FyrenIyce

If I'm Not Bipolar, What Am I?

davinci_gif

----------------------


ballPanic & Anxiety Disorders

Panic attacks -American Description

Diagnostic Criteria:

A. Recurrent unexpected Panic Attacks:


Criteria for Panic Attack:
    A discrete period of intense fear or discomfort, in which four (or more) of the following symptoms developed abruptly and reached a peak 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 oneself)
  10. fear of losing control or going crazy
  11. fear of dying
  12. paresthesias (numbness or tingling sensations)
  13. chills or hot flushes


B. At least one of the attacks has been followed by 1 month (or more) of one (or more) of the following:

C.The Panic Attacks are not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition (e.g., hyperthyroidism).

D.The Panic Attacks are not better accounted for by another mental disorder, such as Social Phobia (e.g., occurring on exposure to feared social situations), Specific Phobia (e.g., on exposure to a specific phobic situation), Obsessive-Compulsive Disorder (e.g., on exposure to dirt in someone with an obsession about contamination), Posttraumatic Stress Disorder (e.g., in response to stimuli associated with a severe stressor), or Separation Anxiety Disorder (e.g., in response to being away from home or close relatives).

ballPanic Disorder With Agoraphobia:

Meets the criteria for Panic Disorder

B.The presence of Agoraphobia:

  1. Anxiety about being in places or situations from which escape might be difficult (or embarrassing) or in which help may not be available in the event of having an unexpected or situationally predisposed Panic Attack or panic-like symptoms. Agoraphobic fears 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.

    Note: Consider the diagnosis of Specific Phobia if the avoidance is limited to one or only a few specific situations, or Social Phobia if the avoidance is limited to social situations.

  2. The situations are avoided (e.g., travel is restricted) or else are endured with marked distress or with anxiety about having a Panic Attack or panic-like symptoms, or require the presence of a companion.

  3. The anxiety or phobic avoidance is not better accounted for by another mental disorder, such as Social Phobia (e.g., avoidance limited to social situations because of fear of embarrassment), Specific Phobia (e.g., avoidance limited to a single situation like elevators), obsessive-Compulsive Disorder (e.g., avoidance of dirt in someone with an obsession about contamination), Posttraumatic Stress Disorder (e.g., avoidance of stimuli associated with a severe stressor), or Separation Anxiety Disorder (e.g., avoidance of leaving home or relatives).

ballPanic Disorder Without Agoraphobia

A.Meets the criteria for Panic Disorder

B.Absence of Agoraphobia

Associated Features

  1. Depressed Mood
  2. Somatic/Sexual Dysfunction
  3. Addiction
  4. Anxious/Fearful/Dependent Personality

Differential Diagnosis

Anxiety Disorder Due to a General Medical Condition; substance-Induced Anxiety Disorder; other Anxiety Disorder; Psychotic Disorders; Social Phobia; Specific Phobia; Obsessive-Compulsive Disorder; Posttraumatic Stress Disorder; Separation Anxiety Disorder; Delusional Disorder.

For research articles and other information on Panic Disorder, go here.

ballAnxiety Disorder: American Description

Includes Overanxious Disorder of Childhood

Diagnostic Criteria

A.Excessive anxiety and worry (apprehensive expectation), occurring more days than not for at least 6 months, about a number of events or 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 (with at least some symptoms present for more days than not for the past 6 months).
Note: Only one item is required in children.
  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 and worry is not confined to features of an Axis I disorder, e.g., the anxiety or worry is not about having a Panic Attack (as in Panic Disorder), being embarrassed in public (as in Social Phobia), being contaminated (as in Obsessive-Compulsive Disorder), being away from home or close relatives (as in Separation Anxiety Disorder), gaining weight (as in Anorexia Nervosa), having multiple physical complaints (as in Somatization Disorder), or having a serious illness (as in Hypochondriasis), and the anxiety and worry do not occur exclusively during Posttraumatic Stress 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 physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition (e.g., hyperthyroidism) and does not occur exclusively during a Mood Disorder, a Psychotic Disorder, or a Pervasive Developmental Disorder.

Associated Features

  1. Depressed Mood
  2. Somatic/Sexual Dysfunction
  3. Anxious/Fearful/Dependent Personality

Differential Diagnosis

Anxiety Disorder Due to a General Medical Condition; Substance-Induced Anxiety Disorder; Panic Disorder; Social Phobia; Obsessive-Compulsive Disorder; Anorexia Nervosa; Hypochondriasis; Somatization Disorder; Separation Anxiety Disorder; obsessional thoughts; Posttraumatic Stress Disorder; Adjustment Disorder; Mood Disorders; Psychotic Disorders; nonpathological anxiety.

For additional information on Generalized Anxiety Disorder go here.

----------------
my_email_address
back_button next_button
home_button index_button contents_button links_button

DISCLAIMER