Term
|
Definition
Discrete period of intense fear or discomfort in which four or more of the following symptoms developed abruptly and reached peak within 10 minutes
Note: Panic Attack is not a codable disorder. |
|
|
Term
| Panic Attack Criteria 1-3 |
|
Definition
1) palpitations, pounding heart, or accelerated heart rate
2) sweating
3) trembling or shaking |
|
|
Term
| Panic Attack Criteria 4-6 |
|
Definition
4) Sensations of shortness of breath or smothering
5) Feeling of choking
6) chest pain or discomfort |
|
|
Term
| Panic Attack Criteria 7-9 |
|
Definition
7) Nausea or abdominal distress
8) Feeling dizzy, unsteady, lightheaded or faint
9) derealization (feelings of unreality) or depersonalization (being detached from oneself) |
|
|
Term
| Panic Attack Criteria 10-13 |
|
Definition
10) Fear of losing control or going crazy
11) Fear of dying
12) paresthesias (numbness or tingling sensations)
13) chills or hot flashes |
|
|
Term
|
Definition
(note: not a codable disorder)
Anxiety about being in places or situations from which escape might be difficult or in which help might not be available in the event of having an unexpected or situationally predisposed panic attack or panic like symptoms... |
|
|
Term
|
Definition
| Situations are avoided or else endured with marked distress or with anxiety about having a panic attack or panic-like symptoms or requiring the presence of a companion. |
|
|
Term
|
Definition
| Anxiety or phobic avoidance is not better accounted for by another mental disorder such as social phobia, specific phobia, ocd, ptsd, or separation anxiety. |
|
|
Term
|
Definition
Both 1 and 2
1) recurrent unexpected panic attacks
2) at least one attack has been followed by 1 month or more of one or more of the following:
a) persistent concern about having another attack
b) worry about the implications of the attack or its consequences (e.g. losing control, having a heart attack, "going crazy")
c) significant change in behavior related to attacks |
|
|
Term
|
Definition
| Either presence or absence of Agoraphobia depending on which dx is being made. |
|
|
Term
|
Definition
| Panic Attacks not due to direct physiological effects of a substance or a GMC. |
|
|
Term
|
Definition
| Panic Attacks not better accounted for by another mental disorder... |
|
|
Term
| Agoraphobia w/o Hx of Panic Disorder A |
|
Definition
| The presence of Agoraphobia related to fear of developing panic like symptoms |
|
|
Term
| Agoraphobia w/o Hx of Panic Disorder B |
|
Definition
| Criteria have never been met for Panic Disorder |
|
|
Term
| Agoraphobia w/o Hx of Panic Disorder C |
|
Definition
| Disturbance not due to direct physiological effects of a substance or GMC. |
|
|
Term
| Agoraphobia w/o Hx of Panic Disorder D |
|
Definition
| If a GMC is present, fear described in A is clearly in excess of that usually associated with the condition. |
|
|
Term
|
Definition
| Marked and persistent fear that is excessive or unreasonable, cued by the presence or anticipation of a specific object or situation (e.g. flying, heights, animals, receiving an injection, seeing blood). |
|
|
Term
|
Definition
| Exposure to the phobic stimulus almost invariably provokes an immediate anxiety response, which may take the form of a situaltionally bound or situationally predisposed panic attack. Note: In children anxiety may be expressed by crying, tantrums, freezing, or clinging |
|
|
Term
|
Definition
| The person recognizes that the fear is excessive or unreasonable. Note: In children this feature may be absent. |
|
|
Term
|
Definition
| The phobic situation(s) is avoided or else is endured with intense anxiety or distress. |
|
|
Term
|
Definition
| The avoidance, anxious anticipation, or distress in the feared situations) interferes significantly with the person's normal routine, occupational (or academic) functioning, or social activities or relationships, or there is marked distress about having the phobia. |
|
|
Term
|
Definition
| In individuals under 18, the duration is at least 6 months. |
|
|
Term
|
Definition
A) A marked and 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 he or she will act in a way (or show anxiety symptoms) that will be humiliating or embarrassing. Note: In children there must be evidence of the capacity for age-appropriate social relationships with familiar people and the anxiety must occur in peer settings, not just interaction with adults.
B) Exposure to feared social situation almost invariably provokes anxiety which may take the form of a panic attack. (Children--may be crying,tantrums,freezing, shrinking from social situations) |
|
|
Term
|
Definition
| The person recognizes that the fear is excessive or unreasonable (In children this may be absent) |
|
|
Term
|
Definition
| The feared social or performance situations are avoided or else are endured with intense anxiety or distress. |
|
|
Term
|
Definition
| The avoidance, anxious anticipation or distress in the feared social or performance situations interferes significantly with the person's normal routine, occupational (academic) functioning or social activities or relationships or there is marked distress about having the phobia. |
|
|
Term
|
Definition
| In individuals under age 18 years, the duration is at least 6 months. |
|
|
Term
|
Definition
| Fear/avoidance is not due to direct physiological effects of a substance...GMC..not better accounted for by another disorder. |
|
|
Term
|
Definition
| If a GMC or another disorder is present, fear in criterion A is unrelated to it... |
|
|
Term
| Obsessive-Compulsive Disorder A |
|
Definition
Either obsessions or compulsions:
Obsessions as defined by 1, 2, 3, -AND- 4.
Compulsions as defined by 1 -AND- 2. |
|
|
Term
|
Definition
1) recurrent and persistent thoughts, impulses, or images that are experienced, at some time during the disturbance, as intrusive and inappropriate and that cause marked anxiety or distress
2) the thoughts, impulses, or images are not simply excessive worries about real life problems |
|
|
Term
|
Definition
the person attempts to ignore or suppress such thoughts, impulses, or images or to neutralize them with some other thought or action
the person recognizes that the obsessional thoughts, impulses, or images are a product of his or her own mind (not imposed from without as in thought insertion) |
|
|
Term
|
Definition
| repetitive behaviors (e.g. hand washing, ordering, checking) or mental acts (praying, counting, repeating words silently) that the person feels driven to perform in response to an obsession, or according to rules that must be applied rigidly |
|
|
Term
|
Definition
| the behaviors or mental acts are aimed at preventing or reducing distress or preventing some dreaded event or situation; however, these behaviors or mental acts either are not connected in a realistic way with what they are designed to neutralize or prevent or are clearly excessive |
|
|
Term
|
Definition
| At some point during the course of the disorder the person has recognized that the obsession and compulsions are excessive or unreasonable. Note: this does not apply to children |
|
|
Term
|
Definition
| The obsessions or compulsions cause marked distress, are time consuming (take more than 1 hour a day), or significantly interfere with the person's normal routine, occupational or academic functioning, or usual social activities or relationships. |
|
|
Term
|
Definition
| If another Axis I disorder is present, the content of O/C is not restricted to it... |
|
|
Term
|
Definition
| The disturbance is not due to the direct physiological effects of a substance or GMC |
|
|
Term
|
Definition
Person is exposed to a traumatic event in which both of the following were present:
1) person experienced, witness, 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 intense fear, helplessness or horror. (In children this may be expressed instead by disorganized or agitated behavior) |
|
|
Term
|
Definition
| Traumatic event is persistently re-experienced in one or more of the following ways: (1-5) |
|
|
Term
|
Definition
1) recurrent and intrusive distressing recollections of the event including images thoughts or perceptions (In young children repetitive play may occur in which themes or aspects of the trauma are expressed.
2) recurrent distressing dreams of the event (in children there may be frightening dreams without recognizable content) |
|
|
Term
|
Definition
| acting or feeling as if the traumatic event were recurring (includes a sense of reliving the experience, illusions, hallucinations, dissociative flashback episodes, including while awake or intoxicated) Note: In young children trauma specific reenactment may occur |
|
|
Term
|
Definition
4) intense psychological distress at exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event.
5) physiological reactivity on exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event |
|
|
Term
|
Definition
| Persistent avoidance of stimuli associated with the trauma and numbing of general responsiveness (not present before trauma), as indicated by 3 or more of the following: |
|
|
Term
|
Definition
1) efforts to avoid thoughts, feelings o conversations associated with the trauma
2) efforts to avoid activities, places or people that arouse recollections of the trauma
3) inability to recall an important aspect of the trauma
4) markedly diminished interest or participation in significant activities |
|
|
Term
|
Definition
5) feeling of detachment or estrangement from others
6) restricted range of afect (e.g. unable to have loving feelings)
7) sense of a forshortened future (e.g. does not expect to have a career, marriage, children or a normal life span) |
|
|
Term
|
Definition
E) Duration of disturbance (B,C,D) is more than 1 month
F) Disturbance causes clinically significant distress or impairment in social, occupational or other important areas of functioning |
|
|
Term
| Generalized Anxiety Disorder A and B |
|
Definition
A) Excessive anxiety and worry (apprehensive expectation), occurring more days than not for a lest 6 months, about a number of events o activities (such as work or school performance)
B) The person finds it difficult to control the worry. |
|
|
Term
|
Definition
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) -- Only 1 item 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/staying asleep or restless unsatisfying sleep). |
|
|
Term
|
Definition
| Focus of anxiety or worry is not confined to features of an Axis I disorder... |
|
|
Term
|
Definition
| Anxiety, worry, or physical symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning |
|
|
Term
|
Definition
| Disturbance is not due to direct physiological effects of a substance or GMC and does not occur exclusively during a mood/psychotic/PDD |
|
|
