Anxiety Dx Flashcards


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1

Anxiety Dx-list

  1. separation anxiety dx
  2. Selective Mutism
  3. specific phobia
  4. social anxiety disorder
  5. Panic Disorder
  6. Agoraphobia
  7. GAD
  8. Substance/medication induced anxiety dx
  9. anxiety dx due to another medical condition
  10. other specified anxiety dx
  11. unspecified anxiety dx

2

fear

emotional response to real or perceived imminent threat

3

anxiety

anticipation of future threat

4

Separation Anxiety Dx

  • A. Developmentally inappropriate and excessive fear/anxiety concerning separation from those to whom the individual is attached, evidenced by 3+ of the following:
    1. recurrent excessive distress when anticipating or experiencing separation from attachment figure
    2. persist worry about losing major attachment figures or about possible harm to them
    3. persistent worry about experiencing an untoward event that causes separation from a major attachment figure
    4. reluctance or refusal to go out, away from home, to school, work due to fear of separation
    5. excessive fear of or reluctance about being alone or w/out attachment figure
    6. reluctance or refusal to sleep away from home or attachment figure
    7. repeated nightmares involving separation
    8. complains of physical symptoms when separation from attachment figures
  • B. fear, anxiety, or avoidance is persistence, lasting 4 wks in children and adolescents and typically 6 months or more in adults
  • C. disturbance causes distress ir impairment in social/occupational/ other areas of functioning
  • D. the disturbance is not better explained by another mental dx, such as asd, delusions, hallucinations, etc

5

Selective Mutism

  • A. consistent failure to speak in specific social situations in which there is an expectation for speaking despite speaking in other situations
  • B. disturbance interferes with education or occupational achievement or with social communication
  • C. the duration of the distruabcen is at least 1 month (and not limited to the first month of school)
  • D. failure to speak is not attributable to a lack of knowledge of or comfort with the spoken language required in the social situation
  • E. not better explained by a communication disorder and does not occur exclusively during the course of autism, schizophrenia, or other psychotic dx

6

specific phobia

  • A. marked fear/ anxiety about a specific object or situation
  • B. phobic object or situation almost always provokes immediate fear or anxiety
  • C. phobic object or situation is actively avoided or endured with intense fear or anxiety
  • D. fear or anxiety is out of proportion to the actual danger
  • E. fear/ anxiety/ avoidance is persistent, lasting for 6+ months
  • F. fear/anxiety/avoidance causes clinically significant distress or impairment in areas of functioning
  • G. not better explained by symptoms of another mental dx, not due to ocd, or separation from attachment figures

7

specific phobia- specifiers

  • code based on the phobic stimulus
    1. animal
    2. natural environment
    3. blood injection injury
    4. situational
    5. other
  • if more than one phobic stimulus is present, code all that apply

8

Social Anxiety Disorder

  • A. marked fear/anxiety about one or more social situations in which the individual is exposed to possible scrutiny by others
  • B. individual fears that they will act in a way that shows anxiety symptoms that will be negatively evaluated
  • C. the social situations almost always provoke fear or anxiety
  • D. the social situations are avoided or endured with intense fear or anxiety
  • E. fear or anxiety is out of proportion to the actual threat posed by the social situation and to the sociocultural context
  • F. fear/anxiety/avoidance persistent for 6+ months
  • G. fear/anxiety/avoidance causes clinically significant distress or impairment in areas
  • H. dear/anxiety/avoidance is not attributable to substance use or other medical condition
  • I. fear/anxiety/avoidance is not better explained by the symptoms of another mental dx, like panic dx or body dysmorphic dx
  • J. if another medical condition is present, the fear/anxiety/avoidance is clearly unrelated or is excessive
  • Specify if performance only

9

Panic Disorder

  • A. recurrent unexpected panic attacks- an abrupt surge of intense fear or intense discomfort that reaches a peak within minutes, during which time 4+ of the symptoms occur:
    1. palpitations, pounding heart
    2. sweating
    3. tumbling or shaking
    4. sensations of shortness of breath or smothering
    5. feelings of choking
    6. chest pain or discomfort
    7. nausea or abdominal distress
    8. feelings dizzy, unsteady, light headed
    9. chills or heat sensations
    10. paresthesia (numbness)
    11. derealization or depersonalization
    12. fear of losing control
    13. fear of dying
  • B. at least one of the attacks has been followed by 1 month or more one or both:
    1. persistent concern or worry about additional panic attacks
    2. significant maladaptive change in bx related to attacks
  • C. disturbance is not due to substance use or other medical condition
  • D. not better explained by another mental dx

10

Panic Attack Specifier

  • can occur in the context of any anxiety dx and other mental dx
    1. palpitations, pounding heart
    2. sweating
    3. tumbling or shaking
    4. sensations of shortness of breath or smothering
    5. feelings of choking
    6. chest pain or discomfort
    7. nausea or abdominal distress
    8. feelings dizzy, unsteady, light headed
    9. chills or heat sensations
    10. paresthesia (numbness)
    11. derealization or depersonalization
    12. fear of losing control
    13. fear of dying

11

Agoraphobia

  • A. marked fear or anxiety about 2+ of following:
    1. using public transportation
    2. being in open spaces
    3. being in enclosed placed
    4. standing in line or being in a crowd
    5. being outside of the home
  • B. individual fears or avoids these situations bc of thoughts of escape might be difficulty or help might not be available in the event panic life symptoms start
  • C. agoraphobic situations almost always produces fear or anxiety
  • D. situation is actively avoided, requires the presence of a companion, or endured with lots of anxiety
  • E. fear or anxiety out of proportion to actual posed danger
  • F. fear/anxiety/avoidance lasting for 6 months or more
  • G. causes significant distress or impairment
  • H. if another med condition present, the avoidance is clearly excessive
  • I. not better explained by symptoms of another mental dx

you can dx of both agoraphobia and panic dx

12

Generalized Anxiety Disorder

  • A. excessive anxiety or worry occurring more days than not for at least 6 months, about a number of events or activities
  • B. individual finds it difficulty to control the worry
  • C. anxiety and worry are associated with three or more of the following symptoms:
    1. restlessness or feeling keyed up
    2. being easily fatigued
    3. difficulty concentrating or mind going blank
    4. irritability
    5. muscle tension
    6. sleep disturbance
  • D. causes distress or impairment in social, occupational functioning
  • E. disturbance not better attributable to effect of substance of other medical condition
  • F. not better explained by another mental dx