Substance or medication-induced anxiety disorder

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Template:Anxiety disorder Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2]

Overview

Differential Diagnosis

Epidemiology and Demographics

Prevalence

The prevalence of substance or medication-induced anxiety disorder is not clear in the overall population.[1]

Diagnostic Criteria

DSM-V Diagnostic Criteria for Substance/Medication-Induced Anxiety Disorder [1]

“

AND

  • B.There is evidence from the history, physical examination, or laboratory findings of both (1)and (2):
  • 1.The symptoms in Criterion A developed during or soon after substance intoxication or withdrawal or after exposure to a medication.
  • 2.The involved substance/medication is capable of producing the symptoms in Criterion A.

AND

  • C.The disturbance is not better explained by an anxiety disorder that is not substance/medication-induced. Such evidence of an independent anxiety disorder could include

the following:

  • The symptoms precede the onset of the substance/medication use; the symptoms persist for a substantial period of time (e.g., about 1 month) after the cessation of acute withdrawal or severe intoxication: or there is other evidence suggesting the existence of an independent non-substance/medication-induced anxiety disorder

(e.g., a history of recurrent non-substance/medication-related episodes).

AND

  • D.The disturbance does not occur exclusively during the course of a delirium.

AND

  • E.The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.

Note:This diagnosis should be made instead of a diagnosis of substance intoxication or substance withdrawal only when the symptoms in Criterion A predominate in the clinical picture and they are sufficiently severe to warrant clinical attention .

”

References

  1. ↑ 1.0 1.1 1.2 Diagnostic and statistical manual of mental disorders : DSM-5. Washington, D.C: American Psychiatric Association. 2013. ISBN 0890425558.


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