Substance/Medication-Induced Anxiety Disorder

Question 1

Substance/Medication-Induced Anxiety Disorder Criteria A

Answer 1

Panic attacks or anxiety is predominant in the clinical picture.

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

Question 2

Substance/Medication-Induced Anxiety Disorder Criteria B

Answer 2

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 or withdrawal from a medication.
2) The involved substance/medication is capable of producing the symptoms in Criterion A.

Question 3

Substance/Medication-Induced Anxiety Disorder Criteria C

Answer 3

The disturbance is not better explained by an anxiety disorder that is not substance/medication-induced. Such evidence could include the following:

The symptoms preceded 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).

Question 4

Substance/Medication-Induced Anxiety Disorder Criteria D

Answer 4

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

Question 5

Substance/Medication-Induced Anxiety Disorder Criteria E

Answer 5

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

Question 6

Substance/Medication-Induced Anxiety Disorder Use Severity Specifiers

Answer 6

With mild use disorder
With moderate or severe use disorder
Without use disorder

Question 7

Substance/Medication-Induced Anxiety Disorder Substance Type Specifiers

Answer 7

Alcohol
Caffeine
Cannabis
Phencyclidine
Other hallucinogen
Inhalant
Opioid
Sedative, hypnotic, or anxiolytic
Amphetamine-type substance (or other stimulant)
Cocaine
Other (or unknown) substance

Question 8

Substance/Medication-Induced Anxiety Disorder Onset Specifiers

Answer 8

With onset during intoxication: If criteria are met for intoxication with the substance and the symptoms develop during intoxication.

With onset during withdrawal: If criteria are met for withdrawal from the substance and the symptoms develop during, or shortly after, withdrawal.

With onset after medication use: If symptoms developed at initiation of medication, with a change in use of mediation, or during withdrawal of medication.