this powerpoint include three anxiety disorder i.e. Generalized Anxiety Disorder (GAD), Anxiety due to medical conditions, Substance Induced Anxiety Disorder
2. 1. Generalized Anxiety Disorder (GAD)
2. Anxiety due to medical condition
3. Substance Induced Anxiety Disorder
3.
4. Generalized Anxiety Disorder (GAD)
• Patients with GAD suffer from excessive worry or anxiety
• It is out of proportion to situational factors
• Must last most days for at least 6 months
• Described as “worriers” or “nervous” with difficulty
controlling worry
• No realistic reason to worry
5. GAD Diagnostic Criteria
• Excessive anxiety and worry that
occurs more days than not for 6
months
• Difficult to control the worry
• 3 out of 6 symptoms
• Anxiety caused significant
distress or impairment in
function
• Not attributed to another
organic cause
7. GAD Autonomic
symptoms
dry mouth
nausea
diarrhea
sweating
urinary frequency
headache
difficulty in swallowing
loss of appetite
8. GAD Epidemiology
•5% prevalence in community samples
• 2:1 female/male ratio
• Age of onset is frequently in childhood
or adolescence
• Chronic but fluctuating course of
illness (worsened during stressful
periods)
• More in developed countries
• Least among European descent
10. Substance Induced Anxiety Disorder
• Prominent symptoms of anxiety that are judged to
be the direct physiological consequence of a drug or
abuse, a medication or toxin exposure
11. Diagnostic criteria of substace induced anxiety
disorder
• A. Panic attacks or anxiety is predominant in the clinical
picture.
• B. There is evidence from the history, physical examination,
or laboratory findings of bot (1)and (2):
• 1. The symptoms in Criterion A developed during or soon after
substance intoxication or withdrawal or after exposure to a
medication.
• 2. The involved substance/medication is capable of producing
the symptoms in Criterion A.
12. Cont’d
•C. The disturbance is not better explained by an
anxiety disorder that is not substance/ medication-
induced, recurrent, The disturbance does not occur
exclusively during the course of a delirium.
•E. The disturbance causes clinically significant
distress or impairment in social, occupational, or
other important areas of functioning.