Anxiety, OCD, Trauma Related Disorders

Generalized Anxiety Disorder

Excessive worry and difficulty controlling worry about variety of topics frequently for at least 6 months with at least 3 symptoms of restlessness, easy fatigue, difficulty concentrating, irritability, muscle tension, sleep disturbance. Causes clinically significant distress or impairment.

Separation Anxiety Disorder

Developmentally inappropriate and excessive fear/anxiety about separation from a certain person who they are attached to for at least 4 weeks in children and 6 months in adults. At least 3 symptoms of recurrent excessive distress from separation, worry about losing/harm to attachment figure, worry about experiencing an untoward event that causes separation, refusal to go out, fear of being alone without attachment figure, refusal to sleep away from attachment figure, nightmares of separation, and physical symptoms when separation occurs.

Selective Mutism

Consistent failure to speak in specific social situations despite speaking in other situations for at least 1 month causing educational/occupational disturbance. Failure is not attributable to lack of knowledge or comfort with the spoken language.

Specific Phobia

Marked fear or anxiety for at least 6 months about a specific object or situation that is out of proportion to the actual danger posed. The phobic object is actively avoided or endured with intense fear. Causes clinically significant distress or impairment.

Social Anxiety Disorder

Marked fear or anxiety for at least 6 months about social situations where the individual is exposed to possible scrutiny or negative evaluation by others. Causes clinically significant distress or impairment.

Panic Disorder

Recurrent unexpected panic attacks. At least one attack followed by 1 month of worry about additional attacks or significant maladaptive change in behavior related to the attacks.

Panic Attack

Abrupt surge of intense fear or intense discomfort that reaches a peak within minutes with at least 4 symptoms of palpitations, sweating, trembling/shaking, shortness of breath, feelings of choking, chest pain, nausea, dizziness, chills/heat sensations, parethesias, derealization/depersonalization, fear of losing control or “going crazy”, fear of dying

Agoraphobia

Fear of at least 2 situations of using public transport, being in open spaces, being in enclosed spaces, standing in line or being in a crowd, being outside of the home alone. Fears and avoids situations due to thoughts that escape might be difficult or help might not be available in incapacitating or embarrassing situations. Causes clinically significant distress or impairment.

Obsessive-Compulsive Disorder

Presence of obsessions and/or compulsions that are time-consuming or causing clinically significant distress or impairment.

Obsessions

Recurrent and persistent thoughts, urges, or images that are intrusive and unwanted. Individual attempts to ignore obsessions by neutralizing them with some other thought or action.

Compulsions

Repetitive behaviors or mental acts in response to an obsession or according to rules that must be applied rigidly. Compulsions are aimed at preventing or reducing anxiety/distress, or preventing a dreaded but unrealistic event

Body Dysmorphic Disorder

Preoccupation with defects/flaws in physical appearance that are not observable to others. Performs repetitive behaviors or mental acts in reponse to appearance concerns. Causes clinically significant distress or impairment.

Hoarding Disorder

Persistent difficulty discarding or parting with possessions due to perceived need to save them and distress associated with discarding them. Results in substantial clutter of active living areas. Causes clinically significant distress or impairment (safe environment).

Trichotillomania

Hair pulling. Causes clinically significant distress or impairment.

Excoriation

Skin picking resulting in skin lesions. Causes clinically significant distress or impairment.

Reactive Attachment Disorder

Consistent pattern of inhibited and emotionally withdrawn behavior between children and adult caregivers evident before age 5 and after 9 months developmentally. Child rarely seeks or responds to comfort when distressed. Persistent social and emotional disturbance seen by minimal social/emotional responsiveness to others, limited positive affect, unexplained irritability/sadness/fearfulness. Likely due to social neglect, repeated changes of primary caregivers, rearing in usual settings that severely limit opportunities to form selective attachments.

Disinhibited Social Engagement Disorder

Pattern of culturally inappropriate, overly familiar behavior with relative strangers, diminished checking back with adult caregiver, willingness to go off with unfamiliar adult with minimal hesitation. Likely caused by social neglect, repeated changes of primary caregiver, rearing in unusual settigns that severely limit opportunities to form selective attachments. Child has developmental age of at least 9 months.

Posttraumatic Stress Disorder

Exposure to actual or threatened death, serious injury, or sexual violence through direct experience, witnessing, learning of it occurring to close family/friend, repeated or extreme exposure to details. Intrusion symptoms including memories, dreams, dissociative reactions, reactions to cues. Persistent avoidance of stimuli associated with the event. Negative alterations in cognitions and mood. Alterations in arousal and reactivity including aggression, recklessness, hypervigilance, startle response, sleep disturbance. Lasting more than 1 month. Causes clinically significant distress.

Acute Stress Disorder

Exposure to actual or threatened death, serious injury, or sexual violence. Presence of at least 9 symptoms of intrusion, negative mood, dissociation, avoidance, and arousal lasting from 3 days up to 1 month after trauma exposure. Causes clinically significant distress or impairment.

Adjustment Disorder

Development of emotional or behavioral symptoms in response to an identifiable stressor occurring within 3 months of onset. Clinically significant/impairing and/or out of proportion to the severity of the stressor. Symptoms do not persist for more than 6 months after the stressor ceases.

Prolonged Grief Disorder

Persistent grief symptoms lasting at least 12 months past the death of a close individual (6 months in children). Causes clinically significant distress or impairment. Duration and severity exceeds expected social and cultural norms.