If an associated general medical condition is present, the fear described in Criterion A is clearly in excess of that usually associated with the condition. The disturbance not due to the direct physiological effects of a substance (e.g., a drug of abuse or a medication) or a general medical condition For example, an individual may have satis-ed ASD diagnosis by displaying marked avoidance and arousal symptoms but may not have met the PTSD criteria for multiple symptoms within each cluster. The individual fears or avoids these situations because of thoughts that escape might be difficult or help might not be available in the event of developing panic-like symptoms or other incapacitating or embarrassing symptoms.Ĭriteria for panic disorder have never been met. PTSD diagnostic criteria after 1 month has trans-pired, even if the symptomatology has remained un-changed. The presence of agoraphobia related to fear of developing panic-like symptoms. The anxiety or phobic avoidance is not better accounted for by another mental disorder.Īgoraphobia without history of Panic Disorder The fear, anxiety, or avoidance causes clinically significant distress or impairment in important areas of functioning. The fear, anxiety, or avoidance is persistent, typically lasting 6 months or more. It can be used to make a current (past month) diagnosis of PTSD, lifetime diagnosis of PTSD, and assess severity of PTSD symptoms over the past week. The fear or anxiety is out of proportion to the actual danger posed by the agoraphobic situations and to the sociocultural context. Clinician-Administered PTSD Scale for DSM-5 (CAPS-5) Clinician : The CAPS is a 30-item structured interview that is the gold standard in PTSD assessment.
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The agoraphobic situations almost always provoke fear or anxiety. The situations are avoided (e.g., travel is restricted) or else are endured with marked distress or with anxiety about having a panic attack or panic-like symptoms, or require the presence of a companion.