Lecture 13: (Workshop) Differential diagnosis of anxiety disorders

Question 1

Name 5 changes of DSM-V with regards to DSM-IV for anxiety disorders?

Answer 1

1. Separation anxiety disorder and selective mutism disorder included in anxiety disorders
2. Panic attack specifier created and can be applied to a wide range of conditions
3. Change name of social phobia to social anxiety disorder
4. Panic attack specifier added to agoraphobia diagnosis
5. Trauma and stress related disorder chapter created - PTSD put here

Question 2

What is the lifetime prevalence for an anxiety disorder?

Answer 2

30% as per Kesseler et al 2005

Question 3

How may a “performance only” specifier impact individuals with SAD?

Answer 3

It could impact occupational functioning therefore leading to psychosocial distress

Question 4

What is the median age onset ranges for panic disorder?

Answer 4

20 - 24 years, rarely diagnosed after age 45

Individuals with panic disorder can have expected panic attacks too

Question 5

Name some differentials for panic disorder?

Answer 5

Other specified or unspecified anxiety disorder
Substance/medication induced anxiety disorder
Other psychiatric disorder with panic attacks
Illness anxiety disorder/Health anxiety disorder

Question 6

Describe the panic attack specifier?

Answer 6

Feelings of intense fear or discomfort

The onset of these is fast and intensity peaks very quickly

Mostly physical symptoms with a minimum of 4 out of 13 associated symptoms

Question 7

Which disorder has the higher prevalence: MDD, BD, or Anxiety disorders?

Answer 7

• Anxiety disorders

Question 8

Name some common symptoms in depressive disorders and anxiety disorders

Answer 8

• Sleep disturbance
• overall fatigue
• difficulty with concentration

Question 9

Why was PTSD moved to its own chapter in DSM-5?

Answer 9

• cognitive symptoms refer to the past

- dx allows for dissociative and depressive symptoms.