Substance/medication-induced anxiety disorder is diagnosed after an individual uses a substance (e.g., a drug of abuse, a medication, or a toxin exposure) that leads to prominent symptoms of panic or anxiety.
Panic attacks or anxiety is predominant in the clinical picture.
There is evidence from the history, physical examination, or laboratory findings of both (1) and (2):
Criterion A
developed during or soon after substance intoxication or withdrawal or after exposure to a medicationCriterion A
The disturbance is not better explained by an anxiety disorder that is not substance/medication-induced. Such evidence of an independent anxiety disorder could include the following:
1
month) after the cessation of acute withdrawal or severe intoxication: or there is other evidence suggesting the existence of an independent non-substance/medication-induced anxiety disorder (e.g. - a history of recurrent non-substance/medication-related episodes).The disturbance does not occur exclusively during the course of a delirium.
The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.
Specify the substance:
Specify if: (see Table 1 in the DSM-5 chapter “Substance-Related and Addictive Disorders” for diagnoses associated with substance class):
Specify if:
4
of the following symptoms occur (Note: The abrupt surge can occur from a calm state or an anxious state):