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Excessive anxiety and worry (apprehensive expectation), occurring
more days than not for at least 6 months, about a number of events
or activities (such as work or school performance).
The person finds it difficult to control the worry.
The anxiety and worry are associated with three (or more) of the
following six symptoms (with at least some symptoms present for more
days than not for the past 6 months). Note: Only one item is
required in children.
- restlessness or feeling keyed up or on edge
- being easily fatigued
- difficulty concentrating or mind going blank
- irritability
- muscle tension
- sleep disturbance (difficulty falling or staying asleep, or
restless unsatisfying sleep)
The focus of the anxiety and worry is not confined to features of
an Axis I disorder, e.g., the anxiety or worry is not about having a
Panic Attack (as in Panic Disorder), being embarrassed in public (as
in Social Phobia), being contaminated (as in Obsessive-Compulsive
Disorder), being away from home or close relatives (as in Separation
Anxiety Disorder), gaining weight (as in Anorexia Nervosa), having
multiple physical complaints (as in Somatization Disorder), or
having a serious illness (as in Hypochondriasis), and the anxiety
and worry do not occur exclusively during Posttraumatic Stress
Disorder.
The anxiety, worry, or physical symptoms cause clinically
significant distress or impairment in social, occupational, or other
important areas of functioning.
The disturbance is not due to the direct physiological effects of
a substance (e.g., a drug of abuse, a medication) or a general
medical condition (e.g., hyperthyroidism) and does not occur
exclusively during a Mood Disorder, a Psychotic Disorder, or a
Pervasive Developmental Disorder.
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