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DSM-IV Signs & Symptoms General Anxiety Disorder | General Anxiety Disorder |
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THE DIAGNOSTIC CRITERIA FOR GENERALIZED ANXIETY DISORDER DSM-IV lists six diagnostic criteria, all of which must be met for a diagnosis of generalized anxiety disorder to be made. ICD-10 has similar diagnostic criteria, although it specifies that four symptoms out of a list of 22 must be present; five of the six symptoms in the DSM-IV criteria are in this list of 22 symptoms. In summary, the DSM-IV criteria are: 1. Excessive anxiety and worry about a number of events or activities that occurs on more days than not for 6 months or more. 2. The person finds it difficult to control the worry. 3. At least three of the following symptoms (only one is needed in children) are associated with the worry, some at least occurring on more days than not for 6 months or more: restlessness or a feeling of being 'keyed up' or on edge; easily fatigued; difficulty in concentrating, of the mind going blank; irritability; muscle tension sleep disturbance. 4. The focus of the anxiety is not confined to features of an Axis I disorder (e.g. panic disorder, social phobia, obsessive-compulsive disorder). 5. The symptoms cause clinically significant distress or impairment in functioning. 6. The disturbance is not caused by the direct effects of a substance, drug or a general medical condition, and it does not occur exclusively during a mood disorder, a psychotic disorder or a pervasive developmental disorder. Symptoms and signs By definition, the patient must have excessive anxiety and worry about a number of activities or events, associated with at least three of the following: restless feelings, being keyed up or on edge; being easily fatigued; difficulty in maintaining concentration; irritability; muscle tension; sleep disturbance (falling or staying asleep, restless sleep). However, patients often present with complaints of medically unexplained somatic symptoms (e.g. chest pain, irritable bowel symptoms, hyperventilation) and either ignore or deny symptoms of nervousness. Generalized anxiety disorder is frequently not diagnosed in these patients. (from PsychiatryMatters.MD) Last update: 07-12-2005 06:18
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