Anxiety Disorders

Panic Attack – occurs with a diagnosis but still has criteria to be met such as  or more of following: palpitations, pounding heart, accelerated heart rate; sweating; trembling or shaking; sensations of shortness of breath or smothering; feeling of choking; chest pain or discomfort; nausea or abdominal distress; feeling dizzy, unsteady, lightheaded, or faint; derealization (feeling of unreality) or depersonalization (being detached from oneself); fear of losing control or going crazy; fear of dying; paresthesias (numbness or tingling sensations); chills or hot flashes

Agoraphobia – again is not coded as it is paired with a another Panic Disorder but it is anxiety about being in places/situations in which escape will be difficult

Panic d/o w/o agoraphobia – unexpected panic attacks with concern about having more attacks, worry about implications of attack, or significant change in bx due to attacks

Panic d/o w/ agoraphobia – same as it sounds

Agoraphobia w/o history of Panic D/o – same as it sounds – criteria met for agoraphobia but not panic d/o

Specific Phobia – fear caused by a stimulus and creates an anxiety response (might be a Panic Attack but not necessarily), person knows fear is excessive and tries to avoid situation.

                Subtypes:            Animal Type, Natural Environment Type (heights, storms, etc), Blood Injection Injury Type, Situational Type (airplanes, enclosed places), Other (ex: fear of choking)                             

Social Phobia – fear of one or more social situations or situations in which performance expected, creates anxiety, person recognizes unreasonable fear and tries to avoid situations. Specifier of Generalized if it relates to all social situations

Obsessive-Compulsive D/o – recurrent obsessions (persistent ideas, thoughts, impulses, images)/compulsions (repeated bx or mental acts in which goals is to prevent or reduce anxiety or distress) that take more than an hour a day. Criteria states that at some point during the course of the d/o, the person has notices that the obsessions or compulsions are excessive/unreasonable

Posttraumatic Stress D/o – a person has experienced or witnessed a traumatic event and responds with fear, helplessness, or horror (in children, bx becomes disorganized or agitated). The person then re-experiences the event by having intrusive thoughts, dreams, feeling that it is occurring again, distress at triggers that remind them of event, physical symptoms at triggers. People with PTSD tend to avoid triggers, thoughts, feelings, activities associated with trauma, tend to forget pieces of trauma or loses interest in activies, feels detached from others, feelings are affected, and lose sight of future. Symptoms in criteria include difficulty falling or staying asleep, irritability/outbursts of anger, difficulty concentrating, hypervigilance, exaggerated startle response. PTSD can onset more than 6 months after event.

Acute Stress D/o – experienced or witnesses a traumatic event and person is fearful or experienced helplessness and horror. This d/o included dissociative symptoms such as numbing, detachment, reduction in awareness of surroundings, derealization, depersonalization, dissociative amnesia. Again, event is reexperienced in some way with avoidance to triggers and anxiety. Lasts from 2 days to 4 weeks and occurs within 4 weeks of event.

Generalized Anxiety D/o – characterized by excessive anxiety and worry occurring for most of the days in at least 6 months having 3 or more of the following (1 if child): restlessness/keyed up/on edge, easily fatigued, difficulty concentrating, irritatiblity, muscle tension, sleep disturbance. 

Anxiety D/o due to gen med condition

Substance-induced Anxiety d/o

Anxiety d/o NOS

American Psychiatric Association. (2000). Diagnositc and Statistical Manual of Mental Disorders Text Revision, 4^th ed. Jaypee Brothers Medical Publishers.