Anxiety differential diagnosis
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Vindhya BellamKonda, M.B.B.S [2]
Overview
Anxiety must be differentiated from other diseases that cause anxiety such as major depressive disorder, bipolar disorder, atypical psychosis, schizophrenia, other medical and neurologic conditions.
Differential diagnosis
Anxiety must be differentiated from the causes listed below:
Psychiatric | Cardinal features |
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Major depressive disorder |
DSM major depressive disorder (MDD) diagnostic criteria require the occurrence of one or more major depressive episodes. Symptoms of a major depressive episode include the following:
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Bipolar I disorder |
Bipolar I disorder- A person affected by bipolar I disorder has had at least one manic episode in his/her life, and also suffer from episodes of depression, there is an alternating pattern of mania and depression. Manic episode is characterized by:
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Atypical psychosis |
[[The term atypical psychosis has not been included in DSM-V, but was liste in DSM-III-R under the heading psychosis Not otherwise specified( examples include: postpartum psychosis, psychosis with unusual features, psychosis with confusing clinical features that make a more definite diagnosis impossible]] |
Schizophrenia |
[[A.Two (or more) of the following , each present for a significant portion of time during a 1-month period(or less if successfully treated). Atleast one of these must be delusions, hallucinations, disorganized speech. Apart from these symptoms, grossly disorganized or catatonic behavior and negative symptoms (e.g.Avolition) are present B. Significant functional impairment in all aspects of life. C. Continuous signs of the disturbance persist at least 6 months D. Schizoaffective, depressive and bipolar disorder with psychotic features have been ruled out. E. The disturbance is not attributable to the physiological effects of a substance or another medical condition.]] |
Substance abuse | |
Cognitive disorders |
Mediacl condition | cardinal features |
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Myocardial infarction |
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Angina pectoris | |
Hyperthyroidism |
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Carcinoid |
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Hypoglycemia |
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Hyperventilation |
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References
- ↑ Horcicka V, Lindusková M, Vykydal M (1990). "Injury to gastric mucosa due to cortisonoid therapy". Acta Univ Palacki Olomuc Fac Med. 126: 151–5. PMID 2151080.
- ↑ Cryer PE, Axelrod L, Grossman AB, Heller SR, Montori VM, Seaquist ER, Service FJ (2009). "Evaluation and management of adult hypoglycemic disorders: an Endocrine Society Clinical Practice Guideline". J. Clin. Endocrinol. Metab. 94 (3): 709–28. doi:10.1210/jc.2008-1410. PMID 19088155.
- ↑ Rapee R (1986). "Differential response to hyperventilation in panic disorder and generalized anxiety disorder". J Abnorm Psychol. 95 (1): 24–8. PMID 3084604.
LastName, FirstName (2013). Desk reference to the diagnostic criteria from DSM-5. Washington, DC: American Psychiatric Publishing. ISBN 978-0-89042-556-5.