Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
History and symptoms
Overview
Symptoms
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| Disorder
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Symptoms
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| Generalized anxiety disorders
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- Excessive wory about multiple life events for a period of atleast six months. The worry is disproportionate compared to the actual stressor
- The anxiety is associated with three or (more) of the following symptoms:
- Restlessness
- Fatigue
- Irritability
- Sleep disturbances
- Muscle tension
- Difficulty concentrating
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| Separation anxiety disorder
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- More common in children.
- Recurrent excessive worry when anticipating or experiencing separation from home or major attachment figures.
- persistent worry about losing major attachment figures or about possible harm to them.
- Repeated nightmares involving theme of separation
- Physical symptoms such as headaches, abdomianal pain and other GI symptoms such as nausea and vomiting when separation from major attachment figures is anticipated.
- The distutbance has major limitation on functioning in social, occupational or academic setting
- The disturbance is not explained by any other mental disorder
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| Panic disorder
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- Palpitations
- Sweating
- Shaking
- Chest pain
- Shortness of breath
- Dizziness
- Parasthesias
- Fear of going crazy
- Depersonalization
- Fear of dying
- The disturbance is not attributed to any other mental disorder
- The disorder is not due to physiologic effect of a substance
- The disturbance has major limitation on functioning in social, occupational or academic setting
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| Social anxiety disorder
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- Excessive anxiety about social situations where the individual is worried about scrutiny by others.
- Excessive anxiety in social situations such as having a conversation, parties, performing in front of a crowd(e.g.,Public speaking)
- Avoidance of social situations
- The anxiety significantly impairs functioning in all aspects of life
- The anxiety is not due to any other mental, medical or substance abuse
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| Agoraphobia
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- Fear of places or circumstances , where an individual perceives as difficult to escape
- Marked fear of the following situations:
- Being in open spaces
- Being outside alone
- Being in closed spaces(e.g., Cinemas, shops), which the individual perceives escape is difficult in case of an emergency
- Being in crowded places (e.g., public transportation, buses, trains)
- The disorder causes significant disturtbance in important areas of functioning
- The disorder is not explained by any other mental disorder
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| Substance/medication induced anxiety disorder
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- Symptoms of worry beging during or aftersubstance intoxication or after taking a medication.
- There is evidence from the history, physical examination ,or laboratory findings of symptoms like anxiety and panic attack developed during or soon after substance intoxication or withdrawal or exposure to a medication.
- The disorder is not due to delirium
- The disorder causes significant functional impairment
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| Selective mutism
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- Failure to speak in certain situations in which there is an expectation for speaking(e.g., school) but is able to speak at home
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| Specific phobia
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- Persistent fear of a certain object or situation(e.g., fear of heights, fear of animals)
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| Anxiety due to another medical condition
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- fear is due to direct result of a medical condition
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| Unspecified anxiety disorder
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- This classification applies to conditions in which anxiety is predominant but do not meet full criteria for any of the disorders in the DSM-5 classification ofanxiety disorders.
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