Anxiety Syndromes Flashcards
Specific Phobia, Criterion A + Note
A. Marked fear or anxiety about a specific object or situation (e.g., flying, heights, animals, receiving an injection, seeing blood).
Note: In children, the fear or anxiety may be expressed by crying, tantrums, freezing, or clinging.
Specific Phobia, Criterion B
B. The phobic object or situation almost always provokes immediate fear or anxiety.
Specific Phobia, Criterion C
C. The phobic object or situation is actively avoided or endured with intense fear or anxiety.
Specific Phobia, Criterion D
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.
Specific Phobia, Criterion E
E. The fear, anxiety, or avoidance is persistent, typically lasting for 6 months or more.
Social Anxiety Disorder, Criterion A + Note
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 (e.g., having a conversation, meeting unfamiliar people), being observed (e.g., eating or drinking), and performing in front of others (e.g., giving a speech).
Note: In children, the anxiety must occur in peer settings and not just during interactions with adults.
Social Anxiety Disorder, Criterion B
B. The individual fears that he or she will act in a way or show anxiety symptoms that will be negatively evaluated (i.e., will be humiliating or embarrassing; will lead to rejection or offend others).
Social Anxiety Disorder, Criterion C + Note
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
Social Anxiety Disorder, Criterion D
D. The social situations are avoided or endured with intense fear or anxiety.
Social Anxiety Disorder, Criterion E
E. The fear or anxiety is out of proportion to the actual threat posed by the social situation and to the sociocultural context.
Social Anxiety Disorder, Criterion F
F. The fear, anxiety, or avoidance is persistent, typically lasting for 6 months or more.
Panic Attack Specifier (13)
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:
- Palpitations, pounding heart, or accelerated heart rate.
- Sweating.
- Trembling or shaking.
- Sensations of shortness of breath or smothering.
- Feelings of choking.
- Chest pain or discomfort.
- Nausea or abdominal distress.
- Feeling dizzy, unsteady, light-headed, or faint.
- Chills or heat sensations.
- Paresthesias (numbness or tingling sensations).
- Derealization (feelings of unreality) or depersonalization (being detached from oneself).
- Fear of losing control or “going crazy.”
- Fear of dying.
Panic disorder, Criterion A (13), + 2 Notes
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.
- Palpitations, pounding heart, or accelerated heart rate.
- Sweating.
- Trembling or shaking.
- Sensations of shortness of breath or smothering.
- Feelings of choking.
- Chest pain or discomfort.
- Nausea or abdominal distress.
- Feeling dizzy, unsteady, light-headed, or faint.
- Chills or heat sensations.
- Paresthesias (numbness or tingling sensations).
- Derealization (feelings of unreality) or depersonalization (being detached from oneself).
- Fear of losing control or “going crazy.”
- Fear of dying.
Note: Culture-specific symptoms (e.g., tinnitus, neck soreness, headache, uncontrollable screaming or crying) may be seen. Such symptoms should not count as one of the four required symptoms.
Panic disorder, Criterion B (2)
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, having a heart attack, “going crazy”).
- A significant maladaptive change in behavior related to the attacks (e.g., behaviors designed to avoid having panic attacks, such as avoidance of exercise or unfamiliar situations).
Agoraphobia, Criterion A (5)
A. Marked fear or anxiety about two (or more) of the following five situations:
- Using public transportation (e.g., automobiles, buses, trains, ships, planes).
- Being in open spaces (e.g., parking lots, marketplaces, bridges).
- Being in enclosed places (e.g., shops, theaters, cinemas).
- Standing in line or being in a crowd.
- Being outside of the home alone.
Agoraphobia, Criterion B
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 (e.g., fear of falling in the elderly; fear of incontinence).
Agoraphobia, Criterion C
C. The agoraphobic situations almost always provoke fear or anxiety.
Agoraphobia, Criterion D
D. The agoraphobic situations are actively avoided, require the presence of a companion, or are endured with intense fear or anxiety.
Agoraphobia, Criterion E
E. The fear or anxiety is out of proportion to the actual danger posed by the agoraphobic situations and to the sociocultural context.
Agoraphobia, Criterion F
F. The fear, anxiety, or avoidance is persistent, typically lasting for 6 months or more.
Generalized Anxiety, Criterion A
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, Criterion B
B. The individual finds it difficult to control the worry.
Generalized Anxiety, Criterion C (6), Note
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.
- Restlessness or feeling keyed up or on edge.
- Being easily fatigued.
- Difficulty concentrating or mind going blank.
- Irritability.
- Muscle tension.
- Sleep disturbance (difficulty falling or staying asleep, or restless, unsatisfying sleep).
