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Anxiety Disorders
Anxiety Disorders
Anxiety Disorders
Anxiety disorders are common psychiatric disorders. Many patients with anxiety
disorders experience physical symptoms related to anxiety and subsequently visit
their primary care physicians. Despite the high prevalence rates of these anxiety
disorders, they often are underrecognized and undertreated clinical problems.
( 1)The Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition
(DSM-IV) classifies the anxiety disorders into the following categories:
Generalized anxiety
Panic disorder
Social phobia
Specific phobias
( 2) In the US: Two major studies in the United States have estimated
the prevalence rates for a variety of anxiety disorders. These 2 studies are
the Epidemiological Catchment Area (ECA) study and the National
Comorbidity Survey (NCS) study. Using these and other studies, the
estimated lifetime prevalence rates for individual anxiety disorders are panic
disorder (2.3-2.7%), generalized anxiety disorder (4.1-6.6%), obsessivecompulsive disorder (2.3-2.6%), posttraumatic stress disorder (1-9.3%), and
social phobia (2.6-13.3%).
Sweating
Trembling or shaking
Sensation of choking
Derealization or depersonalization
Fear of dying
Paresthesias
Irritability
Muscle tension
Sleep disturbance
Obsessions
or
compulsions
must
be
recognized
as
checking, that people feel are driven and must be carried out
( 6) Social phobia
o
Restricted affect
Difficulty concentrating
Hypervigilance
Anxiety disorders have one of the longest differential diagnosis lists of all
psychiatric disorders. Anxiety is a nonspecific syndrome and can be due to a
variety of medical or psychiatric syndromes. A variety of anxiety symptoms, such as
panic, worry, rumination, and obsessions, can present in a variety of psychiatric
illnesses including mood disorders, psychotic disorders, personality disorders,
somatoform disorders, and cognitive impairment disorders (eg, delirium). Anxiety
also can be observed as part of a drug withdrawal or drug intoxication effect.
Consultations:
Prognosis:
Anxiety disorders can range from mild and transient to severe and chronic.