The disorders categorized under Anxiety Disorders in the DSM-4 are panic Attack, Panic Disorder without Agoraphobia, Panic Disorder with Agoraphobia, Agoraphobia without history of Panic Disorder, Specific Phobia, Social Phobia, Obsessive-Compulsive Disorder, Posttraumatic Stress Disorder, Acute Stress Disorder, Generalized Anxiety Disorder, Anxiety Disorder Due to a General Medical Condition, Substance-Induced Anxiety Disorder, and Anxiety Disorder Not Otherwise Specified (American Psychiatric Association, 1994). In the DSM-5 the following are categorized under Anxiety Disorders; Separation Anxiety, Selective Mutism, Specific Phobia, Social Anxiety Disorder (Social Phobia), Panic Disorder, Panic Attack Specifier, Agoraphobia, Generalized Anxiety …show more content…
Also the age for the duration to diagnose them changed from under 18 years all to any years of age now. Now for Social Anxiety a person anxiety “must be out of proportion to the actual danger or threat” to be diagnosed (American Psychiatric Association, 2013). Panic Disorder is categorized into different diagnostics in the DSM-4 Panic Disorder without Agoraphobia, Panic Disorder with Agoraphobia, in the DSM-5 Panic Disorder is no longer linked to Agoraphobia, because individuals presented Agoraphobia without any symptoms of panic. Diagnosis for Social Anxiety the “specify if” section has changed from “Generalized” to “Performance only”. Meaning that it only applies to individuals that only fear in performing situations. In the DSM-5 Selective Mutism is now part of the Anxiety Disorders in the DSM-4 it was part of the “Disorders Usually First Diagnosed in Infancy, Childhood, or Adolescence” section. This change was made because a lot of people that have Selective Mutism are highly anxious …show more content…
In the DSM-4 Eating Disorders were separated by only two types Anorexia Nervosa and Bulimia Nervosa which was characterized by subtypes for each group and other eating related disorders were under Eating Disorder Not Otherwise Specified criteria. In the DSM-5 Feeding and Eating Disorders meaning that they are disturbances of eating or related eating behaviors they include pica, rumination disorder, avoidant/restrictive food intake disorder which in the DSM-4 it was named (Feeding Disorder of Infancy or Early Childhood), anorexia nervosa, bulimia nervosa and binge-eating disorder. Binge Eating Disorder was included as its own disorder due to that many individuals that had an eating disorder did not meet criteria for anorexia or bulimia nervosa were classified as “eating disorder not otherwise specified” category. The diagnostic criteria in the DSM-4 for Anorexia nervosa used the word “Refusal” in criteria A and in the DSM the phrase use instead is “Restriction of energy intake relative to requirements” to describe the criteria for maintaining weight at or above the normal according to the individual age, gender and height. Criteria D in the DSM-4 stating that amenorrhea is taken out in the DSM-5 which does not applied to males, and to pre-menarchal females. The diagnostic criteria in the DSM-5 includes two
Josh has experienced a traumatic strategy that left him emotionally and mentally disturbed. He lost someone that he loved and was a very special person in his life. Josh is exhibiting behaviors and symptoms that lead me to believe that he is suffering from an anxiety/depression disorder due to the loss of his girlfriend. Before this strategic accident happened, Josh was a very happy outgoing individual now, he’s jumpy, withdrawn, stopped playing basketball, avoids going to the town where the accident happened, avoids hanging out with friends, and he quit his job because it was near where the accident happened. These are all behaviors that presents anxiety and depression disorders.
The changes in the DSM-5 meant that Panic Disorder and Agoraphobia were now separate disorders with separate criteria, as the DSM-5 notes “Agoraphobia is diagnosed irrespective of the presence of panic disorder. If an individual’s presentation meets criteria for panic disorder and agoraphobia, both diagnoses should be assigned” (APA, 2013, p.218). Therefore it is important when using the DSM-5, to explore each Criterion for Panic Disorder, and then Agoraphobia, and compare Tom’s symptoms
The patient, a thirty-three year old female singer, is having difficulty sleeping, simple activities like getting groceries tire the patient easy, complains of neck pain, and cannot concentrate. The patient experiences worry and anxiety. However, when asked about what specifically, many things were brought up but none were more important than the other.
Persistent concern about having additional attacksb. 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 attacksB. The presence (or absence) of Agoraphobia.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).(APA, 2000)
There are a few different types of anxiety. The six most common anxieties are generalized anxiety disorder (GAD), obsessive-compulsive disorder (OCD), panic disorder (anxiety attacks), phobia, post-traumatic stress disorder, and social anxiety disorder. People with GAD are constantly worried with no idea why and could have physical symptoms like insomnia, stomach upset, restlessness, and fatigue. Someone with OCD might have unwanted thoughts or behaviors that seem impossible to stop and may suffer from uncontrollable compulsions, like washing hands over and over again. A person with panic disorder may suffer from panic attacks and may also have agoraphobia, which is a fear of being in places where escape or help would be difficult in the event of a panic attack. People with phobias have an unrealistic fear of an object, activity, or situation, and may try to avoid the fear which only makes the phobia worse. Someone with post-traumatic stress disorder can have flashbacks or nightmares about a something traumatic that happened in the past. A person with social anxiety may not want anyone to see them negatively or worry a lot about what people think about them, and may be seen as extremely shy. Someone with social anxiety might also have performance anxiety or stage
Generalized Anxiety Disorder first became an individual disorder in 1980. Woodman stated in her article, “The American Psychiatric Association separated anxiety neurosis into (1) panic disorder, characterized by spontaneous episodes of intense anxiety, and (2) Generalized Anxiety Disorder, a residual category for patients who have chronic, sustained anxiety without panic attacks” (Woodman, 1997). The separation of the two disorders was made at the time because of the responses people had with different medications. According to Woodman, Generalized Anxiety Disorder was finally given an independent status and a set of defined criteria of symptoms in DSM-11-R, with the main symptom of Generalized Anxiety Disorder being excessive worry. It is now known that it is differentiated by more than just different reactions to medicines, but with more systematical studies done, the symptom checklist has been edited to best discriminate between normal and pathological anxiety (Woodman, 1997).
a 44 year old Divorced African Male came into Henry Ford Hospital ED as a walk-in and told the HFHS staff that he was having mental health issues he does still struggle with depression and anxiety. The consumer stated that he initially went into the hospital after his brother was shot twice in the head. At that time the client reports that he was placed on Risperdal, while at Kingswood in January, and he became a zombie at that time. He stated that he has been in and of the hospital multiple times since then, and each time, he has been placed on Risperdal and he doesn't feel that his meds were ever adjusted correctly.
Anxiety disorders are the most prevalent of psychiatric disorders, yet less than 30% of individuals who suffer from anxiety disorders seek treatment (Lepine, 2002). Anxiety disorder refers to a group of mental illnesses that includes generalized anxiety disorder (GAD), obsessive-compulsive disorder (OCD), panic disorder, posttraumatic stress disorder (PTSD), social anxiety disorder also called social phobia and specific phobias (Anxiety Disorders Association of America, 2014). In the United States studies find that anxiety disorders afflict 15.7 million people in the United States each year, and 30 million people in the United States at some point in their lives (Lepine, 2002). Research as shown that 30% of girls suffer from anxiety
Anxiety disorders are considered an axis one disorder, There are five types of anxiety disorders, general anxiety disorder, anxiety disorder, and panic disorders, phobic disorders, obsessive-compulsive disorder, and post-traumatic stress disorder.
“The last disorder is Social Anxiety which is said to be an intense fear of any social situations which would lead it to be difficult with individual relationships at their workplace or in school situations. These are most common in people who suffer with social anxiety disorders. People often have an irrational fear of being humiliated in public. Many people have this fear and do not realize that this is a disorder that affect people of all age groups. People with anxiety disorders usually abuse alcohol and other drugs. (https://www.nimh.nih.gov/health/topics/anxiety-disorders/index.shtml).”
(Dupont, R.L., 1996). There are many categories of anxiety disorders, which most likely contributes to the large amount of people affected by them. I suffer from generalized anxiety disorder as well as social anxiety disorder. General anxiety disorder is a persistent and unrealistic worry every day. Social anxiety disorder is a fear of being judged and watched by people in social or public situations. It’s common for someone diagnosed with an anxiety disorder to also suffer from depression, this is also the case for me. Almost half of the people diagnosed with anxiety are also diagnosed with depression. (Anxiety and Depression Association of America, 2015). There are many illnesses that take place along with anxiety, some examples are: ADHD, Sleep disorders, IBS, Bipolar disorder and many others. (Anxiety and Depression Association of America, 2015). Suffering from anxiety is a real issue and affects
The National Alliance on Mental Illness (NAMI, 2017) explained that many types of anxiety disorders exist, which may be classified by symptoms. NAMI (2017) described patients with excessive worrying, difficulty concentrating, and nausea as having generalized anxiety disorder (GAD). This is a common type of anxiety disorder. Social anxiety disorder (SAD) is defined by an intense fear of social situations, accompanied by irrational concerns about humiliation, reported NAMI (2017). Patients with social anxiety disorder may experience a panic attack when forced into an unwanted social situation (NAMI, 2017). These patients fear social situations. A similar disorder is panic disorder; patients undergo panic attacks, which are similar to heart attacks (NAMI, 2017). According to these authors, panic attacks may involve chest pains, heart palpitations, dizziness, and shortness of breath. Panic disorder is only one form of anxiety disorder that patients may have. NAMI (2017) explained further how some patients may be diagnosed with phobias, because they have extreme reactions and irrational fears to specific places, events, or objects. Many other types of anxiety disorders have been classified. Other types include agoraphobia, selective mutism, separation anxiety disorder, and a substance abuse (NAMI, 2017). In order to properly identify the type of anxiety disorder the patient might present with, nurses should be knowledgeable about the causes of anxiety
Anxiety is a type of mood disorder that can cause a loss of interest or even sadness. Anxiety affects how you feel, function and think. For a person diagnosed with anxiety disorder, the anxiety will not go away on its own and can get worse over a period of time. The feelings can withdrawal a person from daily activities such as a jobs, school, and relationships. There are many types of anxiety disorders such as generalized anxiety disorder, panic disorder, and social anxiety disorder.
The difference between social anxiety disorder and other disorders is that a person is capable of enjoying themselves. This is because they are not impacted as severely physically since their fear is only stimulated in the event that they will have to be
This particular case presents the notion of anxiety disorders which can have several trigger factors that will distress the subject normal day life, this disorders “include specific phobia, social anxiety disorder (…) panic disorder, agoraphobia, and generalized anxiety disorder.” (Oltmanns & Emery, 2015, p. 84).