Criteria

Diagnostic and statistical manual of mental disorders, fifth edition, text revision (DSM-5-TR)[1]

  1. 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).

  2. The individual finds it difficult to control the worry.

  3. The anxiety and worry are associated with three (or more) of the following six symptoms (with at least some symptoms having been 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).

  4. The anxiety, worry, or physical symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.

  5. The disturbance is not attributable to the physiological effects of a substance (e.g., drug of misuse, a medication) or another medical condition (e.g., hyperthyroidism).

  6. The disturbance is not better explained by another mental disorder (e.g., anxiety or worries about having a panic attack in panic disorder, negative evaluation in social anxiety disorder, contamination or other obsessions in obsessive-compulsive disorder, separation from attachment figures in separation anxiety disorder, reminders of traumatic events in PTSD, gaining weight in anorexia nervosa, physical complaints in somatic symptom disorder, perceived appearance flaws in body dysmorphic disorder, having a serious illness in illness anxiety disorder, or the content of delusional beliefs in schizophrenia or delusional disorder).

International classification of diseases eleventh revision (ICD-11)[2]

Marked symptoms of anxiety that persist for at least several months, for more days than not, manifested by either general apprehension (i.e., 'free-floating anxiety') or excessive worry focused on multiple everyday events, most often concerning family, health, finances, and school or work, together with additional symptoms such as muscular tension or motor restlessness, sympathetic autonomic overactivity, subjective experience of nervousness, difficulty maintaining concentration, irritability, or sleep disturbance. The symptoms result in significant distress or significant impairment in personal, family, social, educational, occupational, or other important areas of functioning. The symptoms are not a manifestation of another health condition and are not due to the effects of a substance or medication on the central nervous system.

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