Anxiety Disorders Flashcards
general definition of separation anxiety disorder
developmentally inappropriate and excessive fear/anxiety about being separated from attachment figure
anxiety disorders most often associated with suicide attempts
panic disorder
GAD
specific phobia
8 potential manifestations of separation anxiety disorder
-distress when anticipating separation
-worry that something will happen to attachment figure
-worry something may happen to them to cause separation
-fear of being w/o attachment figure
-fear to go out w/o attachment figure
-refusal to sleep away from home/attachment figure
-nightmares about separation
-physical complaints when separated
how many symptoms of separation anxiety disorder must be present to make diagnosis
3+
how long do symptoms have to be present for separation anxiety disorder diagnosis
at least 4 weeks in children/adolescents and 6 months in adults
what can precipitate the development of separation anxiety disorder
-a life stressor (particularly loss)
-being bullied
what is a risk factor for SI in young children
being bullied
4 diagnostic criteria for selective mutism
-failure to speak in certain situations but not others
-interferes w/ social/educational/occupational function
-not attributable to a language barrier
-not better explained by a communication disorder
how long do symptoms have to be present for diagnosis of selective mutism
at least 1 month (not counting first month in school)
onset of selective mutism
usually before age 5 but may not be apparent until they enter school
5 criteria for specific phobia diagnosis
-marked fear/anxiety about specific object/situation
-phobic object/situation almost always evokes fear
-phobia actively avoided or endured with much distress
-fear out of proportion to actual danger
-causes clinically significant distress/functional impairment
how long must symptoms be present for diagnosis of specific phobia
6 months or more
specific phobia dx is excluded if phobic symptoms are a result of what
-another mental disorder
-objects/situations r/t obsessions (OCD)
-reminders of tragic event (PTSD)
-separation from home/attachment figures
-social situations
onset of specific phobia
usually before age 10 but can be anytime
how is specific phobia related to SI
-associated with thoughts and attempts
-also associated with the transition from thoughts to attempts
6 diagnostic criteria for social anxiety disorder
-fear/anxiety r/t social situations where they might be judged
-fears they will act embarrassingly
-social situations almost always provoke fear
-social situations are avoided or endured with significant distress
-fear out of proportion to threat
-cause clinically significant distress
how long do social anxiety symptoms have to be present to qualify for dx
longer than 6 months
social anxiety disorder specifier
specify if performance-related
what must be true about sx of social anxiety disorder when occurring in a child
symptoms must also be present in peer situations and not just with adults
Taijin kyofucho
fear that the person makes others feel uncomfortable and may be experienced at a delusional intensity
what is more likely in women with social anxiety disorder
greater number of fears and comorbid depression
what is more likely in men with social anxiety disorder
-fear of dating
-comorbid ODD, conduct disorder, or antisocial personality disorder
-self-medication with substances
panic attacks in social anxiety disorder
more likely to be distressed about negative appraisal for having panic attack than the attack itself
which of the personality disorders is most comorbid with social anxiety disorder
avoidant personality disorder
