DSM V – ANXIETY DISORDERS

SEPARATION ANXIETY DISORDER SELECTIVE MUTISM Natural Environment

Diagnostic Criteria: Diagnostic Criteria: Blood-injection-injury
A. Developmentally inappropriate and A. Consistent failure to speak in specific social Situational
excessive fear or anxiety concerning situations in which there is an expectation for
Other
separation from those to whom the individual speaking despite speaking in other situations.
is attached. B. Disturbance interferes with SOCIAL ANXIETY DISORDER (SOCIAL
• Recurrent excessive distress when educational/occupational achievement/social PHOBIA)
anticipating/experiencing separation. communication.
Diagnostic Criteria:
• Persistent and excessive worry about C. Duration is at least 1 month.
losing major attachment figures/about D. Failure to speak is not attributable to a lack A. Marked fear/anxiety about one/more social
possible harm to them/about of knowledge. situations in which the individual is exposed
experiencing an untoward event that E. Disturbance is not better explained by a to possible scrutiny by others. ( in children,
causes separation. communication disorder. anxiety must occur in peer settings)
• Persistent reluctance or refusal to go out SPECIFIC PHOBIA B. Fears that he/she will act in a way/show
because of fear of separation/being anxiety symptoms that will be negatively
alone/sleep away from home. Diagnostic Criteria: evaluated.
• Repeated nightmares about A. Marked fear/anxiety about a specific
C. Social situations almost always provoke
separation/complaints of physical fear/anxiety.
object/situation. (In children, it is expressed
symptoms when separation D. Social situations are avoided/endured with
by crying, tantrums, freezing, clinging).
occurred/anticipated. intense fear/anxiety.
B. Phobic object/situation almost always
B. Fear, anxiety, or avoidance is persistent E. Fear/anxiety is out of proportion to the actual
provoke immediate fear/anxiety/actively
(children and adolescent at least 4 weeks, danger posed by the social situation.
avoided/endured with intense fear/anxiety.
adult more than 6 months.) F. Fear/anxiety/avoidance is persistent (lasting
C. Fear/anxiety is out of proportion to the actual
C. Disturbance causes clinically significant for 6 months or more)/causes clinically
danger posed by the specific object/situation.
distress or impairment in social, significant distress/impairment in social
D. Fear/anxiety/avoidance is persistent (lasting
occupational/other important areas of etc./not attributable to physiological effects
for 6 months or more)/causes clinically
functioning. of a substance.
significant distress/impairment in social etc.
D. Disturbance is not better explained by G. Disturbance is not better explained by the
E. Disturbance is not better explained by the
another mental disorder. symptoms of another mental disorder.
symptoms of another mental disorder.
H. If another medical condition is present, the
Specify if: fear/anxiety/avoidance is clearly
unrelated/excessive.
Animal
Specify if:
DSM V – ANXIETY DISORDERS
Performance only: if the fear is restricted to Diagnostic Criteria: present for more days than not for the past 6
speaking/performing in public. months)
A. Marked fear/anxiety about one/more of the
• Restlessness
PANIC DISORDER ff:
• Being easily fatigued
• Using public transportation
Diagnostic Criteria: • Difficulty concentrating
• Being in open/closed spaces/outside of
A. Recurrent unexpected panic attacks (an • Irritability
the home alone
• Muscle tension
abrupt surge of intense fear/discomfort that • Standing in line/being in crowd
reaches a peak within minutes; can occur of B. Individual fears/avoids these situations • Sleep disturbance
the context of anxiety disorders/mental because of thoughts that escape might be D. Causes clinically significant
disorders.) difficult/help is unavailable in the event of distress/impairment in social etc.
• Palpitations developing panic-like symptoms. E. Disturbance is not attributable to
physiological effects of a substance.
• Sweating C. Agoraphobic situations almost always
F. Disturbance is not better explained by the
• Shaking provoke fear/anxiety/actively avoided,
symptoms of another mental disorder.
• Sensations of shortness of breath require the presence of a companion/endured
• Feelings of choking with intense fear/anxiety. SUBSTANCE/MEDICATION-INDUCED
• Chest pain D. Fear/anxiety is out of proportion to the actual ANXIETY DISORDER
• Nausea/abdominal distress danger posed by the agoraphobic situation.
E. Fear/anxiety/avoidance is clinically Diagnostic Criteria:
• Feeling dizzy/light-headed
significant distress/impairment in social etc.
• Chills/heat sensations A. Panic attacks/anxiety is predominant.
F. If another medical condition is present, the B. There is evidence from physical exam/lab.
• Paresthesias (numbness)
fear/anxiety/avoidance is clearly excessive. findings.
• Derealization/depersonalization
G. Disturbance is not better explained by the C. Disturbance is not better explained by an
• Fear of losing control/dying symptoms of another mental disorder. anxiety disorder that is noy
B. At least one of the attacks has been followed
substance/medication induced.
by 1 month (or more) of one or both of the:
D. Disturbance does not occur exclusively
• Persistent worry about additional panic
GENERALIZED ANXIETY DISORDER during the course of a delirium.
attacks/their consequences
E. Causes clinically significant
• Maladaptive change in behavior related Diagnostic Criteria:
distress/impairment in social etc.
to the attacks.
A. Excessive anxiety/worry, occurring more
C. Disturbance is not attributable to Specify if:
days than not for at least 6 months, about a
physiological effects of a substance.
number of events of activities. With onset during intoxication
D. Disturbance is not better explained by the
B. Difficult to control the worry.
symptoms of another mental disorder. With onset during withdrawal
C. Anxiety/worry are associated with 3 or more
AGORAPHOBIA of the ff. 6 symptoms (only 1 in children, With onset after medication use
DSM V – ANXIETY DISORDERS
ANXIETY DISORDER DUE TO ANOTHER
MEDICAL CONDITION
Diagnostic Criteria:
A. Panic attacks/anxiety is predominant.
B. There is evidence from physical exam/lab.
Findings that the disturbance is the direct
pathophysiological consequence of another
medical condition.
C. Disturbance is not better explained by an
anxiety disorder that is noy
substance/medication induced.
D. Disturbance does not occur exclusively
during the course of a delirium.
E. Causes clinically significant
distress/impairment in social etc.
Note: Include the name of other medical
condition
Other Specified Anxiety Disorder
1. Limited symptom attacks
2. Generalized anxiety not occurring more days
than not.
3. Khyal cap (wind attacks)
4. Ataque de nervios