1. Anxiety, Trauma & Stressor, and Obsessive-Compulsive Disorders
Mr. Koch
AP Psychology
Andover High School

2. Anxiety Disorders Separation Anxiety Disorder Selective Mutism
Specific Phobia
Social Anxiety Disorder (Social Phobia)
Panic Disorder
Panic Attack (Specifier)
Agoraphobia
Generalized Anxiety Disorder
Substance/Medication-Induced Anxiety Disorder
Anxiety Disorder Due to Another Medical Condition
Other Specified Anxiety Disorder
Unspecified Anxiety Disorder

3. Anxiety Disorders Anxiety
Characterized by ↑ heart rate, ↑ blood pressure, sweating, rapid breathing, dry mouth, sense of dread, uneasiness, trembling, nervousness
Some anxiety is normal – when so intense & long-lasting that it impairs functioning, becomes a disorder
Most common disorders in North America
~29% will experience
~2/3 are women

4. Generalized Anxiety Disorder (GAD)
Excessive & long-lasting (~6 mo.) anxiety, not focused on any particular object or situation (“free-floating anxiety”)
Feel disaster is about to happen, jumpy, irritable, can’t sleep
3.1% of pop. in any given year
5% of pop. In lifetime
Onset ~30 y.o.
Somewhat more common in women
Rarely treated

5. Panic Disorder
Recurring, terrifying panic attacks w/o warning or obvious cause
Intense heart palpitations, pressure or pain in chest, dizziness or unsteadiness, sweating, feeling faint (may last minutes or hours)
Often mistaken for heart attack
Can last for years w/ improvement and recurrence
Strong association w/ agoraphobia
30% of pop. had panic attack w/in last year
Only 2-3 % developed full-blown panic disorder

6. Phobias
An intense, irrational fear of an object or situation that does not objectively justify such a reaction
Usually realize fear is groundless, but anxiety persists
May greatly interfere with daily life
Specific DSM diagnoses:
Specific Phobia (9% of pop.)
Social Anxiety Disorder (Social Phobia)
Agoraphobia
Typical onset: early teens

7. Trauma- and Stressor-Related Disorders
Reactive Attachment Disorder
Disinhibited Social Engagement Disorder
Posttraumatic Stress Disorder
Acute Stress Disorder
Adjustment Disorders
Other Specified Trauma- and Stressor-Related Disorder
Unspecified Trauma- and Stressor-Related Disorder

8. Post-Traumatic Stress Disorder (PTSD)
Pattern of adverse and disruptive reactions following a traumatic and threatening event
i.e., war, natural disasters, assaults, abuse, accidents, etc.
Characteristic reactions:
Anxiety, depression, irritability, jumpiness, inability to concentrate, sexual dysfunction, difficulty getting along w/ others, sleep disturbances, intense startle responses, suppressed immune system, nightmares, flashbacks
May last months, years, decades

9. Obsessive-Compulsive and Related Disorders
Obsessive-Compulsive Disorder
Body Dysmorphic Disorder
Hoarding Disorder
Trichotillomania (Hair-Pulling Disorder)
Excoriation (Skin-Picking) Disorder
Substance/Medication-Induced Obsessive-Compulsive and Related Disorder
Obsessive-Compulsive and Related Disorder Due to Another Medical Condition
Other Specified Obsessive-Compulsive and Related Disorder
Unspecified Obsessive-Compulsive and Related Disorder

10. Obsessive-Compulsive Disorder (OCD)
Obsessions – plagued by persistent, upsetting, unwanted thoughts
i.e., infection, contamination, causing harm to self/others
Compulsions – ritualistic, repetitive behaviors
i.e., washing, counting, checking, arranging, etc.
Interferes w/ daily life (>1 hr/day)
Derive no pleasure – recognize as irrational
Onset: adolescence
2-3% of pop. during lifetime (1 in 40)
**Hoarding Disorder is a newly added, separate disorder in the DSM-5

12. Body Dysmorphic Disorder
**Now classified under Obsessive-Compulsive and Related Disorders**
The preoccupation with an imagined or exaggerated “defect” in physical appearance
Preoccupations often difficult to control, spend hours a day thinking about “defect” – can dominate lives
Self-consciousness may cause to avoid work, school, or public situations
Engage in frequent checking of “defect” and attempts to improve
Usually lead to more anxiety
Many cannot be convinced their view of self is inaccurate
Typical onset: adolescence
May be equal in men/women