Anxiety

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Disorders

Anxiety

Anxiety
Panic Attack
A discrete period in which there is the sudden onset of intense apprehension, fearfulness, or terror, often associated with feelings of impending doom. During these attacks, symptoms such as shortness of breath, palpitations, chest pain or discomfort, choking or smothering sensations, and fear of "going crazy" or losing control are present.
Agoraphobia
Anxiety about, or avoidance of, places or situations from which escape might be difficult (or embarrassing) or in which help may not be available in the event of having a Panic Attack or panic-like symptoms.
Panic Disorder Without Agoraphobia
Characterized by recurrent unexpected Panic Attacks about which there is persistent concern. Panic Disorder with Agoraphobia is characterized by both recurrent unexpected Panic Attacks and Agoraphobia.
Agoraphobia Without History of Panic Disorder
Characterized by the presence of Agoraphobia and panic-like symptoms without a history of unexpected Panic Attacks.
Specific Phobia
Characterized by clinically significant anxiety provoked by exposure to a specific feared object or situation, often leading to avoidance behavior.
Social Phobia
Characterized by clinically significant anxiety provoked by exposure to certain types of social or performance situations, often leading to avoidance behavior.
Obsessive-Compulsive Disorder

Characterized by obsessions (which cause marked anxiety or distress) and/or by compulsions (which serve to neutralize anxiety).

Frequently there is avoidance of situations that involve the content of the obsessions, such as dirt or contamination. For example, a person with obsessions about dirt may avoid public restrooms or shaking hands with strangers. Hypochondriacal concerns are common, with repeated visits to physicians to seek reassurance. Guilt, a pathological sense of responsibility, and sleep disturbances may be present. There may be excessive use of alcohol or of sedative, hypnotic, or anxiolytic medications. Performing compulsions may become a major life activity, leading to serious marital, occupational, or social disability. Pervasive avoidance may leave an individual housebound.

Post-Traumatic Stress Disorder

Characterized by the reexperiencing of an extremely traumatic event accompanied by symptoms of increased arousal and by avoidance of stimuli associated with the trauma.

Individuals with Post-Traumatic Stress Disorder may describe painful guilt feelings about surviving when others did not survive or about the things they had to do to survive. Phobic avoidance of situations or activities that resemble or symbolize the original trauma may interfere with interpersonal relationships and lead to marital conflict, divorce, or loss of job. The following associated constellation of symptoms may occur and are more commonly seen in association with an interpersonal stressor (e.g., childhood sexual or physical abuse, domestic battering, being taken hostage, incarceration as a prisoner of war or in a concentration camp, torture): impaired affect modulation; self-destructive and impulsive behavior; dissociative symptoms; somatic complaints; feelings of ineffectiveness, shame, despair, or hopelessness; feeling permanently damaged; a loss of previously sustained beliefs; hostility; social withdrawal; feeling constantly threatened; impaired relationships with others; or a change from the individual's previous personality characteristics.

Acute Stress Disorder
Characterized by symptoms similar to those of Post-Traumatic Stress Disorder that occur immediately in the aftermath of an extremely traumatic event.
Generalized Anxiety Disorder
Characterized by at least 6 months of persistent and excessive anxiety and worry.
Anxiety Disorder Due to a General Medical Condition
Characterized by prominent symptoms of anxiety that are judged to be a direct physiological consequence of a general medical condition.
Substance-Induced Anxiety Disorder
Characterized by prominent symptoms of anxiety that are judged to be a direct physiological consequence of a drug of abuse, a medication, or toxin exposure.
Anxiety Disorder Not Otherwise Specified
Included for coding disorders with prominent anxiety or phobic avoidance that do not meet criteria for any of the specific Anxiety Disorders defined in this section (or anxiety symptoms about which there is inadequate or contradictory information).
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