List of DSM anxiety disorder
1. Generalized Anxiety Disorder
Excessive anxiety about a number of events or activities, occurring more days than not, for at least 6 months.
The person finds it difficult to control the worry.
The anxiety and worry are associated with at least three of the following six symptoms (with at least some symptoms present for more days than not, for the past 6 months):
The anxiety, worry, or physical symptoms cause clinically significant distress or impairment in social or occupational functioning.
The disturbance does not occur exclusively during a mood disorder, a psychotic disorder, pervasive developmental disorder, substance use, or general medical condition.
2.Panic Attack
A panic attack is a period of intense fear or discomfort, developing abruptly and peaking within 10 minutes, and requiring at least four of the following:
3. Panic Disorder
Recurrent unexpected panic attacksAt least one of the attacks has been followed by at least 1 month of one or more of the following:
4. Agoraphobia
Fear of being in places or situations from which escape might be difficult (or embarrassing) or in which help might not be available in the event of having unexpected panic-like symptoms.The situations are typically avoided or require the presence of a companion.The condition is not better accounted for by another mental disorder.
5. Posttraumatic Stress Disorder
The person has been exposed to a traumatic event in which both of the following were present:
6. Acute Stress Disorder
The person has been exposed to a traumatic event in which both of the following were present:
7. Obsessive-Compulsive Disorder
Obsessions
8. Criteria for Specific Phobia
Persistent fear that is excessive or unreasonable, cued by the presence or anticipation of a specific object or situation.
Exposure provokes immediate anxiety, which can take the form of a situationally predisposed panic attack.
Patients recognize that the fear is excessive or unreasonable.
Patients avoid the phobic situation or else endure it with intense anxiety or distress.
The distress in the feared situation interferes significantly with the person's normal routine, occupational functioning, or social activities or relationships.
In persons younger than 18 years, the duration is at least 6 months.
The fear is not better accounted for by another mental disorder.
9. Criteria for Social Phobia
A fear of one or more social or performance situations in which the person is exposed to unfamiliar people or to possible scrutiny by others and feels he or she will act in an embarrassing manner.
Exposure to the feared social situation provokes anxiety, which can take the form of a panic attack.
The person recognizes that the fear is excessive or unreasonable.
The feared social or performance situations are avoided or are endured with distress.
The avoidance, anxious anticipation, or distress in the feared situation interferes significantly with the person's normal routine, occupational functioning, or social activities or relationships.
The condition is not better accounted for by another mental disorder, substance use, or general medical condition.
If a general medical condition or another mental disorder is present, the fear is unrelated to it.
The phobia may be considered generalized if fears include most social situations.
- Generalised anxiety disorder
- Panic attack
- Panic disorder
- Agoraphobia
- Posttraumatic stress disorder
- Acute stress disorder
- Obsessive compulsive disorder
- Criteria for specific phobia
- Criteria for social phobia
1. Generalized Anxiety Disorder
Excessive anxiety about a number of events or activities, occurring more days than not, for at least 6 months.
The person finds it difficult to control the worry.
The anxiety and worry are associated with at least three of the following six symptoms (with at least some symptoms present for more days than not, for the past 6 months):
- Restlessness or feeling keyed up or on edge
- Being easily fatigued
- Difficulty concentrating or mind going blank
- Irritability
- Muscle tension
- Sleep disturbance
The anxiety, worry, or physical symptoms cause clinically significant distress or impairment in social or occupational functioning.
The disturbance does not occur exclusively during a mood disorder, a psychotic disorder, pervasive developmental disorder, substance use, or general medical condition.
2.Panic Attack
A panic attack is a period of intense fear or discomfort, developing abruptly and peaking within 10 minutes, and requiring at least four of the following:
- Chest pain or discomfort
- Chills or hot flushes
- Derealization (feelings of unreality) or depersonalization (being detached from oneself)
- Fear of losing control
- Feeling dizzy, unsteady, lightheaded, or faint
- Feeling of choking
- Nausea or abdominal distress
- Palpitations or tachycardia
- Paresthesias
- Sensations of shortness of breath or smothering
- Sense of impending doom
- Sweating
- Trembling or shaking
3. Panic Disorder
Recurrent unexpected panic attacksAt least one of the attacks has been followed by at least 1 month of one or more of the following:
- Persistent concern about having additional panic attacks
- Worry about the implications of the attack or its consequences
- A significant change in behavior related to the attacks
4. Agoraphobia
Fear of being in places or situations from which escape might be difficult (or embarrassing) or in which help might not be available in the event of having unexpected panic-like symptoms.The situations are typically avoided or require the presence of a companion.The condition is not better accounted for by another mental disorder.
5. Posttraumatic Stress Disorder
The person has been exposed to a traumatic event in which both of the following were present:
- The person experienced, witnessed, or was confronted with an event that involved actual or threatened death or serious injury or a threat to the physical integrity of others.
- The person's response involved intense fear, helplessness, or horror.
- Recurrent and intrusive distressing recollections of the event, including images, thoughts, or perceptions.
- Recurrent distressing dreams of the event.
- Acting or feeling as if the traumatic event were recurring, including a sense of reliving the experience, illusions, hallucinations, and flashback episodes.
- Intense psychological distress at exposure to cues that symbolize an aspect of the traumatic event.
- Physiologic reactivity on exposure to cues that symbolize or resemble an aspect of the traumatic event.
- Efforts to avoid thoughts, feelings, or conversations associated with the trauma
- Efforts to avoid activities, places, or people that arouse recollections of the trauma
- Inability to recall an important aspect of the trauma
- Markedly diminished interest or participation in significant activities
- Feeling of detachment or estrangement from others
- Restricted range of affect
- Difficulty falling or staying asleep
- Irritability or outbursts of anger
- Difficulty concentrating
- Hypervigilance
- Exaggerated startle response
6. Acute Stress Disorder
The person has been exposed to a traumatic event in which both of the following were present:
- The person experienced, witnessed, or was confronted with an event or events that involved actual or threatened death or serious injury.
- The person's response involved intense fear, helplessness, or horror.
- A subjective sense of numbing, detachment, or absence of emotional responsiveness
- A reduction in awareness of his or her surroundings
- Derealization
- Depersonalization
- Dissociative amnesia
7. Obsessive-Compulsive Disorder
Obsessions
- Recurrent and persistent thoughts, impulses, or images that are experienced as intrusive and inappropriate, causing anxiety or distress.
- The thoughts, impulses, or images are not simply excessive worries about real-life problems.
- The person attempts to ignore or suppress such thoughts, impulses, or images or to neutralize them with some other thought or action.
- The person recognizes that the obsessional thoughts, impulses, or images are a product of his or her own mind.
- Repetitive behaviors or mental acts that the person feels driven to perform in response to an obsession or according to rules that must be applied rigidly.
- The behaviors or mental acts are aimed at preventing or reducing distress or preventing some dreaded event or situation.
- These behaviors or mental acts either are not connected in a realistic way with what they are designed to neutralize or prevent, or they are clearly excessive.
- At some point during the course of the disorder, the person has recognized that the obsessions or compulsions are excessive or unreasonable.
- The obsessions or compulsions cause marked distress, take up more than 1 hour a day, or significantly interfere with the person's normal routine, occupation, or usual social activities.
- If another Axis I disorder, substance use, or general medical condition is present, the content of the obsessions or compulsions is not restricted to it.
8. Criteria for Specific Phobia
Persistent fear that is excessive or unreasonable, cued by the presence or anticipation of a specific object or situation.
Exposure provokes immediate anxiety, which can take the form of a situationally predisposed panic attack.
Patients recognize that the fear is excessive or unreasonable.
Patients avoid the phobic situation or else endure it with intense anxiety or distress.
The distress in the feared situation interferes significantly with the person's normal routine, occupational functioning, or social activities or relationships.
In persons younger than 18 years, the duration is at least 6 months.
The fear is not better accounted for by another mental disorder.
9. Criteria for Social Phobia
A fear of one or more social or performance situations in which the person is exposed to unfamiliar people or to possible scrutiny by others and feels he or she will act in an embarrassing manner.
Exposure to the feared social situation provokes anxiety, which can take the form of a panic attack.
The person recognizes that the fear is excessive or unreasonable.
The feared social or performance situations are avoided or are endured with distress.
The avoidance, anxious anticipation, or distress in the feared situation interferes significantly with the person's normal routine, occupational functioning, or social activities or relationships.
The condition is not better accounted for by another mental disorder, substance use, or general medical condition.
If a general medical condition or another mental disorder is present, the fear is unrelated to it.
The phobia may be considered generalized if fears include most social situations.