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DSM-IV - Mixed Anxiety-Depressive Disorder


[From American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4th ed. Text rev. Washington, DC: American Psychiatric Association; copyright 2000.] ...

  1. Persistent or recurrent dysphoric mood lasting at least 1 month.
  2. The dysphoric mood is accompanied by at least 1 month of four (or more) of the following symptoms:
    1. difficulty concentrating or mind going blank
    2. sleep disturbance (difficulty falling or staying asleep, or restless, unsatisfying sleep)
    3. fatigue or low energy
    4. irritability
    5. worry
    6. being easily moved to tears
    7. hypervigilance
    8. anticipating the worst
    9. hopelessness (pervasive pessimism about the future)
    10. low self-esteem or feelings of worthlessness
  3. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
  4. The symptoms are not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition.
  5. All of the following:
    1. criteria have never been met for major depressive disorder, dysthymic disorder, panic disorder, or generalized anxiety disorder
    2. criteria are not currently met for any other anxiety or mood disorder (including an anxiety or mood disorder, in partial remission)
    3. the symptoms are not better accounted for by any other mental disorder

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