Anxiety Disorder Due to General Medical Condition

A. Prominent anxiety, Panic Attacks, or obsessions or compulsions predominate in the clinical picture. 

B. There is evidence from the history, physical examination, or laboratory findings that the disturbance is the direct physiological consequence of a general medical condition. 

C. The disturbance is not better accounted for by another mental disorder (e.g.,Adjustment Disorder With Anxiety in which the stressor is a serious general medical condition). 

D. The disturbance does not occur exclusively during the course of a Delirium. 

E. The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning. 

Specify if: 

With Generalized Anxiety: if excessive anxiety or worry about a number of events or activities predominates in the clinical presentation 
With Panic Attacks: if Panic Attacks (see p. 395) predominate in the clinical presentation 
With Obsessive-Compulsive Symptoms: if obsessions or compulsions predominate in the clinical presentation 
Coding note: Include the name of the general medical condition on Axis I, e.g., 293.89 Anxiety Disorder Due to Pheochromocytoma, With Generalized Anxiety (new code as of 10/01/96: 293.84); also code the general medical condition onAxis III.

Reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision. Copyright 2000 American Psychiatric Association