dsm cards - anxiety.txt

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twinkienic
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dsm cards - anxiety.txt
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2010-06-22 03:33:14
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DSM4 psychiatry anxiety disorder criteria
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DSM4 psychiatry anxiety disorder criteria
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  1. Name the Anxiety Disorders
    • 1. Panic Disorder Without Agoraphobia
    • 2. Panic Disorder With Agoraphobia
    • 3. Agoraphobia Without History of Panic Disorder
    • 4. Specific Phobia
    • 5. Social Phobia
    • 6. Obsessive-Compulsive Disorder
    • 7. Posttraumatic Stress Disorder
    • 8. Acute Stress Disorder
    • 9. Generalized Anxiety Disorder
    • 10. Anxiety Disorder Due to a General Medical Condition
    • 11. Substance-Induced Anxiety Disorder
    • 12. Anxiety Disorder Not Otherwise Specified
  2. Name the Diagnostic Criteria for a Panic Attack
    • Period of intense fear or discomfort with at least four of the following symptoms developed abruptly and peaked within 10 minutes:
    • 1. Palpitations or accelerated heart rate
    • 2. Sweating
    • 3. Trembling
    • 4. Shortness of breath
    • 5. Sensation of choking
    • 6. Chest pain
    • 7. Nausea or abdominal upset
    • 8. Feeling dizzy, lightheaded, or faint
    • 9. Depersonalization or feelings of unreality
    • 10. Fear of losing control
    • 11. Fear of dying
    • 12. Numbness or tingling (Paresthesias)1
    • 13. Chills or hot flushes

    Note: Panic Attack alone is not a diagnosis.
  3. Name the Diagnostic Criteria for Agoraphobia
    • A. Anxiety about being in a location or situation:
    • 1. from which it would be difficult or embarrassing to escape, or
    • 2. where help may not be available in the event of unexpected Panic Attack or panic-like symptoms.

    B. The person avoids the places or situations, or endures them with marked distress or anxiety, or the person requires a companion.

    Note: Agoraphobia alone is not a diagnosis.
  4. Name the Diagnostic Criteria for Panic Disorder Without Agoraphobia
    • A. Both of the following:
    • 1. Recurrent and unexpected Panic Attacks.
    • 2. One or more of these symptoms follows the attacks for at least 1 month:
    • -- 1. persistent concern about more attacks
    • -- 2. worry about implications or consequences of the attack
    • -- 3. significant change in behavior resulting from the attacks
  5. B. No Agoraphobia is present.
  6. C. Neither a substance nor a general medical condition accounts for the Panic Attacks.
  7. Name the Diagnostic Criteria for Panic Disorder With Agoraphobia
    • A. Both of the following:
    • 1. Recurrent and unexpected Panic Attacks.
    • 2. One or more of these symptoms follows the attacks for at least 1 month:
    • -- 1. persistent concern about more attacks
    • -- 2. worry about implications or consequences of the attack
    • -- 3. significant change in behavior resulting from the attacks
  8. B. Agoraphobia is present.
  9. C. Neither a substance nor a general medical condition accounts for the Panic Attacks.
  10. Name the Diagnostic Criteria for Agoraphobia Without History of Panic Disorder
    A. Agoraphobia connected to fear of developing panic-like symptoms.
  11. B. Criteria not met for Panic Disorder.
  12. C. Not caused by a substance or a general medical condition.
  13. D. If a general medical condition is present, the fear noted in Item A clearly exceeds expectations for the condition.
  14. Name the Diagnostic Criteria for Specific Phobia
    A. Existence or anticipation of specific objects or situations triggers excessive fear that is both marked and persistent.

    B. Exposure to the object or situation causes an anxiety response.

    C. The individual realizes that the fear is unreasonable.

    D. The object or situation is either endured with intense anxiety or distress or avoided.

    E. The phobic response significantly interferes with the person's normal routine, activities, functioning, or relationships.

    F. If the person is under age 18 years, the disorder lasts 6 months or more.
  15. Name the Diagnostic Criteria for Social Phobia
    A. Marked and persistent fear of situations involving unfamiliar people or scrutiny by others, with a fear of humiliation or embarrassment.

    B. The feared social situation causes anxiety.

    C. The individual realizes that the fear is extreme.

    D. The feared social or performance situations are either endured with intense anxiety, or avoided.

    E. Phobic response interferes with the person's normal routine, activities, functioning, or relationships, or there is distress.

    F. If the person is under age 18 years, the disorder last 6 months or more.

    G. Not due to a general medical condition or a substance.

    H. The fear in Item A is not related to a general medical condition or other mental disorder.
  16. Name the Diagnostic Criteria for Obsessive-Compulsive Disorder
    A. Either obsessions or compulsions.

    B. The individual realizes that the obsessions or compulsions are extreme.

    C. Obsessions or compulsions cause marked distress, consume more than one hour per day, or interfere considerably with normal functioning, activities and relationships.

    D. The obsessions or compulsions are not limited to any other Axis I disorder that may be present.

    E. Not due to a substance or general medical condition.
  17. Define Obsessions
    • 1. Repeated and persistent thoughts, impulses, or images that cause marked anxiety or distress and are both intrusive and inappropriate.
    • 2. Not simply excessive worries about real-life problems.
    • 3. The individual tries to ignore, suppress, or replace the thoughts, impulses, or images.
    • 4. The individual realizes that the thoughts, impulses, or images come strictly from within their own mind.
  18. Define Compulsions
    • 1. Repetitive physical or mental actions that an individual feels compelled to perform in response to an obsession or according to rigid rules.
    • 2. The mental actions or physical behaviors are intended to prevent or limit distress, or to avoid a feared event or situation. However, the chosen acts are not appropriately connected with the expected event or situation.
  19. Name the Diagnostic Criteria for Posttraumatic Stress Disorder
    • A. The individual experiences a traumatic event that includes both:
    • -- 1. Participating, witnessing, or confronting an event that involves actual or threatened death or serious injury.
    • -- 2. Intense fear, helplessness, or horror.

    B. The individual persistently reexperiences the traumatic event in at least one way.

    C. The individual persistently avoids stimuli associated with the trauma and experiences numbing of general responsiveness in at least three ways.

    D. The person experiences persistent symptoms of increased arousal in at least two ways.

    E. The symptoms in Items B, C, and D last more than 1 month.

    F. Impairment in important functioning.
  20. Describe How Traumatic Events are Reexperienced in Posttraumatic Stress Disorder
    • At least one of the following:
    • 1. Distressing recollections of the event that both recur and intrude.
    • 2. Distressing and recurring dreams of the event.
    • 3. Acting or feeling as if the event were recurring.
    • 4. Intense distress when exposed to cues that symbolize or are similar to the event.
    • 5. Physiological reactivity when exposed to cues that symbolize or are similar to the event.
  21. Describe How Stimuli are Avoided in Posttraumatic Stress Disorder
    • At least three or more of the following:
    • 1. Efforts to avoid associated thoughts, feelings, or conversations.
    • 2. Efforts to avoid people, places, or activities that stimulate recollections of the trauma.
    • 3. Failure to recollect some important aspect of the trauma.
    • 4. Markedly reduced interest or participation in important activities.
    • 5. A sense of detachment or alienation from others.
    • 6. Restricted affective range.
    • 7. Sense of future life constrictions.
  22. Describe Symptoms of Increased Arousal in Posttraumatic Stress Disorder
    • At least two of the following:
    • 1. Getting to sleep or staying asleep is difficult.
    • 2. Testiness or outbursts of anger.
    • 3. Concentration becomes difficult.
    • 4. Excessive vigilance.
    • 5. Startle response is exaggerated.
  23. Describe the Diagnostic Criteria for Acute Stress Disorder
    • A. The individual experiences a traumatic event that includes both:
    • -- 1. Participating, witnessing, or confronting an event that involves actual or threatened death or serious injury.
    • -- 2. Intense fear, helplessness, or horror.

    B. During or afterwards, the person has at least three dissociative symptoms.

    C. Persistent reexperiencing of the event in at least one way.

    D. Avoiding stimuli that recall the trauma.

    E. Marked symptoms of anxiety or increased arousal.

    F. Distress or impairment in social, occupational, or other important functioning.

    G. Occurs within 4 weeks of the trauma. Lasts at least 2 days and at most 4 weeks.

    H. Not caused by a substance or a general medical condition. Not simply a worsening of a preexisting Axis I or Axis II disorder.
  24. Describe the Dissociative Symptoms of Acute Stress Disorder
    • At least three of the following:
    • 1. Numbing, detachment, or lack of emotional responsiveness.
    • 2. Reduced awareness of the individual's surroundings.
    • 3. Derealization.
    • 4. Depersonalization.
    • 5. Dissociative amnesia.
  25. Describe How the Traumatic Event is Reexperienced in Acute Stress Disorder
    • Recurrence of at least one of the following:
    • 1. Images.
    • 2. Thoughts.
    • 3. Dreams.
    • 4. Illusions.
    • 5. Flashbacks.
    • 6. A sense of reliving the experience.
    • 7. Distress when reminded of the event.
  26. Describe the Diagnostic Criteria for Generalized Anxiety Disorder
    A. Excess anxiety and worry about a number of events for more days than not for at least 6 months.

    B. Difficulty in controlling the worry.

    C. Three or more specific symptoms.

    D. Anxiety and worry not confined to aspects of an Axis I disorder and not limited to PTS

    D.

    E. Impairment in social, occupational, or other important functioning.

    F. Not due to a substance or a general medical condition. Not limited to Mood, Psychotic, or Pervasive Developmental Disorders.

    • Name the Symptoms for Generalized Anxiety Disorder
    • At least three of the following symptoms, experienced for more days than not during the preceding 6 months:
    • 1. Restlessness.
    • 2. Fatigue.
    • 3. Problems with concentration.
    • 4. Irritability.
    • 5. Muscle tension.
    • 6. Sleep disturbance.
  27. Describe the Diagnostic Criteria for Anxiety Disorder Due to a General Medical Condition
    A. Obsessions or compulsions, prominent anxiety, or Panic Attacks.

    B. A general medical condition directly causes the disturbance.

    C. Not exclusively during delirium.

    D. Distress or impairment in social, occupational, or other important functioning.
  28. Name the Diagnostic Criteria for Substance-Induced Anxiety Disorder
    A. Obsessions or compulsions, prominent anxiety, or panic attacks.

    • B. Either:
    • 1. Symptoms in Item A developed during or within 1 month of substance intoxication/withdrawal, or
    • 2. Medication use relates to the disturbance.

    C. The disturbance cannot be better accounted for by an Anxiety Disorder that is not substance induced.

    D. Not exclusively during delirium.

    E. Distress or impairment in social, occupational, or other important functioning.

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