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Main clinical aspects present in the 21st century (Anxiety Disorders…
Main clinical aspects present in the 21st century
Anxiety Disorders
Comorbidities
-Medical mimics
-Depressive Disorder
-Substance use disorders (intoxication or withdrawal)
-Other Anxiety Disorders
Differential Diagnosis
Medical mimics and substance use disorders
Obsessive- compulsive disorder
Posttraumatic stress disorder and adjustment disorders
Depressive, bipolar, and psychotic disorders
Other Anxiety Disorders
Symptoms
Restlessness or feeling keyed up or on edge
Being easily fatigued.
Difficulty concentrating
Irritability
Muscle tension
Sleep disturbance
General characteristics
-Excessive fear and anxiety and related behavioral disturbances
-Is anticipation of future threat
-Associated with cautious or avoidant behaviors
The individual finds it difficult to control the worry.
Implications on family live, social, work, personal and physical of the person
Anxiety is involved in all aspects of the person and influences their day to day. It can cause absenteeism at work, isolation, family distancing and physical symptoms that affect the person. In general, it decreases the person's quality of life and interferes with their daily activities.
Depressive disorders
Comorbidities
Substance related disorders
Panic disorder
Obsessive-compulsive disorder
Bulimia nervosa
Anorexia nervosa
Borderline personality disorder.
Differential Diagnosis
Manic episodes with irritable mood or mixed episodes.
Mood disorder due to another medical condition
Attention deficit hyperactivity disorder.
Adaptation disorder with depressed mood
Sadness
Symptoms
Depressed mood most of the day, nearly every day.
Markedly diminished interest or pleasure in all, or almost all, activities most of the day, nearly every day.
Significant weight loss when not dieting or weight gain, or decrease or increase in appetite nearly every day.
A slowing down of thought and a reduction of physical movement
Fatigue or loss of energy nearly every day
Feelings of worthlessness or excessive or inappropriate guilt
Diminished ability to think or concentrate, or indecisiveness
Recurrent thoughts of death, recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for
committing suicide.
Insomnia or hypersomnia almost every day.
General characteristics
The presence of a sad, empty or irritable mood, accompanied by somatic and cognitive changes that significantly affect the functional capacity of the individual.
Is a serious mood disorder
Major depressive disorder: it is characterized by certain episodes of at least two weeks duration that involve clear changes in affect, cognition and neurovegetative functions.
Implications on family live, social, work, personal and physical of the person
Depression has a great impact on the life of the person, because it significantly interferes with their development, and can lead to greater consequences such as the death of the individual.
