ANXIETY and other DISORDERS

DSM-IV-TR  DSM-5
ANXIETY DISORDERS
ANXIETY DISORDERS
Features
• Excessive fear and anxiety
• Excessive – in severity and duration (>6 months)
• Many develop in childhood  persist to
adulthood
• More frequent in females (2:1)
ANXIETY DISORDERS
Features
• Disorders differ in the types of objects or
situations that induce fear, anxiety, or
avoidance behavior and associated cognitive
ideation

• Developmentally arranged according to

typical age of onset (DSM-5)
 ANXIETY DISORDERS
DSM-IV-TR
1. Panic Disorder with agoraphobia*
2. Panic Disorder without agoraphobia*
3. Specific Phobia
4. Social Phobia*
5. Generalized Anxiety Disorder (GAD)
6. Acute Stress Disorder
7. Post-traumatic Stress Disorder (PTSD)
8. Obsessive-Compulsive Disorder

9. Anxiety Disorder due to a GMC*

10.Substance/Medication-induced Anxiety Disorder
11.Anxiety Disorder NOS*
 ANXIETY DISORDERS
DSM-IV-TR  DSM-5
1. Panic Disorder with agoraphobia* }
2. Panic Disorder without agoraphobia* }
3. Specific Phobia } Anxiety Disorders
4. Social Phobia* }
5. Generalized Anxiety Disorder }
6. Posttraumatic Stress Disorder }  Trauma- and Stressor-
7. Acute Stress Disorder } Related Disorders
8. Obsessive-Compulsive Disorder  Ob-C and Other RD
9. Anxiety Disorder due to a GMC*
10.Substance/Medication-induced Anxiety Disorder
11.Anxiety Disorder NOS*
 Anxiety Disorders
DSM-5
 Separation Anxiety Disorder
 Selective Mutism

1. Specific Phobia
2. Social Anxiety Disorder (Social Phobia)
3. Panic Disorder
4. Agoraphobia
5. Generalized Anxiety Disorder

6. Substance/Medication-Induced Anxiety Disorder

7. Anxiety Disorder due to AMC
8. Other Specified Anxiety Disorder
9. Unspecified Anxiety Disorder
DSM-5

OBSESSIVE-COMPULSIVE
AND RELATED DISORDERS
 Obsessive-Compulsive
and Related Disorders
• Preoccupations
• Repetitive behaviors and mental acts in
response to the preoccupations
• Recurrent body-focused repetitive behaviors
and repeated attempts to decrease or stop the
behaviors
DSM-5
Obsessive-Compulsive and Related Disorders
1. Obsessive-Compulsive Disorder (Anxiety D.)
2. Body Dysmorphic Disorder (Somatoform D.)
3. Trichotillomania (Impulse Control D.)
4. Excoriation Disorder (new)
5. Hoarding Disorder (new)

6. Ob-C and Rel. dis. Due to AMC

7. Other Specified …
8. Unspecified….
TRAUMA- AND STRESSOR-RELATED DISORDERS
 Trauma- and Stressor-Related Disorders
• Exposure to a traumatic or stressful event is listed
explicitly as a diagnostic criterion
• Closely related to Anxiety D., Ob-C and other related
D, and Dissociative D.

• Most prominent clinical characteristics:

– Anhedonic and dysphoric symptoms
– Externalizing angry and aggressive symptoms
– Dissociative symptoms
 Mood symptoms

• Anhedonia
– Loss of interest in, and withdrawal from, all
regular and pleasurable activities, often associated
with depression

• Dysphoric mood
– An unpleasant mood
DSM-5
Trauma- and Stressor-Related Disorders
 Reactive Attachment Disorder
 Disinhibited Social Engagement Disorder

 Posttraumatic Stress Disorder (PTSD)

 Acute Stress Disorder
 Adjustment Disorders
• Other Specified …..
• Unspecified ……