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*This classification applies to conditions in which [[anxiety]] is predominant but do not meet full criteria for any of the disorders in the DSM-5 classification of[[ anxiety]] disorders.|}
*This classification applies to conditions in which [[anxiety]] is predominant but do not meet full criteria for any of the disorders in the DSM-5 classification of[[ anxiety]] disorders.|}
==References==
<ref name="pmid27124732">{{cite journal |vauthors=Fielding J, Young S, Martin PR, Waters AM |title=Headache symptoms consistent with migraine and tension-type headaches in children with anxiety disorders |journal=J Anxiety Disord |volume=40 |issue= |pages=67–74 |year=2016 |pmid=27124732 |doi=10.1016/j.janxdis.2016.04.006 |url=}}</ref>

Revision as of 18:04, 21 August 2017

Anxiety Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: ,Vindhya BellamKonda, M.B.B.S [2]

Overview

The most common symptoms of anxiety disorders is inappropriate worry about multiple factors, restlessness, fatigue, insomnia, and impairment in functioning of the individual. As per DSM-V criteria, these symptoms must be present for a duration of at least six months and not explained by any other mental or medical disorder.

Symptoms

Disorder Symptoms
Generalized anxiety disorders
  • Excessive wory about multiple life events for a period of atleast six months. The worry is disproportionate compared to the actual stressor
  • The anxiety is associated with three or (more) of the following symptoms:
  • Restlessness
  • Fatigue
  • Irritability
  • Sleep disturbances
  • Muscle tension
  • Difficulty concentrating
Separation anxiety disorder
  • More common in children.
  • Recurrent excessive worry when anticipating or experiencing separation from home or major attachment figures.
  • Persistent worry about losing major attachment figures or about possible harm to them.
  • Repeated nightmares involving theme of separation
  • Physical symptoms such as headaches, abdominal pain and other GI symptoms such as nausea and vomiting when separation from major attachment figures is anticipated.
  • The disturbance has major limitation on functioning in social, occupational or academic setting
  • The disturbance is not explained by any other mental disorder
Panic disorder
  • Palpitations
  • Sweating
  • Shaking
  • Chest pain
  • Shortness of breath
  • Dizziness
  • Parasthesias
  • Fear of going crazy
  • Depersonalization
  • Fear of dying
  • The disturbance is not attributed to any other mental disorder
  • The disorder is not due to physiologic effect of a substance
  • The disturbance has major limitation on functioning in social, occupational or academic setting
Social anxiety disorder
  • Excessive anxiety about social situations where the individual is worried about scrutiny by others.
  • Excessive anxiety in social situations such as having a conversation, parties, performing in front of a crowd(e.g.,Public speaking)
  • Avoidance of social situations
  • The anxiety significantly impairs functioning in all aspects of life
  • The anxiety is not due to any other mental, medical or substance abuse
Agoraphobia
  • Fear of places or circumstances , where an individual perceives as difficult to escape
  • Marked fear of the following situations:
  • Being in open spaces
  • Being outside alone
  • Being in closed spaces(e.g., Cinemas, shops), which the individual perceives escape is difficult in case of an emergency
  • Being in crowded places (e.g., public transportation, buses, trains)
  • The disorder causes significant disturtbance in important areas of functioning
  • The disorder is not explained by any other mental disorder
Substance/medication induced anxiety disorder
  • Symptoms of worry beging during or aftersubstance intoxication or after taking a medication.
  • There is evidence from the history, physical examination ,or laboratory findings of symptoms like anxiety and panic attack developed during or soon after substance intoxication or withdrawal or exposure to a medication.
  • The disorder is not due to delirium
  • The disorder causes significant functional impairment
Selective mutism
  • Failure to speak in certain situations in which there is an expectation for speaking(e.g., school) but is able to speak at home
  • The failure to speak is not due to lack of knowledge or language impairment
  • The duration lasts atleast a month
  • The disorder does not occur during the course of autism spectrum disorder , schizophrenia or any other psychotic disorder
Specific phobia
  • Persistent fear of a certain object or situation(e.g., fear of heights, fear of animals)
  • The fear or avoidance behavior lasts atleast for six months
  • The fear is out of proportion to the actual stressor
  • The fear causes significant functional impairment
Anxiety due to another medical condition
  • Fear is due to direct result of a medical condition
  • Anxiety and panic attacks
  • The disorder does not occur during the course of a delirium
  • The disorder not attributed to any other mental disorder
  • The disorder causes significant functional impairment
Unspecified anxiety disorder
  • This classification applies to conditions in which anxiety is predominant but do not meet full criteria for any of the disorders in the DSM-5 classification ofanxiety disorders.|}