Anxiety (Stress-Related) Disorders

Front 1

Adjustment Disorder (With anxiety or mixed anxiety and depressed mood)

Back 1

A. The development of emotional or behavioral symptoms in response to an IDENTIFIABLE stressor within 3 months of the onset of the stressor
B. These symptoms or behaviors are clinically significant as evidenced by the following (1) marked distress that is in excess of what would be expected from exposure to the stressor (2) significant impairment in social functioning
C. The stress-related disturbance does not meet the criteria for another specific Axis I disorder
D. The symptoms do not represent bereavement
E. Once the stressor is terminated, the symptoms do not persist for more than an additional 6 months

Front 2

Specific Phobia

Back 2

A. Marked and persistent fear that is excessive or unreasonable, cued by the presence or anticipation of a specific object or situation
B. Exposure to the phobic substance almost invariably provokes an immediate anxiety response, which may take the form of a situationally bound or situationally predisposed panic attack
C. The person recognizes that the fear is excessive or unreasonable
D. The phobic situation is avoided or is encdured with intese anxiety or distress
E. The avoidance, anxious anticipation, or distress in the feared situation interferes significantly with the person's normal routine, social functioning, relationships, or there is marked distress about having the phobia

Front 3

Obsessive-Compulsive Disorder

Back 3

A. Either Obsessions or Compulsions
B. At some point during the course of the disorder, the person has recognized that the obsessions or compulsions are unreasonable
C. The obsessions or compulsions cause marked distress, are time consuming (take more than 1 hour per day), or significantly interfere with the person's routine, occupational functioning, or usual social activities or relationships
D. If another Axis I disorder is present, the content of the obsessions or compulsions is not restricted to it
E. The disturbance is not due to the direct physiological effects of a substance or a general medical condition

Front 4

Social Phobia

Back 4

A. 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 by others. The individual fears that they will act in a way that is embarassing.
B. Exposure to the feared social situation almost invariably provokes anxiety, which may take the form of a situationally bound or situationally predisposed panic attack.
C. The person realizes that the fear is excessive and unreasonable
D. The feared social or performance situation is avoided or endured with excessive anxiety
E. The avoidance, anxious anticipation, or distress in the feared social or performance situations interferes significantly with the person's normal routine, ocuppation functioning, or social activities, or marked distress about having the phobia
G. The fear or avoidance is not due to physiological effects of a substance or general medical condition

Front 5

Panic Disorder with Agoraphobia

Back 5

A. Recurrent unexpected panic attacks
(1) persistent concern about having additional attacks
(2) worry about the implications of the attack or its consequences
(3) significant change in behavior related to the attacks
B.

Front 6

Agoraphobia without Panic Disorder

Back 6

A. The presence of Agraphobia related to the fea of developing panic like symptoms
B. Criteria have never been met for Panic Disorder
C. The disturbance is not due to the direct physiological effects of a substance or general medical condition
D. If an associated general medical condition is present, the fear described in A is clearly an excess of that usually associated with the condition

Front 7

Generalized Anxiety Disorder

Back 7

A. Excessive anxiety and worry, occurring more days than not for 6 months, about a number of activities (such as work or school performance)
B. The person finds it difficult to control the worry
C. The anxiety and worry are associated with three (or more) of the following six symptoms
(1) restlessness or feeling keyed up or on edge
(2) being easily fatigued
(3) difficulty concentrating or mind going blank
(4) irritability
(5) muscle tension
(6) sleep disturbance (difficulty falling or staying asleep, or restless unsatisfying sleep)
D. The focus of the anxiety or worry does not meet the criteria for a different Axis I disorder
E. The anxiety, worry or physical symptoms cause clinically significant distress or impairment in social occupational, or other important areas of functioning
F. The disturbance is not due to the direct effect of a substance or general medical disorder

Front 8

Post-Traumatic Stress Disorder

Back 8

A. The person has been exposed to a traumatic event in which
(1) the person experienced/witnessed or was confronted with an event or events that involved actual or threatened death or serious injury, or a threat to the physical integrity of self or others
(2) the person's response involved fear, helplessness or horror
B. The traumatic event is persistently re-experienced
C. Presistent avoidance of stimuli associated with the trauma and numbing of general responsiveness (not present before the trauma)
D. Persistent symptoms of increased arousal
E. Duration of the disturbance is more than 1 month
F. The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning

Acute: duration of symptoms is less than 3 months
Chronic: duration of symptoms is 3 months or more

With delayed onset: if onset of symptoms is at least 6 months after the stressor

Front 9

Substance Induced Anxiety Disorder

Back 9

A. Prominent anxiety, panic attacks, or obsessions or compulsions predominate in the clinical picture
B. There is evidence from the history, physical examination, or laboratory findings of either
(1) the symptoms developed during, or within one month of, substance intoxication or withdrawal.
(2) medication use is etiologically related to the disturbance
C. The disturbance is not better accounted for by an anxiety disorder that is not substance induced
D. The disturbance does not occur exclusively during the course of a delirium
E. The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning
note: this diagnosis should be made INSTEAD of a diagnosis of Substance Intoxication or Substance Withdrawal only when the anxiety symptoms are in excess of those usually associated with the intoxication or withdrawal syndrome and when the anxiety symptoms are sufficiently severe to warrant independent clinical attention

Front 10

Anxiety Disorder due to a Medical Condition

Back 10

A. Prominent anxiety , Panic Attacks, or obsessions or compulsions predominate in the clinical picture
B. There is evidence from the history, physical examination, or laboratory findings that the disturbance is not the direct physiological consequence of a general medical condition
C. The disturbance is not better accounted for by another mental disorder
D. The disturbance does not occur exclusively during the course of delirium
E. The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning