ANXIETY DISORDERS Chest pain or discomfort

Sense of abdominal distress

FEAR vs. ANXIETY Feeling of dizziness, lightheadedness
Fainting sensation
Fear Derealization
Known in origin Depersonalization
Definite Fear of losing control, dying, of being crazy
External source Paresthesias
Alerting signal Chills or hot flushes
Non-conflictual
Panic Attack
Anxiety Is not a codable diagnosis
Unknown or vague It occurs also in some anxiety disorder
Indefinite It is a discreet period of intense fear or
Internal in Origin discomfort which developed suddenly peaked
Alarming signal within 10 minutes with four or more symptoms
Conflictual of panic attack

Peripheral Manifestations of Anxiety Panic Disorder

Diarrhea Occurrence of 2 or more panic attacks in a
Dizziness, lightheadedness month
Hyperhydrosis Presence of one panic attack but preoccupied of
Hyperreflexia having another panic attack within a months
Hypertension duration
Palpitations May occur with agoraphobia or without
Pupillary mydriasis agoraphobia
Restlessness
Specific Phobias
Syncope
Ablutophobia fear of washing or bathing
Tachycardia
Achluophobia fear of darkness
Tingling sensations in the extremities
Aeroacrophobia fear of heights
Tremors
Agliophobia fear of pain
Upset stomach
Agoraphobia fear of crowded places
Urinary frequency, hesitancy, urgency
Aichmophobia fear of needles
Alliumphobia fear of garlic
Anxiety Disorders
Panic disorder Altophobia fear of heights
Specific and social phobia Haemophobia fear of blood
Obsessive and Compulsive disorders Gynephobia Fear of women
Posttraumatic Stress Disorder Cacophobia fear of ugly people
Acute Stress Disorder Homophobia fear of being homosexual
Generalized Anxiety Disorder Iatrophobia - fear of doctors
Anxiety due to GMC Ithyphallophobia fear of having an erect penis
Substance induced disorder Pelladophobia fear of bald people
Anxiety disorder NOS Penteraphobia fear of mother-in-law
Claustrophobia fear of being locked
Panic Attacks Triskaidekaphobia fear of number 13
Palpitations, pounding heart, tachycardia Somniphobia fear of going to sleep
Sweating Paraskavedekatriaphobia - Fear of Friday the
Tremble or shaking 13th
Shortness of breath or smothering Coprophobia fear of feces
Choking sensation Photophobia - Fear of light.
 Oneirophobia - Fear of dreams. Forbidden or perverse sexual thoughts, images,
or impulses
Intrusive nonsense sounds, words, or music

Obsessive Compulsive Disorder

Is described as recurring obsessions or Major Presenting Symptoms
compulsions severe enough to be time of Compulsion
consuming or caused mark distress or Excessive or ritualized hand washing,
significant impairment. People with this showering, bathing, tooth brushing, or
disorder recognize that their actions are grooming
irrational or disproportionate. Repeating rituals (going in and out of door,
up and down from chair)
Obsession Checking doors, locks, stove, appliances,
Contamination car brakes
Pathological doubt Cleaning and other rituals to remove contact
Somatic with contaminants
Need for symmetry Touching
Aggressive Ordering and arranging
Sexual Measures to prevent harm to self or others
Multiple Obsessions (e.g., hanging clothes a certain way)
Recurrent and intrusive thought, feeling, idea, or Counting
sensation. Hoarding and collecting
Increases anxiety Miscellaneous rituals (e.g., licking, spitting,
special dress pattern)
Compulsions
Checking Posttraumatic Stress Disorder
Washing A set of typical symptoms that develop after a
Counting person sees, is involved in, or hears of an
Need to ask or confess extreme traumatic stressor.
Symmetry and precision The symptoms must last for more than a month
Hoarding and impairs important matters of life such as
Multiple comparisons family and work.
The stress is overwhelming enough to affect
Is a conscious standardized, recurrent pattern of
almost everyone.
behavior, such as counting, checking, or
It can arise from experiences in war, torture,
avoidance.
Compulsions decrease anxiety. natural catastrophes, assault, rape, and serious
accidents in cars and burning buildings.
Re-experiencing of the traumatic event in their
Major Presenting Symptom
of Obsessions dreams and their daily thoughts, they are
Concern or disgust with bodily wastes or determined to evade anything that would bring
the event to mind causing hyper arousal.
secretions (urine, stool, saliva), dirt, germs,
environmental toxins. Fear concerns
Clinical Features of PTSD
Fear something terrible may happen (fire, death
Painful experiencing of the event
or illness of loved one, self, or others)
A pattern of avoidance and emotional numbing,
Concern or need for symmetry, order, or
and fairly constant hyper arousal
exactness.
The disorder may not develop until months or
Scrupulosity (excessive praying or religious
even years after the event
concerns out of keeping with patients
The MSE often reveals feelings of guilt,
background)
Lucky and unlucky numbers rejection, humiliation.
 Patients may also describe the dissociative The worry is difficult to control and is associated
states and panic attacks, and illusions and with its somatic symptoms such as muscle
hallucinations may be present. tension, irritability, difficulty of sleeping, and
Cognitive testing may reveal that patients have restlessness.
impairments of memory and attention.
Associative symptoms include aggression, Criteria for GAD
violence, poor impulse control, and substance- Excessive anxiety and worry (Apprehensive
related disorders. expectation) occurring more days than not for
Persistent symptoms of increased arousal not six month
present before the trauma as indicated by two or The person find it difficult to control the worry
more of the ff: The anxiety and worry are associated with the ff
Difficulty falling or staying asleep six symptoms
Irritability or outburst of anger Restlessness
Difficulty concentrating Easy fatigueability
Hyper vigilance Difficulty concentrating
Exaggerated Irritability
startled response Duration of the Muscle tension
symptoms is more than one month
Sleep disturbance

Anxiety due to GMC

Acute Stress Disorder
Hyperthyroidism
The person has been exposed to a traumatic
Congestive heart failure
event
Experiencing the distressing event which has Hepatorenal disease
three or more ff dissociative symptoms Parkinsons disease
A traumatic event is persistently re=experienced Atrophy in psychosis
in one of the ff way: recurrent images, illusions, Multiple sclerosis
thoughts, dreams, flashback episodes Respiratory failure
Marked avoidance of stimuli that arouse Bronchitis
recollections of the trauma Asthmatic attack
Marked symptoms of anxiety or increased Addisons disease
arousal Etc.
The disturbance last for a minimum of two days
or maximum of 4 weeks and occurs within 4 Substance-Induced Anxiety Disorder
weeks of the traumatic events. Methamphetamine intoxication
Cocaine intoxication
Generalized Anxiety Disorder Cannabis intoxication
Is defined as excessive anxiety and worry about Methylenedioxymethamphetamine intoxication
several events or activities for a majority of days
during at least a six-month period.