A. Persistent or recurrent dysphoric mood lasting at least 1 month.
B. The dysphoric mood is accompanied by at least 1 month of four (or more) of the following symptoms:
- difficulty concentrating or mind going blank
- sleep disturbance (difficulty falling or staying asleep, or restless unsatisfying sleep)
- fatigue or low energy
- being easily moved to tears
- anticipating the worst
- hopelessless (pervasive pessimism about the future)
- low self-esteem or feelings of worthlessness
C. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
D. 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.
E. All of the following:
- criteria have never been met for Major Depressive Disorder, Dysthymic Disorder, Panic Disorder, or Generalized Anxiety Disorder
- criteria are not currently met for any other Anxiety or Mood Disorder (including an Anxiety or Mood Disorder, In Partial Remission)
- the symptoms are not better accounted for by any other mental disorder
In DSM-IV, individuals whose presentation meets these research criteria would be diagnosed as having Anxiety Disorder Not Otherwise Specified.
Substance-Induced Anxiety Disorder is distinguished form this disturbance in that the symptoms of dysphoria are due the the direct physiological effects of a drug of abuse (e.g., alcohol or cocaine) or the side effects of a medication (e.g., steroids).
Anxiety Disorder Due to a General Medical Condition is distinguished from the disturbance in that the symptoms of dysphoria are due to the direct physiological effects of a general medical condition (e.g., pheochromocytoma, hyperthyroidism).
Other Mood and Anxiety Disorders
The symptoms described in this presentation are a frequent associated feature of many mental disorders and therefore should not be diagnosed separately if better accounted for by any other mental disorder. This condition should also not be considered in individuals with a current or past history of Major Depressive Disorder, Dysthymic Disorder, Panic Disorder, or Generalized Anxiety Disorder or with any other current Mood or Anxiety Disorder (including those in partial remission).
No mental disorder
This presentation is also distinguished from no mental disorder by the facts that the symptoms are persistent or recurrent and that they cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
Other mental disorders
The relationship between this proposed disorder and several other proposed categories (i.e., minor depressive disorder, recurrent brief depressive disorder, and depressive personality disorder) and with other Personality Disorders is not known, but substantial overlap may exist among them.