Psychopathology Midterm

Front 1

Separation Anxiety Disorder Symptoms

Back 1

A. Developmentally inappropriate and excessive anxiety concerning separation from home or from those to whom the individual is attached, as evidenced by three (or more) of the following:
1) recurrent excessive distress when separation from home or major attachment figures occurs or is anticipated
2) persistent and excessive worry about losing, or about possible harm befalling, major attachment figures
3) persistent and excessive worry that an untoward event will lead to separation from a major attachment figure (e.g., getting lost or being kidnapped)
4) persistent reluctance or refusal to go to school or elsewhere because of fear of separation
5) persistently and excessively fearful or reluctant to be alone or without major attachment figures at
home or without significant adults in other settings
6) persistent reluctance or refusal to go to sleep without being near a major attachment figure or to sleep away from home
7) repeated nightmares involving the theme of separation
8) repeated complaints of physical symptoms (such as headaches, stomachaches, nausea, or vomiting) when separation from major attachment figures occurs or is anticipated

Front 2

Separation Anxiety Disorder Qualifiers

Back 2

B. The duration of the disturbance is at least 4 weeks.
C. The onset is before age 18 years.
D. The disturbance causes clinically significant distress or impairment in social, academic (occupational), or other important areas of functioning.
E. The disturbance does not occur exclusively during the course of a Pervasive Developmental Disorder, Schizophrenia, or other Psychotic Disorder and, in adolescents and adults, is not better accounted for by Panic Disorder With Agoraphobia.
Specify if: Early Onset: if onset occurs before age 6 years

Front 3

Social Phobia (Social Anxiety Disorder)

Back 3

A. Marked or persistent fear of one or more social or performance situations in which the person is exposed to unfamiliar people or to possible scrutiny both others.
 Kids - must be evidence of that capacity for age-appropriate social relationships with familiar people and the anxiety must occur in peer settings (not just with adults)
B. Feared social situation almost invariably provokes anxiety, which may take the form of a situationally bound or situationally predisposed Panic Attack
 Kids - may be expressed by crying, tantrums, freezing, or shrinking from social situations with unfamiliar people
C. Person recognizes that the fear is excessive or unreasonable.  Kids – may be absent
D. Feared social or performance situations are avoided or else endured with intense anxiety or distress.
E. Avoidance, anxious anticipation, or distress in the feared social or performance situation(s) interferes significantly with the person’s normal routine, occupational (academic) functioning, or social activities or relationships, or there is marked distress about the phobia
F. In individuals under age 18, the duration is > 6 months
G. Not due to direct effects of a substance or GMC and is not better
accounted for by another mental disorder.
H. Fear is not related to a general medical condition or mental disorder (e.g., not a fear of stuttering)

Front 4

GAD

Back 4

A. Excessive anxiety and worry, occurring more days than not for at least 6 months, about a number of events or activities
B. Difficult to control the worry
A. Excessive anxiety and worry for at least 6 months
B. Difficult to control the worry
C. > 3 symptoms
Restlessness or feeling keyed up or on edge Being easily fatigued
Difficulty concentrating or mind going blank Irritability
Muscle tension
Sleep disturbance (difficulty falling or staying asleep, or restless unsatisfying sleep)
D. The focus of the anxiety and worry is not confined to the features of another Axis 1 disorder.
E. Clinically significant distress or impairment.
F. Not due to direct effects of a substance or GMC.

Front 5

Panic Attack

Back 5

Discrete period of intense fear or discomfort in which > 4 of the following symptoms develop abruptly and peak reached within 10 minutes:
1. Palpitations, pounding heart, or accelerated heart rate
2. Sweating
3. Trembling or shaking
4. Sensations of shortness of breath or smothering
5. Feeling of choking
6. Chest pain or discomfort
7. Nausea or abdominal distress
8. Feeling dizzy, unsteady, lightheaded, or faint
9. Derealization (feelings of unreality) or depersonalization (being detached from onself)
10. Fear of losing control or going crazy
11. Fear of dying
12. Paresthesias (numbness or tingling sensations)
13. Chills or hot flashes


Front 6

Panic Disorder w/o Agoraphobia

Back 6

A. Both (1) and (2):
1) Recurrent, unexpected Panic Attacks
2) >1oftheattackshasbeenfollowedby>1monthof>1ofthe following:
a. Persistent concern about having additional attacks
b. Worry about the implications of the attack or its consequences (e.g., losing
control, having a heart attack, “going crazy”)
c. A significant change in behavior related to the attack
B. Absence of Agoraphobia
C. Not due to direct physiological effects of a substance or GMC D. Not better accounted for by another mental disorder

Front 7

Panic Disorder w Agoraphobia

Back 7

A. Both (1) and (2):
1) Recurrent, unexpected Panic Attacks
2) >1oftheattackshasbeenfollowedby>1monthof>1ofthe following:
a. Persistent concern about having additional attacks
b. Worry about the implications of the attack or its consequences (e.g., losing
control, having a heart attack, “going crazy”)
c. A significant change in behavior related to the attack
B. Presence of Agoraphobia
C. Not due to direct physiological effects of a substance or GMC D. Not better accounted for by another mental disorder

Front 8

Agoraphobia

Back 8

A. Anxiety about being in places or situations from which escape might be difficult (or embarrassing) or in which help might not be available in the event of a panic attack. Typically involve characteristic clusters of situations that include being outside the home alone; being in a crowd or standing in a line; being on a bridge; and traveling in a bus, train, or automobile.
B. The situations are avoided or are endured with marked distress or anxiety about having a Panic Attack, or require the situations require presence of a companion.
C. Not better accounted for by another mental disorder (especially an anxiety disorder).