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Neuroses

ICD-10

Neurotic, stress-related and somatoform disorders

DSM-IV

Anxiety disorders

Panic
- Starts abruptly
- reaches peak within a few minutes
- has limited duration
- symptoms intense
Psychological
- derealisation/depersonalisation
- feeling dizzy or faint
- fear of losing control
- fear of dying
- unpleasant feeling of anticipation and threat
- irritability
- difficulty in concentration
- inability to relax
- initial insomnia
- exaggerated startle response
Somatic
- Palpitations
- sweating
- trembling
- dry mouth
- nausea
- chest pain
- difficulty breathing
- choking sensation
- chills or hot flushes
- numbness/tingling
- muscle tension
- restlessness
- difficulty swallowing

Bodily Change	Resulting Symptom
Sensory organs more acute	Edgyness
Skin blood diverted	Pallour Feeling cold
Changes in blood pressure	Faint/dizzy
Breathing pattern alters	Faint dizzy shortness of breath choking sensation
Heart rate increases	pounding heart palpitations
Digestive system affected	butterflies in stomach nausea frequent desire to go to toilet
Sweating increases	clammy hands

Phobia
Panic Disorder
Generalised Anxiety Disorder
Mixed anxiety and depressive disorder
- anxiety and depression present but not enough of either to warrant individual diagnosis
Obsessive-Compulsive Disorder
Dissociative Disorders
Somatoform Disorder
Hypochondriacal Disorder

Physical illnesses
distinguish between phobias by
- feared object / situation
- pattern of avoidance
not found in GAD
Agoraphobic and social phobic symptoms sometimes seen in affective disorders and schizophrenia

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