Panic Disorder
Recurrent/unexpected panic attacks
Duration: >1 month
- fear of future panic attacks OR
- significant change in behavior related to the
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Panic Attack
Intense fear w/ somatic/cognitive symptoms: abrupt onset w/ peak in min
- cardiac
- sweating
- trembling
- SOB
- choking
- chest pain
- GI
- feeling faint
- feeling detached
- fear of losing control
- fear of dying
- tingling/numbness
- chills/hot flushes
Agoraphobia
>2 situations feared/avoided:
- using public transportation
- being in open spaces
- being in enclosed spaces
- standing in line/being in a crowd
- being outside of home alone
Situations are feared/avoided because of thoughts that escape might be difficult/unavailable if incapacitating/embarrassing symptoms develop
Can develop w/ or w/o PD
Specific Phobia
Excessive, persistent and disproportional fear of an object/situation
- fear invariably occurs when exposed to the stimulus OR person avoids situation
- fear causes marked distress/impairment and NOT accounted by different disorder
Social Anxiety Disorder
Excessive, persistent and unrealistic fear of social situations involving possible scrutiny by others due to fear of negative evaluation
- "Performance only": fear restricted to speaking/performing in public
Generalized Anxiety Disorder
Persistent uncontrolled anxiety about multiple events for >6 mos w/ symptoms:
- restless, on edge
- dec conc
- muscle tension
- fatigued
- irritability
- insomnia
Separation Anxiety Disorder
Developmentally inappropriate and excessive anxiety concerning separation from major attachment figure
Experience marked distress (mental/physical):
- anticipated/actual separation
- harm befalling major attachment figure/self that leads to separation
- going out because of separation fears
Selective Mutism
Refusal to speak in specific situations despite fluent speech in other contexts
- Not due to lack of language knowledge/communication disorder
Duration: >1 mo
Obsessive-Compulsive Disorder
1. Recurrent:
- obsessions = intrusive recurrent thoughts/urges/images that inc distress
- compulsions = repetitive behaviors/mental acts that dec distress
2. Obsessions/compulsions are time consuming or distressful/disruptive
3. Symptoms are not explained by another disorder
W/ absent insight (delusional beliefs): convinced that OCD beliefs are true
Hoarding Disorder
- Difficulty parting w/ possessions due to perceived need to save items or distress about discarding them
- Accumulation clutters living areas and substantially compromises their intended use
- Causes distress/impairment
- NOT better explained by another disorder
W/ absent insight (delusional beliefs): beliefs/behaviors are not problematic despite contrary evidence
Body Dysmorphic Disorder
Preoccupation w/ perceived flaw in physical appearance
- not better accounted by an eating disorder
- must cause functional impairment
Repetitive behaviors/mental acts are performed in response to appearance concerns
Specify...
- w/ muscle dysphoria: preoccupation w/ belief that one's body is too small/insufficiently muscular
- w/ absent insight (delusional beliefs): convinced beliefs are true
Excoriation Disorder
- Recurrent skin picking resulting in skin lesions
- Attempts to stop picking
- Results in distress/impairment
- ISN'T better explained by another disorder
Trichotillomania
- Recurrent pulling out of one's hair resulting in hair loss
~ any body region affected
~ episodes vary in frequency, duration, intensity of focus
- Attempts to stop hair pulling
- Causes distress/impairment
- NOT better explained by another disorder
Posttraumatic Stress Disorder
Exposure to traumatic stressor:
- actual/threatened death or serious injury or sexual violence
- include direct experience of event, witnessing event, or learning about event to close family member/friend
>1 symptoms from each category MUST develop -->
Intrusion:
- dreams
- recollections
- feeling event reoccur
- psychological/physiological distress when encounters symbols
Avoidance: avoid thoughts, places, conversations that are reminders of event
Negative alterations in cognition and mood:
- negative beliefs/expectations
- negative emotional states
- inability to experience positive emotion
- diminished interest/participation in activities
- detachment/estrangement from others
- dissociative amnesia
Alterations in arousal and reactivity:
- sleep disturbance
- irritable and angry outbursts
- reckless/self-destructive behavior
- concentration problems
- hypervigilance
- exaggerated startle response
Duration: >1 mo
Onset: begin w/in 3 mo of trauma (can begin ANYTIME)
Vulnerable populations: young adults w/ sudden-onset, life-threatening medical events
Panic Disorder
Recurrent/unexpected panic attacks
Duration: >1 month
- fear of future panic attacks OR
- significant change in behavior related to the attacks
Panic Attack
Intense fear w/ somatic/cognitive symptoms: abrupt onset w/ peak in min
- cardiac
- sweating
- trembling
- SOB
- choking
- chest pain
- GI
- feeling faint
- feeling detached
- fear of losing control
- fear of dying
- tingling/numbness
- chills/hot flushes
Agoraphobia
>2 situations feared/avoided:
- using public transportation
- being in open spaces
- being in enclosed spaces
- standing in line/being in a crowd
- being outside of home alone
Situations are feared/avoided because of thoughts that escape might be difficult/unavailable if incapacitating/embarrassing symptoms develop
Can develop w/ or w/o PD
Specific Phobia
Excessive, persistent and disproportional fear of an object/situation
- fear invariably occurs when exposed to the stimulus OR person avoids situation
- fear causes marked distress/impairment and NOT accounted by different disorder
Social Anxiety Disorder
Excessive, persistent and unrealistic fear of social situations involving possible scrutiny by others due to fear of negative evaluation
- "Performance only": fear restricted to speaking/performing in public
Generalized Anxiety Disorder
Persistent uncontrolled anxiety about multiple events for >6 mos w/ symptoms:
- restless, on edge
- dec conc
- muscle tension
- fatigued
- irritability
- insomnia
Separation Anxiety Disorder
Developmentally inappropriate and excessive anxiety concerning separation from major attachment figure
Experience marked distress (mental/physical):
- anticipated/actual separation
- harm befalling major attachment figure/self that leads to separation
- going out because of separation fears
Selective Mutism
Refusal to speak in specific situations despite fluent speech in other contexts
- Not due to lack of language knowledge/communication disorder
Duration: >1 mo
Obsessive-Compulsive Disorder
1. Recurrent:
- obsessions = intrusive recurrent thoughts/urges/images that inc distress
- compulsions = repetitive behaviors/mental acts that dec distress
2. Obsessions/compulsions are time consuming or distressful/disruptive
3. Symptoms are not explained by another disorder
W/ absent insight (delusional beliefs): convinced that OCD beliefs are true
Hoarding Disorder
- Difficulty parting w/ possessions due to perceived need to save items or distress about discarding them
- Accumulation clutters living areas and substantially compromises their intended use
- Causes distress/impairment
- NOT better explained by another disorder
W/ absent insight (delusional beliefs): beliefs/behaviors are not problematic despite contrary evidence
Body Dysmorphic Disorder
Preoccupation w/ perceived flaw in physical appearance
- not better accounted by an eating disorder
- must cause functional impairment
Repetitive behaviors/mental acts are performed in response to appearance concerns
Specify...
- w/ muscle dysphoria: preoccupation w/ belief that one's body is too small/insufficiently muscular
- w/ absent insight (delusional beliefs): convinced beliefs are true
Excoriation Disorder
- Recurrent skin picking resulting in skin lesions
- Attempts to stop picking
- Results in distress/impairment
- ISN'T better explained by another disorder
Trichotillomania
- Recurrent pulling out of one's hair resulting in hair loss
~ any body region affected
~ episodes vary in frequency, duration, intensity of focus
- Attempts to stop hair pulling
- Causes distress/impairment
- NOT better explained by another disorder
Posttraumatic Stress Disorder
Exposure to traumatic stressor:
- actual/threatened death or serious injury or sexual violence
- include direct experience of event, witnessing event, or learning about event to close family member/friend
>1 symptoms from each category MUST develop -->
Intrusion:
- dreams
- recollections
- feeling event reoccur
- psychological/physiological distress when encounters symbols
Avoidance: avoid thoughts, places, conversations that are reminders of event
Negative alterations in cognition and mood:
- negative beliefs/expectations
- negative emotional states
- inability to experience positive emotion
- diminished interest/participation in activities
- detachment/estrangement from others
- dissociative amnesia
Alterations in arousal and reactivity:
- sleep disturbance
- irritable and angry outbursts
- reckless/self-destructive behavior
- concentration problems
- hypervigilance
- exaggerated startle response
Duration: >1 mo
Onset: begin w/in 3 mo of trauma (can begin ANYTIME)
Vulnerable populations: young adults w/ sudden-onset, life-threatening medical events [Show Less]