Quick review of the essential points— DSM5 diagnosis criteria, assessments, treatments—of these disorders to better prepare for the National Clinical Mental Health Counseling Exam. This can be used like flashcards or as a presentation.
2. 1. Agoraphobia
2. Generalized Anxiety Disorder
3. Panic Disorder
4. Separation Anxiety Disorder
5. Social Anxiety Disorder (Social Phobia)
6. Specific Phobia
7. Substance/medication induced anxiety disorder
8. Anxiety due to medical condition
9. Other specified or unspecified anxiety disorder
3. Assessments
BAI Beck Anxiety Inventory
Penn State Worry Questionnaire
Anxiety Interview Schedule
SIAS Fear of Negative Evaluation
and Social Interaction Anxiety Scale
ASEBA Achebach System of
Empirically Based Assessment
RCMAS-2 Revised Children
Manifest Anxiety Scale
5. Manage anxiety before it escalates
1. Mild anxiety
Can motivate one to positively
perform at a high level
Helps person to focus on the
situation at hand
2. Moderate anxiety
Narrowing of the perceptual field
Trouble attending to their
surroundings
Can follow commands/direction
3. Severe anxiety
Unable to attend to surroundings
except for maybe a detail.
Physical symptoms may develop
Anxiety relief is the goal.
4. Panic attack
Terror; only concern is to escape
Communication impossible at
this point
6.
7. Diagnosis
Excessive anxiety and uncontrollable, unrealistic
worry about a number of topics
Occurs most days for at least 6 months
With the following symptoms:
Restlessness
Easily fatigued
Difficulty concentrating
Irritability
Muscle tension
Sleep disturbances
Comorbidity
Unipolar
disorder
8. S1. Find Out S2. Refer or Assess
BAI Beck Anxiety Inventory
Penn State Worry Questionnaire
Anxiety Interview Schedule
11. Diagnosis
Overwhelming worry and self consciousness about
everyday social situations
In children the anxiety must occur in peer
settings and not just during interactions with
adults
Fear is out of proportion to the actual threat
caused by social situation
Fear of being judged by others or behaving in a
way that would cause embarrassment or lead to
ridicule
Lasting for more 6 months or more
Specify if: performance only
Comorbid:
Major Depressive
Disorder
Substance Use
Disorders
Other anxiety disorders
12. S1. Find Out S2. Refer or Assess
SIAS Fear of Negative Evaluation and
Social Interaction Anxiety Scale
ASEBA Acheback System of
Empirically Based Assessment
RCMAS-2 Revised Children Manifest
Anxiety Scale
16. Diagnosis
1. Feelings of intense fear/discomfort that can
occur suddenly (from a calm state) or an
anxious state
Recurrent and unexpected
Sweating, chest pains and palpitations,
as if choking or having a heart attack
2. At least 1 attack has been followed by
1 month of:
Persistent concern or worry about additional
panic attacks or their consequences
Significant maladaptive change in behavior
related to the attacks
Comorbid:
Agoraphobia
Major Depression
Bipolar Disorders
Alcohol Use Disorder
17. S1. Find Out
Medical history
S2. Refer or Assess
ADVIS
Burns Anxiety Inventory
Medical evaluation
20. Diagnosis
1. Fear/anxiety about two or more of:
Using public transit; being in open space; being
in enclosed places; standing in line or being in a
crowd; being outside of the home alone
2. Avoidance of these situations because the
thoughts that escape may be difficult or help
might not be available if symptoms develop
Comorbidity
Panic Disorder
Social Anxiety Disorder
Major Depressive
Disorder
PTSD
Alcohol Use Disorder
21. S1. Find Out S2. Refer or Assess
Psychiatric evaluation
Tests
BAI Beck Anxiety Inventory
Mobility Inventory for
Agoraphobia
Agoraphobic Cognition
Questionnaire
24. Diagnosis
1. Intense fear of specific object or situation
In children the fear/anxiety my be expressed by crying, tantrums,
freezing or clinging
2. Level of fear is inappropriate to the situation and may cause person
to avoid common every day situations
3. Specify feared stimulus
25. S1. Find Out S2. Refer or Assess
Psychiatric evaluation
Tests
Beck Anxiety Inventory
Burns Anxiety Inventory
28. Diagnosis
1. Excessive fear or anxiety around separation
from attachment figures
Recurrent, excessive distress when anticipating
or experiencing separation
Worry about losing or possible harm to
those figures
Fear of being alone, refusal to sleep away
from home or this attachment figure
Nightmares and physical symptoms with
anxiety
Reluctance or refusal to go out, away from
home, to school, to work for fear of separation
2. Lasting at least 4 weeks in children and
adolescents or 6 months or more in adults
Comorbidity
GAD
Phobias
PTSD
Agoraphobia
Social Anxiety Disorder
OCD
Personality Disorders
29. S1. Find Out S2. Refer or Assess
Test
Child Depression Inventory
Washington U Schedule for
Affective Disorders and
Schizophrenia
YMRSYoung Mania Rating Scale
32. Diagnosis
Consistent failure to speak in specific social
situations where there is the expectation for
speaking (such as school) despite speaking in other
situations
Interferes with work or school or with social
communication
Duration is at least 1 month
Not attributed to lack of knowledge or comfort
with the spoken language
Not better explained by a communication disorder
Rule Out
Communication
disorder
Social phobia
Schizophrenia
Autism
Comorbid
Depression
OCD
Other anxiety
33. Often with depression,
OCD, anxiety.
Rule out
Schizophrenia
Autism, or other MH.
Treatment
Psychotherapy
Behavior mod
Family involvement,
Medication
36. Diagnosis
Panic attacks or anxiety is predominant
Developed during or soon after substance intoxication or withdrawal or
after exposure to a medication
Substance/medication is capable of producing the symptoms