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Anxiety Disorder Overview
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Anxiety Disorder Overview
Anxiety Disorders Overview
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1
Question
What is the duration of symptoms required for a diagnosis of Generalized Anxiety Disorder (GAD) according to the DSM-5?
Answer
The symptoms must be present for at least 6 months, more days than not.
2
Question
What are the core components of Generalized Anxiety Disorder (GAD) symptoms as per the DSM-5?
Answer
The individual must experience anxiety and worry about a number of events or activities, along with at least 3 of the following 6 symptoms: 1) Sleep disturbances, 2) Irritability, 3) Fatigue, 4) Difficulty concentrating, 5) Feeling on edge, 6) Muscle tension.
3
Question
What is the acronym 'SITCOM' used for in the context of identifying symptoms for children?
Answer
SITCOM refers to the symptoms associated with anxiety conditions, specifically how they are identified and categorized for children.
4
Question
What is 'Anxiety Disorder Due to Another Medical Condition'?
Answer
This diagnosis includes panic attacks or anxiety that occurs as a direct result of a medical issue, which should not only be present during episodes of delirium.
5
Question
When coding for 'Anxiety Disorder Due to Another Medical Condition', what must be included?
Answer
The name of the medical condition that is causing the anxiety or panic attacks must be included.
6
Question
What characterizes 'Other Specified Anxiety Disorder' in the DSM-5?
Answer
It is characterized by significant anxiety that does not meet the full criteria for any specific anxiety disorder, and includes a rationale for why it does not meet those criteria (e.g., generalized anxiety not occurring more days than not).
7
Question
What is 'Unspecified Anxiety Disorder'?
Answer
This diagnosis is used when there is significant anxiety that does not meet the criteria for any specific anxiety disorder, but without enough information to specify why it does not meet the criteria.
8
Question
What are the criteria for 'Substance/Medication Induced Anxiety Disorder'?
Answer
This condition involves panic attacks or anxiety that occur shortly after intoxication or withdrawal from a substance and is not only found during delirium.
9
Question
What are the criteria for Separation Anxiety Disorder in children and adults?
Answer
Separation Anxiety Disorder requires symptoms to be present for 4 weeks in children and 6 months in adults. It involves developmentally inappropriate anxiety concerning separation, evidenced by at least 3 specific symptoms.
10
Question
What is the duration needed for a diagnosis of Selective Mutism?
Answer
Selective Mutism must be present for at least 1 month (not limited to the first month of school) and involves failure to speak in specific social situations where there is an expectation to speak, not due to a lack of knowledge or language issues.
11
Question
Define Specific Phobia and its duration for diagnosis. What are the specifiers?
Answer
Specific Phobia is an anxiety disorder characterized by an immediate fear or anxiety about a specific object or situation, lasting for at least 6 months. Specifiers include: Animal, Natural Environment, Blood Injection, Situational, and Other.
12
Question
What characterizes Social Anxiety Disorder and its duration?
Answer
Social Anxiety Disorder is characterized by anxiety or fear in social situations where there is potential for scrutiny or fear of negative evaluation. This must persist for at least 6 months. In children, the disorder cannot be limited to interactions only with adults.
13
Question
What are the specifiers for Social Anxiety Disorder?
Answer
The specifiers for Social Anxiety Disorder include Performance Only, indicating that the anxiety is primarily triggered by performance situations.
14
Question
What differentiates Panic Disorder from a Panic Attack Specifier?
Answer
Panic Disorder requires at least 1 month of concern following recurrent unexpected panic attacks, which are defined by 4 specific symptoms. The Panic Attack Specifier occurs within the context of another mental disorder.
15
Question
What are the symptoms required for Panic Disorder diagnosis?
Answer
Panic Disorder requires recurrent unexpected panic attacks, which are characterized by palpitations, sweating, shaking, sensations of shortness of breath, feelings of choking, chest pain, nausea, dizziness, chills, paresthesias, derealization, or fear of losing control/dying.
16
Question
What is the significance of the onset period for conditions like intoxication or withdrawal?
Answer
The onset period for conditions during intoxication or withdrawal marks the timeline within which symptoms must be documented to be linked directly to substance use, making it crucial for accurate diagnosis and treatment.
17
Question
How is anxiety defined in the context of anxiety disorders according to DSM criteria?
Answer
Anxiety in the context of anxiety disorders is characterized by excessive worry, fear, or anxiety that is disproportionate to the actual situation, often leading to avoidance behaviors and functional impairments in daily life.
18
Question
What role do environmental factors play in Specific Phobia?
Answer
Environmental factors can contribute to the development of Specific Phobia, as certain experiences or learned behaviors in relation to specific objects or situations can trigger phobic reactions.
19
Question
What is Agoraphobia?
Answer
Agoraphobia is characterized by a 6-month or longer duration of fear or anxiety about two or more public situations, where the individual fears that escape may be difficult or that help may not be available in the event of a panic-like or other incapacitating symptoms. It often leads individuals to avoid specific places.
20
Question
What are the public situations that may trigger Agoraphobia?
Answer
Public situations that may trigger Agoraphobia include being outside of the home alone, being in a crowd or standing in line, traveling in a bus, train or car, and being in enclosed spaces such as shops, theaters, or elevators.
21
Question
Can an individual have both Agoraphobia and Panic Disorder?
Answer
Yes, an individual can have both Agoraphobia and Panic Disorder if the diagnostic criteria for both conditions are met according to DSM-5.
22
Question
What is the diagnostic criterion for Disinhibited Social Engagement Disorder?
Answer
Disinhibited Social Engagement Disorder is diagnosed in children who interact with unfamiliar adults by exhibiting at least two of the following behaviors: reduced reticence regarding unfamiliar adults, overly familiar verbal or physical behavior, diminished checking back with adult caregivers, and a willingness to go off with an unfamiliar adult without hesitation.
23
Question
What are the potential causes of Disinhibited Social Engagement Disorder?
Answer
The causes of Disinhibited Social Engagement Disorder can include extremes of insufficient care, such as social neglect, a lack of basic emotional needs, repeated changes of primary caregivers, and rearing in unusual settings.
24
Question
What is the developmental age requirement for diagnosing Disinhibited Social Engagement Disorder?
Answer
The child must be at least 9 months old to be diagnosed with Disinhibited Social Engagement Disorder.
25
Question
What criteria specify the persistence or severity of Disinhibited Social Engagement Disorder?
Answer
Disinhibited Social Engagement Disorder can be specified as 'Persistent' if it lasts a year or longer and 'Severe' if all symptoms are present at high levels.
26
Question
What is Reactive Attachment Disorder?
Answer
Reactive Attachment Disorder is characterized by inhibited, emotionally withdrawn behavior toward adult caregivers. It involves behavior where the child rarely seeks comfort and does not respond to comfort when it is offered.
27
Question
What are the key features of Reactive Attachment Disorder?
Answer
Key features of Reactive Attachment Disorder include emotionally withdrawn behavior towards caregivers, lack of seeking comfort when distressed, and a failure to respond to comfort when provided.
28
Question
What are the symptoms of Reactive Attachment Disorder?
Answer
Symptoms of Reactive Attachment Disorder can include sadness, irritability, and withdrawal, persistent fearfulness, and difficulty forming emotional bonds and relationships.
29
Question
What factors contribute to the development of Reactive Attachment Disorder?
Answer
Factors include neglect, abuse, changes in caregivers, or a lack of stable relationships during the critical early years of development.
30
Question
How does Agoraphobia differ from other anxiety disorders?
Answer
Agoraphobia is specifically related to fear of situations where escape may be difficult or help unavailable, while other anxiety disorders may involve broader or different fears without the focus on escape difficulty.