Anxiety Disorders: Classification

Definition/clinical symptoms of anxiety disorders according to ICD-10.

Anxiety disorder Definition/Clinic
Agoraphobia (F40.0-) Phobias, with fears of leaving the house, entering stores, being in crowds and public places, traveling alone by train, bus, or plane. Panic disorder occurs as a common feature in present or past episodes. Depressive and obsessive-compulsive symptoms and social phobias are equally common as additional features. Avoidance of the phobic situation is often the primary focus, and some agoraphobics experience little anxiety because they can avoid the phobic situations.
Social phobia (F40.1). Fear of scrutiny by others leading to avoidance of social situations. More extensive social phobias are usually associated with low self-esteem and fear of criticism. They may manifest in symptoms such as blushing, hand tremors, nausea, or urges to urinate. In doing so, the person sometimes thinks that one of these secondary manifestations of anxiety is the primary problem. Symptoms may escalate to panic attacks.
Specific phobia (F40.2) Phobias limited to narrowly circumscribed situations such as proximity to certain animals, heights, thunder, darkness, flying, enclosed spaces, urinating or defecating in public restrooms, eating certain foods, visiting the dentist, or the sight of blood or injury. Although the triggering situation is strictly limited, it can produce panic states like those seen in agoraphobia or social phobia.Acrophobia (fear of heights or depths )Simple phobiaClaustrophobia (pathological fear of being indoors)Animal phobias
Panic disorder (F41.0) The essential feature is recurrent severe anxiety attacks (panic) that are not confined to a specific situation or circumstances and therefore cannot be predicted. As in other anxiety disorders, the essential symptoms include sudden heart palpitations, chest pain, feelings of suffocation, dizziness, and feelings of alienation (depersonalization or derealization). Fear of dying, loss of control, or fear of going insane often develops secondarily. Panic disorder should not be used as the primary diagnosis if the individual is suffering from a depressive disorder at the onset of the panic attacks. In these circumstances, the panic attacks are likely to be secondary to the depression.
Panic disorder with agoraphobia (F40.01). Repeated and unexpected panic attacks with agoraphobia
Generalized anxiety disorder (GAS) (F41.1) The anxiety is generalized and persistent. It is not confined to specific environmental conditions, or even particularly emphasized in such situations; rather, it is “free-floating.” The main symptoms are variable, complaints such as constant nervousness, trembling, muscle tension, sweating, drowsiness, palpitations, dizziness or upper abdominal discomfort are part of this picture. Often the fear is expressed that the patient himself or a relative may soon fall ill or have an accident. Anxiety neurosis Anxiety reaction Anxiety state