Psychiatric Disorders: Onset and Course Overview for Clinical Practice

Social Anxiety Disorder Onset

8-15 (13)

Social Anxiety Disorder Course

Variable (not common for people who are not presenting for clinical care)

NOT VERY LIKELY UNLESS TEH ANXIETY IS ABOUT BEING ALONE FOREVER AND THEN THEY GET A BOYFRIEND

Acute Stress Disorder Onset

Any age/after a traumatic event

Acute Stress Disorder Course

Can progress to PTSD, remit, remain constant, or worsen over time.

Dissociative Amnesia Onset

Any age

Dissociative Amnesia Course

MAY BE LIKELY

UNLIKELY IF THIS HAS HAPPENED BEFORE. IF THIS IS THE FIRST TIME, MAYBE LIKELY

acute forms may remit spontaneously, may become chronic

Persistent Depressive Disorder Onset

childhood through early adulthood <21 early onset >21 late onset

Persistent Depressive Disorder course

chronic/unlikely to remit

Panic Disorder Onset

20-24

Panic Disorder course

WILL NOT GO AWAY WITH OUT TX

chronic but episodic

Agoraphobia Onset

late adolescence/early adulthood

Agoraphobia course

10% spontaneous remission

Body Dysmorphic Disorder Onset

adolescence, 2/3 by 18

Body Dysmorphic Disorder Course

Chronic

Dissociative Identity Disorder Onset

Any age

Dissociative Identity Disorder course

chronic

Major Depressive Disorder Onset

any age (average of 20)

Major Depressive Disorder Course

Spontaneous remission common (40% in 3 months, 80% within a year)

Post Traumatic Stress Disorder Onset

Any time, after a traumatic event

Post Traumatic Stress Disorder Course

50% remission within 3 months

Intellectual Developmental Disorder Onset

Developmental period, at least delays noticed before age 5

Intellectual Developmental Disorder Course

lifelong

Specific Learning Disorder Onset

elementary school

Specific Learning Disorder Course

Lifelong

Premenstrual Dysphoric Disorder Onset

Any time after first period

Premenstrual Dysphoric Disorder Course

chronic, waxes and wanes, stops after menopause

Separation Anxiety Disorder Onset

As early as preschool/any time after loss

Separation anxiety disorder course

children are likely to remiss but adults are unlikely

Specific Phobia Onset

often 7-11 or any time following a traumatic event

Specific Phobia Course

wax and wane through adolescence but if it persists to adulthood, unlikely to go away

Generalized Anxiety Disorder Onset

Onset of GAD rarely occurs prior to adolescence, Median age is 30, very wide spread

Obsessive-Compulsive Disorder Onset

commonly in adolescence (mean 19.5). After 35 is rare

Obsessive-Compulsive Disorder Course

only 20% spontaneous remission after 40 years

Hoarding Disorder Onset

15-19

Hoarding Disorder Course

chronic/gets worse by age

Trichotillomania onset

Coincides with puberty

Trichotillomania course

chronic with some waxing and waning

Excoriation Disorder Onset

coincides with puberty

Excoriation Disorder Course

chronic with some waxing and waning

Reactive Attachment Disorder Onset

9 months-5 years

Reactive attachment disorder course

unlikely to improve without treatment but can improve with normative caregiving

Disinhibited Social Engagement Disorder Onset

>9 months, signs often start at 2 years

Disinhibited Social Engagement Disorder Course

unlikely to improve without treatment

Adjustment Disorder Onset

after a stressor at any age

Adjustment Disorders Course

remission typically occurs after a few months

Prolonged Grief Disorder onset

After the death of a loved one

Prolonged Grief Disorder Course

Limited information

Depersonalization/Derealization Disorder onset

mean age of onset is 16 years but frequently happens in early-mid childhood. Rare after 40

Depersonalization/Derealization Disorder course

persistent but can be episodic/ wax and wane