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Diagnosing Agoraphobia (DSM IV-TR)

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According to the Diagnostic and Statistical Manual of Mental Disorders (5th Ed) Text Revision (DSM IV-TR), what are the signs and symptoms of Agoraphobia?

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Solution Summary

This solution presents the signs and symptoms of agorapobia, according to the DSM IV-TR.

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According to Diagnostic and Statistical Manual of Mental Disorders (4th Ed) Text Revision (DSM-IV-TR), agoraphobia is not a codable disorder but is listed as Panic disorder with or without a history of agoraphobia. The excerpts from the manual are as follows:

Criteria for Agoraphobia
([see] cautionary statement)

Note: Agoraphobia is not a codable disorder. Code the specific disorder in which the Agoraphobia occurs (e.g., 300.21 Panic Disorder With Agoraphobia or 300.22 Agoraphobia Without History of Panic Disorder).

A. Anxiety about being in places or situations from which escape might be difficult (or embarrassing) or in which help may not be available in the event of having an unexpected or situationally predisposed Panic Attack or panic-like symptoms. Agoraphobic fears typically involve characteristic clusters of situations that include being outside the home alone; being in a crowd or standing in a line; being on a bridge; and traveling in a bus, train, or automobile. Note: Consider the diagnosis of Specific Phobia if the avoidance is limited to one or only a few specific situations, or Social Phobia if the avoidance is limited to social situations.

B. 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. ...

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