The DSM-5-TR separates anxiety disorders into the following specific disorders:
-	Separation Anxiety Disorder
-	Selective Mutism
-	Specific Phobia
-	Social Anxiety Disorder
-	Panic Disorder
-	Panic Attack Specifier
-	Agoraphobia
-	Generalized Anxiety Disorder (GAD)
-	Substance / Medication-Induced Anxiety Disorder
-	Anxiety Disorder Due to Another Medical Condition
-	Other Specified Anxiety Disorder
-	Unspecified Anxiety Disorder


[DSM-5-TR] List of Anxiety Disorders

List of Other Recognized Anxiety Disorders

This list includes different types of methods for treating and/or managing different anxiety disorders. These include:
-	Acceptance and Commitment Therapy
-	Drug Treatment
-	Mindfulness-Based Stress Reduction
-	Psychodynamic-Interpersonal Treatment

Treatment and Management Methods for Anxiety Disorders

This list includes different theories or concepts that are used to explain, define, or otherwise provide further insight into the workings of anxiety disorders. These include:
- TBD

Theories and Concepts Relevant to Anxiety Disorders

This includes the intersection of connections and/or research related to Depressive Disorders as a general category in other fields of study and research. Such fields include:
-	Behavioral Neuroscience
-	Biomedical Sciences
-	Clinical Psychology
-	Disability Studies
-	Health Psychology
-	Mindfulness

Note: Add subjects as needed

Interdisciplinary Connections & Research Related to Anxiety Disorders

The collection of references for nodes pertaining to Anxiety Disorders.

References for Anxiety Disorders

References for Anxiety and Relationship Quality

Anxiety disorders are characterized by features of excessive fear and anxiety, as well as related behavioral disturbances. These symptoms are often not temporary and linger beyond typical expectations. Excessiveness of these symptoms is clinician diagnosed with cultural contexts taken into consideration.

Kalamazoo College

University of Rochester

New York University

Georgetown University

Michigan State University

Arizona State University

- Anxiety disorders
- Mood disorders 
- Psychotic disorders
- Personality disorders
- Eating disorders
- Sleep disorders
- Addiction
- Adjustment disorders

Categories of mental disorders/mental illnesses

Generally speaking, anxiety is a reaction by the body that ensues negative internal experiences such as negative thoughts or feelings. Physical changes may also follow, such as an increase in blood pressure, rapid heartbeat, trembling, and so on.

Anxiety

Section II of the DSM-5-TR covers the bulk of the manual by including the descriptive text and criteria for each diagnosis. This section also references relevant context and research for the diagnoses and other conditions, medication-related adverse effects and -induced disorders, and corresponding ICD-10 codes. This section is broken down into the following chapters: 

-	Neurodevelopmental Disorders
-	Schizophrenia Spectrum and Other Psychotic Disorders
-	Bipolar and Related Disorders
-	Depressive Disorders
-	Anxiety Disorders
-	Obsessive-Compulsive and Related Disorders
-	Trauma- and Stressor-Related Disorders
-	Dissociative Disorders
-	Somatic Symptom and Related Disorders
-	Feeding and Eating Disorders
-	Elimination Disorders
-	Sleep-Wake Disorders
-	Sexual Dysfunctions
-	Gender Dysphoria 
-	Disruptive, Impulse-Control, and Conduct Disorders
-	Substance-Related and Addictive Disorders
-	Neurocognitive Disorders
-	Personality Disorders
-	Paraphilic Disorder
-	Other Mental Disorders and Additional Codes
-	Medication-Induced Movement Disorders and Other Adverse Effects of Medication
-	Other Conditions that May Be a Focus of Clinical Attention


[DSM-5-TR] Section II: Diagnostic Criteria and Codes

-	Neurodevelopmental Disorders
-	Schizophrenia Spectrum and Other Psychotic Disorders
-	Bipolar Related Disorders
-	Depressive Disorders
-	Anxiety Disorders
-	Obsessive Compulsive & Related Disorders
-	Trauma- & Stressor- Related Disorders
-	Dissociative Disorders
-	Somatic Symptoms & Related Disorders
-	Feeding and Eating Disorders
-	Elimination Disorders
-	Sleep-Wake Disorders
-	Sexual Dysfunction
-	Gender Dysphoria
-	Disruptive, Impulse-Control, & Conduct Disorders
-	Substance-Related & Addictive Disorders
-	Neurocognitive Disorders
-	Personality Disorders
-	Paraphilic Disorders
-	Other Mental Disorders
-	Medication-Induced Movement Disorders & Other Adverse Effects of Medication
-	Other Conditions That May be a Focus of Clinical Attention


DSM-V Chapters

59% of BED patients suffer from some kind of anxiety disorder. More specifically, 33% meet diagnostic criteria for generalized anxiety disorder, while 32% meet diagnostic criteria for post-traumatic stress disorder. 

Anxiety Disorders in Binge Eating Disorder Patients

Several mental and physical health conditions are commonly comorbid with ARFID, and may potentially contribute to its symptoms: 

- Attention-deficit/hyperactivity disorder
- Autism spectrum disorder 
- Internet gaming disorder
- Anxiety disorders 
- Abdominal pain or other somatic issues
- Drug use

Avoidant/Restrictive Food Intake Disorder (ARFID) Comorbid Conditions

Breedlove, S. & Watson, N. (2017). Behavioral neuroscience, eighth edition. Oxford University Press.

Behavioral Neuroscience 8th Edition

NIMH. (2022). NIMH. National Institute of Mental Health. Retrieved March 12, 2022, from https://www.nimh.nih.gov/ 

National Insituite for Mental Illness (NIMH)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596

DSM-5

Disorder Class: Disruptive, Impulse-Control, and Conduct Disorders

A repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate societal norms or rules are violated, as manifested by the presence of three (or more) of the following criteria in the past 12 months from any of the categories below, with at least one criterion present in the past 6 months:
1. Aggression to people and  animals
2. Destruction of property
3. Deceitfulness or theft
4. Serious violations of rules
 
The disturbance in behavior causes clinically significant impairment in social, academic, or occupational functioning.
 
If the individual is age 18 years or older, criteria are not met for Antisocial Personality Disorder
 
Specify age onset:  Individuals show at least one symptom characteristic of conduct disorder prior to age 10 years

[DSM-5] Conduct Disorder Criteria

Borderline Personality Disorder (BPD) is primarily defined by a pervasive pattern of instability across interpersonal relationships, self-image, and mood, combined with significant impulsivity. Individuals with this disorder often experience intense emotions and may engage in frantic behaviors to manage their profound fear of abandonment.

Borderline Personality Disorder

A personality disorder is defined by a pervasive and inflexible personality style that significantly deviates from cultural norms, causing problems for the individual and for others. This pattern typically emerges during adolescence or early adulthood and leads to significant distress or functional impairment.

Personality Disorders

Feeding and Eating Disorders are characterized by persistent changes to eating or eating-related behaviors that result in altered consumption or absorption of food, significantly impairing an individual’s physical health and/or psychosocial functioning. 

Feeding and Eating Disorders

Mood disorders are defined as severe disturbances in mood and emotions, which can include depression, mania, and elation. Unlike typical emotional fluctuations, the mood shifts experienced in these disorders are extreme, distort an individual's perspective on life, and significantly impair their ability to function in daily activities.

Mood Disorders

Sleep-Wake Disorders are defined using a multidimensional approach due to the expectations for co-existing or comorbid diagnosis in both mental and neurological health. They are largely characterized by individual’s interpretation of having dissatisfying sleep quality, timing, or amount of sleep. These complaints are often expressed alongside issues of distress or impairment during expected daytime activities. 

Sleep-Wake Disorders

Psychotic disorders are severe mental illnesses characterized by thoughts, perceptions, and behaviors that are so impaired the individual cannot function normally and becomes disconnected from reality. This state of being disconnected from the world is known as psychosis. People with these disorders often lose contact with reality and may experience extreme symptoms like hallucinations and delusions. Schizophrenia is a primary example of a psychotic disorder.

Psychotic Disorders

An adjustment disorder (AD) is a reaction to a stressful/significant life change. This reaction is marked by preoccupation with the responsible stressor shown by severe distress (more than what is typically expected) or constant thinking about the consequences of said stressor. This may alter one's mental health as a result. 

Adjustment Disorder

Anxiety Disorders

- Falls under the umbrella of substance use disorder. The word "addiction" is not formally recognized in the DSM-5.
- Strong, uncontrollable compulsion to administer a drug of abuse to yourself due to dependence.
- Acts on reward circuitry in the brain (dopamine) and changes the chemical composition of your brain over time.
- According to the DSM 5, only gambling addiction has been listed as a diagnosable disorder, the rest of the behavioral addictions are yet to find themselves a place on the DSM manual.

Addiction

Neurodevelopmental disorders (NDDs) are a grouping of disorders that are characterized by onset during the developmental period and present as deficits in functioning. NDDs were first introduced as a category in the DSM-5 in 2013 

NDDs include 
-Intellectual disability (ID) 
-Communication disorders
-Autism Spectrum Disorder (ASD) 
-Attention-Deficit/Hyperactivity Disorder (ADHD)
-Neurodevelopmental Motor Disorders (including tic disorders) 
-Specific Learning Disorders

Neurodevelopmental Disorders (NDDs)

Cerebral Palsy is known to make the stresses of life more overwhelming. Individuals tend to become shy in social situations out of fear of being bullied or teased by others. They are more prone to depression and anxiety disorders.

Psychological Impacts of Cerebral Palsy

The amygdala is a section of the brain that processes fearful stimuli. Patients with anxiety disorders exhibit stronger amygdala responses than patients without anxiety disorders. Studies suggest that mindfulness interventions can reduce the amygdala response in patients with anxiety disorders.

Mindfulness Effects on the Amygdala and Anxiety


- Persistent worry or feeling overwhelmed by emotions.

- Excessive worry about a number of concerns, such as health problems or finances, and a general sense that something bad is going to happen.

- Restlessness and irritability.

- Difficulty concentrating, sleep problems and generally feeling on edge.

Signs of Anxiety

Some researchers believe that mindfulness is a natural state, so they searched for predictors of mindfulness.  Predictors they looked at included openness to experience and attentional control.  During their study they looked at trait anxiety, attachment anxiety and attentional control. Due to anxiety blocking many of the predictors they tested for, it was concluded that anxiety (both specific and general) is agonistic to mindfulness.  So, because anxiety turns anxious people away from mindfulness, it makes sense to help treat anxiety with mindfulness-based interventions.

Natural Mindfulness and Anxiety

The psychological consequences of distress due to experiencing an environmental disaster.

“Eco-anxiety”

- Generalized anxiety disorder
- Social anxiety disorder
- Specific phobias

Anxiety Disorders Treated by Mindfulness-Based Stress Reduction (MBSR)

- The HADS scale was used to determine levels of anxiety and depression
- It was found that there is a statistically significant relationship between the HADS score and cortisol levels
  - As levels of depression and anxiety increased, cortisol levels also increased
- COVID-19 Patients who had passed away had higher serum cortisol levels compared to the COVID-19 patients that survived
- Stress increases one’s susceptibility to respiratory tract infections, making patients more vulnerable to getting a cold
  - The immune cells become unable to regulate inflammation
- As tissues become less sensitive to cortisol due to high levels of stress, it becomes more difficult to regulate stress levels

Anxiety and Cortisol Levels in COVID-19 Patients

- Depression
- Obsessive-Compulsive Disorder
- Hoarding Disorder
- Post-traumatic Stress Disorder
- Anxiety/ Panic Disorders
- Social Anxiety Disorder
- Body dysmorphic disorder
- Schizophrenia 
- Borderline Personality Disorder

Mental Disorders Affected By The Covid-19 Pandemic

Emotions can play a large factor in the formation of political identity, as well as influence their belief in political misinformation. Anxiety and anger can result in differences in how an individual approaches political misinformation. Having anxiety can influence a person to further seek out political information learning, whereas being angry can influence a person to be more close-minded with the political information they are presented with.

Anxiety and Anger on Partisan Bias in Accepting Misinformation

Exploring how concussion-induced anxiety can be helped by exercise

Concussions, Anxiety, and Exercise

Anxiety may result in or worsen mental/physical conditions.
 

- Depression or other mental disorders
- Substance misuse
- Insomnia
- Bowel issues
- Headaches/ Chronic Pain
- Social Isolation
- Problems with daily functioning, including at school or work
- Poor quality of life 
- Suicidal
- Nausea/Vomitting

Complications of Anxiety

- Oftentimes, anxiety disorders go hand in hand with eating disorders

Comorbidity with Anxiety

The data on measures and therapeutic alliances was not significant. Still, observable trends showed that the combination of CBT and animal-assisted therapy may be beneficial for easing anxiety symptoms in school-aged children.  

Efficacy of Animal Assisted Therapy in Lowering Anxiety Symptoms in School-Aged Adolescents

Reference for Efficacy of Animal-Assisted Therapy in Lowering Anxiety Symptoms in School-Aged Children

Reference for Development of Anxiety

Neurodevelopmental disorders are a class of conditions typically identified in childhood, characterized by developmental impairments across personal, social, academic, and intellectual domains. Key examples within this category include attention deficit/hyperactivity disorder (ADHD) and autism spectrum disorder.

Neurodevelopmental Disorders

Neurocognitive Disorders are a group of disorders characterized by the primary clinical deficit of the individual being in cognitive functioning that is acquired, not developmental. These disorders have a strongly recognized and researched disease etiology to them making them a unique intersection between psychiatry and pathology. 

Neurocognitive Disorders

Substance-Related and Addictive Disorders are characterized by abusing the activation of the brain reward system through certain behaviors or the use of pharmacological substances. This often results in a sense of increased pleasure, or a “high”, encouraging reinforcement of behaviors and actions that are detrimental to or neglectful of daily activities. Due to insufficient research, repetitive behaviors that have been coined as behavioral addictions (e.g., sex addiction, exercise addiction, or shopping addiction) are excluded from this chapter.

Substance-Related and Addictive Disorders

According to the DSM-5, Depressive Disorders constitute a primary category of mood disorders characterized by depression as their central feature. This group of disorders is recognized by the presence of sad, empty, or irritable moods, along with associated somatic and cognitive changes that significantly impair an individual's ability to function. The specific disorders within this category can vary in their duration, timing, and presumed causes.

Depressive Disorders

Sexual Dysfunctions are characterized by clinically significant disturbances related to an individual’s ability to respond sexually or experience sexual pleasure. This requires a multidimensional approach to diagnoses by considering the biological, sociological, and psychological factors that influence the ways in which individuals experience sex. However, these disorders, do not include sexual dysfunctions that are a result of inadequate or a lack of stimulation or knowledge which may still be treated, but are not diagnosed.

Sexual Dysfunctions

Gender Dysphoria is characterized by the subjectively experienced distress that arises from the mismatch between gender identity, or internally felt sense of gender, and assigned sex at birth.

Gender Dysphoria

Obsessive-compulsive and related disorders are a group of conditions listed in the DSM-5 that are characterized by overlapping features, specifically the presence of intrusive thoughts and/or repetitive behaviors. This diagnostic category encompasses several distinct but related conditions, including obsessive-compulsive disorder, body dysmorphic disorder, and hoarding disorder.

Obsessive-Compulsive and Related Disorders

Bipolar and Related Disorders are recognized by unusual shifts in mood, energy, activity levels, and concentration, affecting the ability to carry out day-to-day tasks. The presence of mania is a defining trait of bipolar disorder. These shifts range from periods of manic episodes (being extremely “up”, elated, irritable, or energized) and depressive episodes (being very “down”, indifferent, or hopeless).

Bipolar and Related Disorders

Elimination Disorders are characterized by inappropriate elimination of either urine or feces. These disorders are typically diagnosed in childhood or adolescence but are based on developmental age rather than chronological age.

Elimination Disorders

A node to help create and move other nodes around

TEMP Node for DSM 

Dissociative Disorders are characterized by the disruption and/or discontinuity in the integration of consciousness, memory, motor control, perception, body representation, emotion, identity, and behavior. These symptoms can be applicable to all areas of psychological functioning and are typically experienced as unbidden intrusions into one’s awareness and behavior. This coincides with a loss of continuity in the subjective experience of the individual and/or the inability to access information or to control mental functions. 

Dissociative Disorders

Paraphilic Disorders are characterized by those paraphilias that result in distress or impairment to the individual, or, for the satisfaction of the individual, entail harm, or risk of harm, themselves or to others. Simply having a paraphilia does not meet the requirements for a diagnosis of a paraphilic disorder. 

Paraphilic Disorders

Trauma- and Stressor-Related Disorders are characterized by exposure to a traumatic or stressful event. Symptoms and reactions vary for each case and while they may be understood in an anxiety- or fear-based context, individuals often instead prominently display anhedonic, dysphoric, dissociative, and/or aggressive symptoms. This variability in the display of symptoms imposes a distinction from other similar disorders, which then also requires that for one to be diagnosed with a trauma- and stressor-disorder, they specifically must have had explicit exposure to a traumatic or stressful event.

Trauma- and Stressor-Related Disorders

Disruptive, Impulse-Control, and Conduct Disorders are a group of conditions characterized by problems related to the self-control of emotions and behaviors. These disorders are distinct from other disorders with emotional or behavioral regulation due to the nature that these problems result in violations of the rights of others and/or significant conflict with societal norms or authority figures. These disorders and their presentation can greatly vary within the category, as well as between individuals. 


Disruptive, Impulse-Control, and Conduct Disorders

Schizophrenia Spectrum and Other Psychotic Disorders are recognized through abnormalities occurring within at least one of five domains. These domains include delusions, hallucinations, disorganized thinking (speech), grossly disorganized or abnormal motor behavior (including catatonia), and negative symptoms.

Schizophrenia Spectrum and Other Psychotic Disorders

Somatic Symptom and Related Disorders are characterized by the presence of prominent somatic symptoms as well as the abnormal thoughts, feelings, and/or behaviors in response to the somatic symptoms. These symptoms and the response to them result in significant distress and impairment to the individual. The symptoms themselves may sometimes be less important than the way individuals will present and interpret them.

Somatic Symptom and Related Disorders

A type of neurodevelopmental disorder that is accompanied by multiple motor tics and at least one vocal tics.

Tourette Syndrome

A type of sleep-wake disorder that is defined by recurrent episodes of excessive daytime sleepiness or augmented nighttime sleep.

Hypersomnia

This is a type of elimination disorder. Encopresis is the repeated passing of stool, that is usually involuntary, into clothing.

Encopresis

A second type of elimination disorder listed in DSM 5. Enuresis is also called urinary incontinence and results from the loss of bladder control ( in a patient who is old enough to control their bladder).

Enuresis 

Generalized Anxiety Disorder (GAD) is characterized by a persistent and relatively continuous state of excessive, uncontrollable, and often pointless worry and apprehension. Individuals with this disorder typically worry about routine, everyday matters, such as health, finances, or the safety of family members, without any justified reason. For a diagnosis, this diffuse worrying must occur more days than not for a period of at least six months, not be attributable to another disorder, and be accompanied by at least three of the following symptoms: restlessness, fatigue, difficulty concentrating, irritability, muscle tension, and sleep difficulties.

Generalized Anxiety Disorder

A disorder that results from experiencing or witnessing something that makes one feel afraid, terrified, or powerless and makes them think that their life, bodily integrity, or safety are in danger. It manifests as painful and intrusive memories of the stressful event, jitteriness, ongoing negative emotional states, social distancing, violent outbursts, and avoiding reminders of the incident.

Post-Traumatic Stress Disorder (PTSD)

Autism Spectrum Disorder is a neurodevelopmental disorder that affects communication and behavior. It displays symptoms such as impaired communication, lack or impairment in social skills and interactions, and repeated patterns of behaviors that interfere with an individual's ability to cognitively function. These symptoms are almost always present in early development, and are considered to be on a 'spectrum' because of the differences in severity of these symptoms.


Although autism can be diagnosed at any age, it is said to be a “developmental disorder” because symptoms generally appear in the first two years of life. Boys tend to be diagnosed more often than girls by approximately 4x. There is also an overrepresentation of transgender or gender nonconforming people with ASD.

Autism Spectrum Disorder

Obsessive-compulsive disorder (OCD) is characterized by the presence of obsessions and/or compulsions. Obsessions are defined as intrusive and unwanted thoughts, mental images, fears, sensations, or urges. Compulsions are repetitive behaviors or mental acts that an individual feels driven to perform, often in response to an obsession. These cycles of obsessions and compulsions are typically distressing, time-consuming, and can significantly disrupt a person's daily activities.

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