Anxiety Disorders Flashcards
Specific Phobia?
A. Marked fear or anxiety about a specific object or situation.
B. The phobic object or situation almost always immediate fear or anxiety.
C. The phobic object or situation is actively avoided or endured with intense fear or anxiety.
D. The fear or anxiety is out of proportion to the actual danger posed by the specific object or situation and to the sociocultural context.
E. The fear, anxiety, or avoidance is persistent, typically lasting for 6 or more months.
F. The fear, anxiety, or avoidance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.
G. The disturbance is not better explained by the symptoms of another mental disorder.
types of specific phob
Animal Type
e.g. spiders, snakes, insects, dogs, etc.
• Natural Environment Type
e.g. storms, thunder, heights, water, etc.
• Blood-Injection Type
e.g. seeing blood, seeing injury, receiving an injection
• Situational Type
e.g. public transport, tunnels, bridges, elevators
• Other Type
e.g. choking, vomiting, etc.
Panic disorder?
A. Recurrent unexpected panic attacks. A panic attack is an abrupt surge of intense fear or intense discomfort that reaches a peak within minutes, and during which time four (or more) of the following symptoms occur:
Note: The abrupt surge can occur from a calm state or an anxious state.
1. Palpitations, pounding heart, or accelerated heart rate.
2. Sweating.
3. Trembling or shaking.
4. Sensations of shortness of breath or smothering.
5. Feelings of choking.
6. Chest pain or discomfort.
7. Nausea or abdominal distress.
8. Feeling dizzy, light-headed, or faint.
9. Chills or heat sensations.
10. Paraesthesia (numbness or tingling sensation).
11. Derealisation (feelings of unreality) or depersonalisation (being detached from one-self).
12. Fear of losing control or ‘going crazy’.
13. Fear of dying.
Note: Culture-specific symptoms may be seen. Such symptoms should not count as one of the four required symptoms.
B. At least one of the attacks has been followed by 1 month (or more) of one or both of the following:
- Persistent concern or worry about additional panic attacks or their consequences (e.g. losing control, ‘going crazy’).
- A significant maladaptive change in behaviour related to the attacks (e.g. avoidance of exercise).
C. The disturbance is not attributable to the physiological effect of a substance or another medical condition.
D. The disturbance is not better explained by another mental disorder.
Agoraphobia?
A. Marked fear or anxiety about two (or more) of the following situations:
1. Using public transportation.
2. Being in open spaces.
3. Being enclosed in places.
4. Standing in line or being in a crowd.
5. Being outside of the home alone.
B. The individual fears or avoids these situations because of thoughts that escape might be difficult or help might not be available in the event of developing panic-like symptoms or other incapacitating or embarrassing symptoms.
C. The agoraphobic situations almost always provoke fear or anxiety.
D. The agoraphobic situations are actively avoided, require the presence of a companion, or are endured with intense fear or anxiety.
E. The fear or anxiety is out of proportion to the actual danger posed by the agoraphobic situations and to the sociocultural context.
F. The fear, anxiety, or avoidance is persistent, typically lasting 6 months or more.
G. The fear, anxiety, or avoidance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.
H. If another medical condition is present, the fear, anxiety or avoidance is clearly excessive.
I. The fear, anxiety, or avoidance is not better explained by the symptoms of another mental disorder.
Differential diagnoses for panic disordeR?
-• Anxiety disorder due to another medical condition.
• Substance/medication induced anxiety disorder.
- other anxiety disorders
Differential diagnoses for agoraphobia?
- Specific phobia – situational type - diagnose SP if the situation is specific…
- Social anxiety disorder.
- Panic disorder – if criteria for panic disorder are met, agoraphobia should not be diagnosed if avoidance behaviours do not extend beyond two or more agoraphobic situations.
- PTSD – if symptoms are only related to traumatic event.
- Depression – low motivation.
Social Anxiety disorder?
A. Marked fear or anxiety about one or more social situations in which the individual is exposed to possible scrutiny by others. Examples include social interactions, being observed, and performing in front of others.
Note: In children, the anxiety must occur in peer settings and not just during interactions with adults.
B. The individual fears that he or she will act in a way or show anxiety symptoms that will be negatively evaluated.
C. The social situations almost always provoke fear or anxiety
Note: In children, the fear or anxiety may be expressed by crying, tantrums, freezing, clinging, shrinking, or failing to speak in social situations.
D. The social situations are avoided or endured with intense fear or anxiety.
E. The fear or anxiety is out of proportion to the actual threat posed by the social situation and to the sociocultural context.
F. The fear, anxiety, or avoidance is persistent, typically lasting 6 months or more.
G. The fear, anxiety, or avoidance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.
H. The fear, anxiety, or avoidance is not attributable to the physiological effects of a substance or another medical condition.
I. The fear, anxiety, or avoidance behaviour is not better explained by the symptoms of another mental disorder.
J. If another medical condition is present, the fear, anxiety, or avoidance is clearly unrelated or is excessive.
Whats my acronym for social anxiey?
PHAAFOC
Generalised Anxiety Disorder?
A. Excessive anxiety and worry (apprehensive expectation), occurring more days than not for at least 6 months, about a number of events or activities.
B. The individual finds it difficult to control the worry.
C. The anxiety and worry are associated with three (or more) of the following six symptoms (with at least some symptoms having been present for more days than not for the past 6 months):
Note: Only one item is required in children.
1. Restlessness or feeling keyed up or on edge.
2. Being easily fatigued.
3. Difficulty concentrating or mind going blank.
4. Irritability.
5. Muscle tension.
6. Sleep disturbance.
D. The anxiety, worry, or physical symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
E. The disturbance is not attributable to the physiological effects of a substance or another medical condition.
F. The disturbance is not better explained by another mental disorder.
acrnoym for GAD?
AND I C REST
