Trastorns d’ansietat

Separation anxiety

Fear or anxiety, excessive and inappropriate for the level of development of the subject, related to its separation from home or persons with whom the child feels attachment, put of manifest by at least three of the following:

  • Upset over and recurrent when expected or is living a separation of the home or major attachment figures.
  • Excessive and persistent concern about the possible loss of greater attachment figures or that can suffer possible damage, as a disease, damage, death or calamity.
  • Excessive and persistent concern about the possibility of an adverse event to cause the separation of a figure of attachment
  • Resistance or persistent refusal to leave, away from home, school, work or other place by fear of separation
  • Excessive fear and strength be alone or without the figures of greater attachment at home or elsewhere
  • Resistencia o rechazo persistencia a dormir fuera de casa o a dormir sin estar cerca de una figura de gran apego
  • Nightmares again and again on the subject of separation
  • Repeated complaints of physical symptoms when it occurs or is anticipated separation from major attachment figures

Fear, anxiety or avoidance is persistent m lasts at least four weeks in children and adolescents and typically six months or more in adults.

The alteration causes a clinically significant distress or impairment in social, occupational or other important areas of functioning.

Specific phobia

Miedo o ansiedad intensa por un objeto o situación específica (p.ej: volar, alturas, animales..etc) y en los niños, el miedo o la ansiedad se puede expresar en forma de llanto , rabietas, quedarse paralizado o aferrarse. El objeto o la situación fóbica siempre provoca miedo o ansiedad inmediata y se evita o resiste activamente con miedo o ansiedad intensa. El miedo o ansiedad es desproporcionado al peligro real que plantea el objeto o situación específica y al contexto sociocultural. Esta sensación de miedo o ansiedad suele ser persistente y dura seis meses o más y causa un malestar clínicamente significativo o deterioro en lo social, laboral u otras áreas importantes del funcionamiento.

Tipos de fobias:  Animales, entorno natural(p.ej: alturas, tormentas, agua..etc), sangre-inyección-lesión (agujas, procedimientos médicos invasivos..), situacional (p.ej: avión, ascensor, sitios cerrados..etc), otras (p.ej: situaciones que provoquen el ahogo o vómitos… en los niños ruidos fuertes..etc).

Social anxiety (social phobia)

Fear or intense anxiety in one or more of the social situations in which the individual is exposed to the possible consideration by others. Examples include the sociales(p.ej: has a conversation, hang out with people) interactions to be observed (while you eat or drink) and act in front of other people (eg: give a talk). (In children, the anxiety may result in meetings with children of the same age and not only in interaction with adults).

The individual sample fear to act in a certain way or show anxiety symptoms negatively valued as that they humiliate him so ashamed, that translates into rejection or that offends others). Social situations almost always cause fear or anxiety (in children, fear or anxiety can be expressed by crying, tantrums, become paralyzed, cling, shrink or the failure of speaking in social situations). Social situations is vitan or resist with intense anxiety or fear and fear tends to be disproportionate to the real danger posed by the object or situation and the socio-cultural context.

This feeling of fear or anxiety is usually persistent and lasts six months or more and cause a clinically significant distress or impairment in social, occupational or other important areas of functioning.

Generalized anxiety

Anxiety and excessive worry (excessive apprehension) occurring for more days that has been absent for a minimum of six months, in relation to different events or activities (such as work or school activity).

The individual is difficult to control the worry and anxiety or concern are associated with three or more of the following six symptoms (only requires a symptom in children):

  • Restlessness or feeling of being trapped or nerves of tip
  • Ease of fatigue
  • Difficulty concentrating or staying with the mind blank
  • Irritability
  • Muscle tension
  • Sleep problems (trouble sleeping or to continue sleeping or – sleep restless or unsatisfactory)

The anxiety, worry, or physical symptoms cause clinically significant distress or impairment in social, occupational or other important areas of functioning. Alteration not usually be attributed to the direct physiological effects of a substance or another medical condition.

Panic and agoraphobia disorder

Panic disorders

Unforeseen and recurrent panic attacks. A panic attack is a sudden onset of intense fear or intense discomfort that reaches its maximum expression in minutes and during this time occur four (or more) of the following symptoms (sudden onset can be produced from a State of calm or anxiety):

  • Palpitations, pounding heart, or acceleration of the heart rate
  • Sweating
  • Trembling or shaking
  • Sensation of difficulty breathing or choking
  • Shortness of breath
  • Pain or discomfort in the chest
  • Nausea or abdominal discomfort
  • Sensation of dizziness, instability, lightheadedness or fainting
  • Chills or heat sensation
  • Paresthesias (numbness or tingling sensation)
  • Derealization (sensation of unreality) or depersonalization (spreading of oneself)
  • Fear of losing control or going crazy
  • Fear of dying

At least one of the attacks has followed you to the month (or more) one of the two following facts:

  • Restlessness or continuous perception about other attacks of panic or of its consequences
  • Un cambio significativo de mala adaptación en el comportamiento relacionado con los ataques
  • The alteration is not attributable to the physiological effects of a substance or another medical condition

Fear or intense anxiety about two (or more) of the following five conditions:

  • Use of public transport
  • Be in open spaces
  • Be indoors
  • Queuing or being in a crowd
  • Being outside the home alone

The individual fears or avoid these situations because of the idea that escape might be difficult or may not have help if symptoms panic type or other incapacitating or embarrassing symptoms appear.

Agorafobics situations almost always lead to fear or anxiety.

Agorafobicas situations are avoided actively, require the presence of a companion or resist with intense anxiety or fear.

Fear, anxiety or avoidance is continuous-typically six or more months.

Fear, anxiety or avoidance cause clinically significant distress or impairment in social occupational or other important areas of functioning

If there is another medical condition, fear, anxiety or avoidance is clearly excessive