Anxiety disorder

1. ANXIETY DISORDERS
Diagnostic and Statistical Manual of Mental Disorders
-fifth edition
LUCIA
MERINO,LCSW
NOVEMBER
2014

2. BASED ON THE CURRENT DSM-5
9 MENTAL DISORDERS
UNDER ANXIETY
CATEGORY
1. Separation Anxiety Disorder
2. Selective Mutism
3. Specific Phobia
4. Social Anxiety Disorder
5. Panic Disorder
6. Agoraphobia
7. Generalized Anxiety Disorder
g-58. Substance/Medication-Induced Anxiety Disorder
9. Anxiety Disorder Due to Another Medical Condition
-Panic Attack

3. SEPARATION ANXIETY DISORDER
• The individual is fearful or anxious about
separation from attachment figures to a
degree that is
developmentally inappropriate. There is
persistent fear or anxiety about harm coming
to attachment figures and events that
could lead to loss of or separation from
attachment figures and reluctance to go
away from attachment figures,as well as
nightmares and psychical symptoms of
distress.
Although the symptoms often develop in
childhood,they can be expressed
throughout adulthood as well.

4. SPECIFIC PHOBIA
• Individuals with specific phobia are fearful
or anxious about or avoidant of
circumscribed objects or situations. A
specific cognitive ideation is not featured in
this disorder, as it is in other anxiety
disorders . The fear, anxiety,or
avoidance is almost always immediately
induced by the phobic situation,to the
degree that is persistent an out of proportion
to the actual risk posed. There are various
types of specific phobias: animal,natural
environment, blood-injection-
injury,situational,and
her situations.

5. SOCIALANXIETY DISORDER
• The individual is fearful or anxious about
or avoidant of social interactions and
situations that involve the possibility of
being scrutinized. These include social
interactions such as meeting
unfamiliar people, situations in which
the individua l may be observed eating or
drinking,and situations in which
the individual performs in front of others.
The cognitive ideation is being
negatively evaluated by others,by being
embarrassed,humiliated,or rejected,or
offending others.

6. PANIC DISORDER
• The individua l experiences recurrent unexpected
panic attacks and is persistently concerned or worried
about having more panic attacks or changes his or
her behavior in maladaptive ways because of the
panic attacks {e.g.avoidance of exercise or of
unfamiliar locations). Panic attacks are abrupt surges
of intense fear or intense discomfort that reach a
peak within minutes, accompanied by physical and/or
cognitive symptoms. Limited-symptoms panic attacks
include fewer than four symptoms. Panic attacks may
be expected,such as in response to a
typically feared object or situation or unexpected,
meaning that the panic attack occurs for no apparent
reason.

7. SELECTIVE MUTISM
• Is characterized by a consistent
failure to speak in social situations in
which there is an expectation to
speak (e.g. school) even though the
individual speaks in other situations.
The failure to speak has significant
consequences on achievement in
academic or occupational settings or
otherwise interferes with normal
social communication.

8. GENERALIZEDANXIETY DISORDER
• The key features of GAD are
persistent and excessive anxiety and
worry about various domains,
including work and school
performance,that the individual finds
difficult to control. In
addition,the individual experiences
physical symptoms including
restlessness or feeling keyed up or on
edge; being easily fatigued, difficulty
concentrating or mind going
blank,irritability,muscle tension,and
sleep disturbance.

9. AGORAPHOBIA
• Individuals with agoraphobia are
fearful and anxious about two or
more of the following situations:
using public
transportation,being in open
spaces,being in enclosed places,
standing in line or being in a
crowd,or being outside of the
home alone in other situations.

10. SUBSTANCE/MEDICATION-
1NDUCED ANXIETY
DISORDER
• This disorder involves
anxiety due to substance
intoxication or withdrawa l
or to a medication
treatment.

11. Other Specified Anxiety Disorder
Unspecified Anxiety Disorder
• Not meeting full criteria for any of the disorders in the diagnostic class.
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•

12. ANXIETY DUE TO MEDICAL CONDITIONS
Hyperthyroidism Asthma
Cricoid cartilage
Norm al bronch
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© A D A M . l n c

13. ANXI ETY DISOR DER DUE TO ANOTHER
MEDICA
L CONDITION
• Anxiety symptoms are the physiological
consequence of another medical condition:
Examples:
• Endocrine disease: hyperthyroidism,
hypoglycemia,hyperadrenalcorticolism.
• Cardiovascular disorders: congestive heart
failure,arrhythmia,pulmonary embolism.
• Respiratory illness: asthma,pneumonia.
• Metabolic disturbances : B12 df, porphyria
• Neurological illnesses: neoplasms, encephalitis,
seizure disorder.

14. TIME FOR QUESTIONS AND
FUN!
IT'S BEEN LOVEL'I BUT INAIE
ro scREAM
NOW

15. In Summary
• The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) identifies 9
disorders in the Anxiety category.
• DSM-5 guides practitioners in diagnosing anxiety disorders.
• DSM-5 states causes, symptoms and best treatments for these conditions.
Separation Anxiety Disorder
Social Anxiety Disorder
Generalized Anxiety D/O
Selective Mutism
Panic Disorder
Specific Phobia
Agoraphobia
Substance/Med-i nduced D/O
Anxiety D/O due to another medical condition

16. SCREEEEAAMMM...

17. Had fun putting this presentation together !

18. Humor is a great antidote for anxiety!
Hl'm fine.I want you to t II me
how to ch ng v ryon I ."

19. Thank you for your participation!
{Relax}.