Anxiety disorder

Anxiety disorder


Anxiety: Anxiety is a state of fear manifesting of a feeling of inner tension and somatic symptoms.

Anxiety disorders: Are abnormal states in which the most strinking feature is mental and physical symptoms of anxiety which are not caused by organic brain diseases or another psychiatric disease.

Types of anxiety disorder:

DSM-IV classification of anxiety disorders:

  • Generalized anxiety disorder.
  • Phobic anxiety disorder:
  • Simple and specific phobia.
  • Social phobia.
  • Agarophobia with panic disorder.
  • Agarophobia without panic disorder.
  • Panic anxiety.
  • Obsessive compulsive disorder.
  • Acute stress disorder.
  • Post traumatic stress disorder.

Clinical features of generalized Anxiety disorder:

[A] Psychological symptoms:

  • Restlessness
  • Undue fatigue or tiredness.
  • Sleep disturbance: Insomnia.
  • Poor attention.
  • Sensitivity to noise.

[B] Physical symptoms:

Gastrointestinal system:

  • Dry mouth.
  • Difficulty in swallowing.
  • Epigastric discomfort.
  • Excessive wind.
  • Frequent or loose motion.

Respiratory system:

  • Constriction in the chest.
  • Difficult inhaling.
  • Over breathing.
  • Hyperponea

Cardiovascular system:

  • Chest pain.
  • Discomfort in chest.
  • Awareness of missed beats.

In Genitourinary system:

  • Frequent or urgent micturation.
  • Failure of erection.
  • Menstrual discomfort.

In Neuromuscular system:

  • Prickling sensation.
  • Aching muscle.

[C] Sleep disturbance:

  • Insomnia.
  • Night terror.

[D] Others symptoms:

  • Depersonalization
  • Depression


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