re-experiencing of the traumatic event(s), or intense - psych or physio response to any obj or sub reminder of the event(s). | PTSD |
| C: Persistent avoidance and emotional numbing (3+): thoughts, feelings, conversations; activities, people, places; inability to recall aspects; diminished interest or pleasure in activities; detachment; restricted affect; foreshortened future | PTSD |
| D: Persistent symptoms of increased arousal (2+): difficulty falling or staying asleep; irritability; difficulty concentrating; hypervigilence; exaggerated startle response | PTSD |
| E: Duration of symptoms for more than 1 month | PTSD |
| F: Significant distress or impairment in social, occupational, or other important areas of functioning. | PTSD |
| Distinguishing between Panic disorder with and PD without Agoraphobia | Criterion B: Presence (with) or Absence (without) of Agoraphobia. |
| A. Presence of Agoraphobia related to fear of developing panic-like symptoms, B. No history of PD, C. Not due to sub or GMC, D. If GMC present, fear is clearly in excess of that usually assoc. with the cond. | Agoraphobia without history of Panic Attack |
| A. Marked and persistent fear that is excessive or unreasonalbe, cued by the presence or anticipation of a specific object or situation. | Specific Phobia |
| B. Exposure to the phobic stimulis almost invariably provokes an immediate anxiety repsonse, which may take the form of a situationally bound or situationally predisposed Panic Attack. | Specific Phobia |
| C. The person recognizes that the fear is excessive or unreasonable. | Specific Phobia |
| D. The phobic situations are avoided or else endured with intense anxiety or distress. | Specific Phobia |
| E. The avoidance, anxious anticipation, or distress in the feared situations interferes significantly with the person's normal routine, occupation functioning, or social activities or relationships, or there is marked distress about having the phobia. | Specific Phobia |
| F. In individuals under age 18 the duration is at least 6 months | Specific Phobia |
| G. The anxiety, panic attacks, or phobic avoidance associated with the specific object or situation ore not better accounted for by another mental disorder, such as OCD, PTSD, SAD, SP, PD | Specific Phobia |
| Generalized Specifier: If the fears include most social situations. | Social Phobia |
| A. Either obsessions or compulsions | Obsessive-Compulsive Disorder |
| Recurrent and persistent thoughts, impulses or images that are experienced, at some point, as intrusive and inappropriate and cause marked anxiety or distress | Obsessions |
| the thoughts, impulses, or images are not simply excessive worries about real-life problems | Obsessions |
| the person attempts to ignore or suppress such thoughts, impulses, or images, or to neutralized them with some other thought or action | Obsessions |
| the person recognizes that the obsessional thoughts, impulses, or images are a product of his or her own mind | Obsessions |
| repetitive behaviors or mental acts that the person feels driven to perform in response to an obsession, or according to rules that must be applied rigidly | Compulsions |
| the behaviors or mental acts are aimed at preventing or reducing distress or preventing some dreaded event or situation; however, they are not connected in a realistic way with what they are desigend to deutralize or prevent or are clearly excessive | Compulsions |
| B. At some point during the course of the disorder, the person has recognized that the obsessions or compulsions are excessive or unreasonable. | Obsessive-Compulsive Disorder |
| C. The obsessions or compulsions cause marked distress, are time consuming (take more than 1 hour a day), or significantly interfere with the person's normal routine, occupation functioning, or usual social activities or relationships | Obsessive-Compulsive Disorder |
| In another Axis I disorder is present, the content of the obsessions or compulsions is not restricted to it. | Obsessive-Compulsive Disorder |
| E. The disturbance is not due to the direct physiological effects of a substance or GMC. | Obsessive-Compulsive Disorder |
| If, for most of the time during the current episode, the person does not recognize that the obsessions and compulsions are excessive or unreasonable | Obsessive-Compulsive Disorder, With Poor Insight |
| Duration of symptoms is less than 3 months | PTSD, Acute |
| Symptoms last 3 months or longer | PTSD, Chronic |
| At least 6 months have passed between the traumatic event and the onset of symptoms | PTSD, With Delayed Onset |
| All criteria are met for PTSD AND either while experiencing the distressing event or after 3+ dissociative symptoms: numbing, detachment, or no emotional responsiveness; no awareness of surroundings; derealization; depersonalization; diss. amnesia | Acute Stress Disorder |
| All criteria are met for PTSD EXCEPT duration is 2 days to 4 weeks and occurs within 4 weeks of the traumatic event. | Acute Stress Disorder |
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