Anxiety Disorder Classification (part-2)

Post-Traumatic Stress Disorder (PTSD)
This stress disorder occurs after experiencing a psychologically traumatic event outside the range of usual experience such as rape, combat, bombings, kidnapping. The person with posttraumatic stress disorder re-experiences the event through recurrent dreams and flashbacks.

Person with post-traumatic stress disorder may commonly uses emotional numbness, detachment, and estrangement to defend against anxiety. Sleep disturbance, hypervigilance, guilt about surviving, poor concentration, and avoidance of activities that trigger memory of the event are the most symptom with post-traumatic stress disorder.

Phobias
Phobia is irrational fear of an object or situation that persists, although the person may recognize it as unreasonable. Sever anxiety will be occurred if the object, situation, or activity cannot be avoided



Types of Phobias include:
  • Agoraphobia: Fear of being alone in open or public places where escape might be difficult; may not leave home
  • Social phobia: Fear of situations in which one might be seen and embarrassed or criticized; fear of eating in public, public speaking, or performing
  • Specific phobia: Fear of a single object, activity, or situation (eg, snakes, closed spaces, and flying)

Substance-induced anxiety disorder

A substance-induced anxiety disorder is sub-typed or categorized based on whether the prominent feature is generalized anxiety, panic attacks, obsessive-compulsive symptoms, or phobia symptoms. Drug use is related to this disorder.

Symptoms substance-induced anxiety disorder will develop within 1 month of substance intoxication or withdrawal and significant distress of impairment in social and occupational functional will be occurred.

Anxiety Disorder Classification (part-1)

Acute Stress Disorder

Client with acute stress disorder will develop three or more of these dissociative symptoms:
  • Subjective sense of numbing
  • No emotional responsiveness
  • Feeling dazed
  • Depersonalization
  • Derealization
  • Amnesia
Duration of acute stress disorder would be 2 days to 4 weeks.


Generalized Anxiety Disorder

Client with generalized anxiety disorder will develop three off the four categories:


  • Autonomic hyperactivity: palpitations, sweating, cold clammy, urinary frequency, pallor or flushing, lump in throat, rapid respiration, and tachycardia.
  • Motor tension: restlessness, trembling, inability to relax, fatigue.
  • Apprehensiveness: dread, worry, fear, insomnia, rumination, and inconcentrate.
  • Hypervigilance: felling edgy and distractibility.
These symptoms persist for at least 6 months.


Obsessive-Compulsive Disorder

Obsession is preoccupation with persistent intrusive thoughts. Compulsion is repeated perfomance of rituals designed to prevent some anxiety. Client with Obsessive-Compulsive Disorder with have obsession symptoms, compulsion symptoms, or both.

The client will be in anxiety condition if obsessions or compulsions are resisted and from feeling powerless to resist the thoughts or rituals.


Panic Disorder

Panic disorder means the recurrent unexpected anxiety attacks. It happens suddenly with intense apprehension and dread.
Client with panic disorder will develop at least four of the following symptoms:
  • Dyspnea
  • Dizziness
  • Chest discomfort
  • Hot or cold flashes
  • Tingling of hands or feet
  • Feeling of unreality
  • Palpitation
  • Syncope
  • Diaphoresis
  • Trembling
  • Fear of losing control, going crazy or dying