The document discusses comorbidities that are often present with anxiety disorders. It notes that psychiatric comorbidities include conditions like bipolar disorder, depression, and substance abuse issues. Physical comorbidities that commonly occur alongside anxiety include various cardiovascular, neurological, gastrointestinal, dermatological, and respiratory conditions. The document also lists several drugs that can induce anxiety as a side effect, as well as other issues like cancer, AIDS, and endocrine disorders that have overlapping symptoms and require differentiation from anxiety disorders.

1. Anxiety Disorders Co-morbidities Dr. Aftab Asif, Associate Professor, Deptt of Neuro-psychiatry, Fatima Jinnah Medical College, Lahore

3. Co-morbidity (Cont..) A – Psychiatric Disorders Organic Brain Syndromes Drug dependence / Alcoholism Post Partum Disorder Schizophrenia Bipolar Disorder Psychosexual Disorders Depression

4. Co-morbidity (Cont..) B – Physical Disorders Angioplasty / CABG (before & after intervention) Mitral Valve Prolapse Hypertension Coronary Artery Disease Cardiovascular System

5. Co-morbidity (Cont..) B – Physical Disorders Parkinsonism Dementia Acute confusional state of any origin including CNS infections (Delirium) Head Injury Brain Tumours Epilepsy Migraine CVAs / TIAs Central Nervous System

6. Co-morbidity (Cont..) B – Physical Disorders Hepatitis Irritable Bowel Syndrome Acid Peptic Disease Gastro-intestinal System

7. Co-morbidity (Cont..) B – Physical Disorders Sexual Dysfunctions Sexually Transmitted Diseases Genito-urinary System

8. Co-morbidity (Cont..) B – Physical Disorders Chronic Obstructive Pulmonary Disease Asthma Respiratory System

9. Co-morbidity (Cont..) B – Physical Disorders Psoriasis Allergic Skin Reactions Acne Vulgaris Skin

10. Co-morbidity (Cont..) C – Drug Induced Chemotherapeutic agents Anti - psychotics Antibiotics - Quinolones Anti parkinsonism drugs INH Interferon

11. Co-morbidity (Cont..) D – Others Poisoning / drug overdosage Cancer AIDs

12. Co-morbidity (Cont..) E – Differential Diagnosis Diabetes Mellitus Pheochromocytoma Hyper - parathyroidism Sudden Withdrawal of Benzodiazepines Addison’s Disease Hyperthyroidism

13. Thanks for your patient listening…!