DSM-5 Anxiety Disorder • Symptoms after trauma, persisting 3 days to 1
• Disturbance is ≥1 1 month • 4 weeks in kids, 6 months in adults month Generalized Anxiety Disinhibited Social • Criterion A: Exposure to actual or • developmentally inappropriate threatened death, injury, or sex • Criterion A of PTSD Disorder anxiety concerning separation Engagement Disorder violence in ≥1 of the following ways: • Presence of ≥9 symptoms • 6 months of symptoms more days evidenced by 3 symptoms o Directly experiencing o Intrusion Symptoms • child interacts with unfamiliar adults than not Selective Mutism in ≥2 of the following o Witnessing ▪ Recurrent intrusive distressing memories (in o Learning a violent or accidental kids repetitive play) • anxiety/worry about a number of • 1 month (not the first month of o reduced reticence interacts with event occurred to a close family ▪ Recurrent distressing dreams events unfamiliar adults school) member/friend ▪ Dissociative reactions (flashbacks) • 3 of 6 symptoms of SITCOM (for o overly familiar verbal/physical • failure to speak in specific social behavior o Repeated exposure to aversive ▪ Intense psychological distress with kids only 1) situations where there is an details of traumatic events o diminished checking back with physiological responses to cues of event o Sleep expectation, not the result of lack of • Presence of ≥1 of the following: adult caregiver o Negative Mood o Irritable knowledge or issues with language o Recurrent, involuntary/intrusive o Tired o willingness to go off with unfamiliar ▪ Inability to experience positive emotions o Concentrating Specific Phobia adult without hesitation memories (in kids repetitive play) o Dissociative • not limited to impulsivity (as in o Recurrent dreams ▪ Altered sense of reality o On edge • 6 months o Dissociative reactions o Muscle Tension ADHD) ▪ Inability to remember aspects of event • Anxiety/fear about a specific • extremes of insufficient care as o Intense/prolonged distress at o Avoidance Anxiety Disorder Due to object/situation exposure to cues that symbolize or evidenced by 1 of the following: resemble the event ▪ Efforts to avoid distressing memories, Another Medical o immediate fear, actively avoided o Social neglect and lack of basic thoughts, or feelings about event • Specifiers: o Physiological reactions to cues Condition emotional needs, repeated changes o Arousal o Animal of primary caregivers, rearing in • Persistent avoidance of stimuli ▪ Sleep disturbance • Panic attacks or anxiety due to a o Natural environment unusual settings associated evidenced by: avoidance of associations with the trauma AND/OR ▪ Irritable behavior and angry outbursts medical issue o Blood Injection • Developmental age of at least 9 ▪ Hypervigilance avoidance to avoid external reminds • Not only during delirium o Situational months that arouse memories ▪ Problems with Concentration • Coding: include the name of the o Other • Specify: Persistent (if >1 year) and/or • Negative alterations in cognition and ▪ Exaggerated startle response medical condition Social Anxiety Disorder Severe (all symptoms at high levels) mood as evidenced by 2 of the Adjustment Disorder Other Specified Anxiety • 6 months Reactive Attachment following: Disorder • Anxiety/fear in social situations Disorder o Can’t remember important aspects • Emotional/behavioral symptoms within 3 of event months of onset of identifiable stressor, and once with possible scrutiny • Significant, has anxiety, doesn't o fear of being negatively evaluated • Inhibited, emotionally withdrawn o Persistent negative beliefs about stressor stops symptoms don’t persistent >6 mo meet criteria and you choose to o for kids, can't be with adults behavior toward adult caregivers oneself, others, or the world • Distress out of proportion to severity of stressor communicate the reason it doesn't including both: child rarely seeks o Persistent distorted cognitions OR significant impairment in function meet criteria, f.e.: Other Specified • Specifiers: comfort AND doesn’t respond to about event leading individual to o Performance Only • Doesn’t meet criteria for another mental Anxiety Disorder, generalized comfort when distressed blame themselves disorder, and doesn’t represent normal anxiety not occurring more days • Persistent social/emotional o Persistent negative emotional state bereavement than not Panic Disorder disturbance including at least 2 of the o Decreased interest in activities • Specifiers: Unspecified Anxiety Disorder following o Feelings of detachment from others • 1 month of concern o With depressed mood o Minimal social/emotional o Inability to experience positive o With anxiety • Significant, has anxiety, doesn't • Recurrent unexpected panic attacks responsiveness, limited positive emotions meet criteria and you choose not with 4 symptoms affect, or episodes of unexplained o With mixed anxiety and depressed mood to specify the reason • Alterations in arousal (2 of the o With disturbance of conduct irritability/sadness/fearfulness following) o includes when there's not even during non-threatening o With mixed disturbance of emotions and enough info to make a more Panic Attack Specifier o Anger outbursts with aggression conduct interactions with caregivers specific diagnosis towards people or objects o Unspecified • Same as panic attacks but it occurs • Pattern of extremes of insufficient o Self-destructive reckless behavior Substance/Medication in context of another mental care evidence by one of the following: Unspecified Trauma and Stressor- o Hypervigilance Induced Anxiety Disorder disorder o Social neglect and lack of basic o Exaggerated startle response Related Disorder Agoraphobia emotional needs, repeated changes o Difficulty concentrating • Panic attacks or anxiety that occur of primary caregivers, rearing in o Trauma / Stressor disorder causing significant soon after intoxication or unusual settings o Sleep disturbance distress and you don’t want to communicate withdrawal • 6 months • Specify whether: with dissociative the reason • fear/anxiety about 2 or more public • Not autism • Not only during delirium symptoms Other Specified Trauma and situations • Evidence before 5 years old, o depersonalization • Specifiers: o fear is that escape is difficult developmental age of at least 9 Stressor-Related Disorder o With onset during intoxication o derealization o place is avoided months o With onset during withdrawal • Specify if: with delayed expression (if o Trauma / Stressor disorder causing significant • You can have agoraphobia and panic • Specify: Persistent (if >1 year) and/or ≥6 months after event) distress and you want to communicate the o With onset after medication use disorder if criteria fits Severe (all symptoms at high levels) reason