Which of the following most accurately describes the manifestation of generalized anxiety disorder?
A. Altered perception of the environment and relationship and reaction to it B. Apprehension, fear, and excessive worry that dominate the person s life C. Preoccupation with illness D. Subjective complaints not accompanied by objective physical findings E. Suddenly dissociated identity and consciousness
Apprehension, fear, and excessive worry that dominate the person\ s life-the answer is b, apprehension, fear, and excessive worry that dominate the persons life. anxiety is characterized by apprehension, fear, and excessive worry that dominate the persons life. it is diagnosed in approximately 4% to 8% of the general population. actual physical findings can occur; they typically demonstrate autonomic stimulation, including sweating, tachycardia, and dizziness. these symptoms are often out of proportion to the actual threat. there are different types of anxiety disorders, including phobic, panic, obsessive-compulsive, and post-traumatic. many medical conditions can mimic anxiety disorder, so anxiety is often a diagnosis of exclusion. dissociative disorders are poorly understood and are relatively uncommon. these disorders can be difficult to distinguish from malingering. the patient experiences a sudden dissociation between identity and consciousness. patients might present with psychogenic amnesia, which is the temporary loss of memory for personal details, or psychogenic fugue, which is the loss of memory with the assumption of a new identity. in malingering, there is clearly secondary gain, such as the avoidance of incarceration. alteration in the perception, relation, and reaction to ones environment is the definition of a personality disorder. these axis ii disorders are present for life and significantly impair social and occupational functioning. typically people suffering from personality disorders lack insight into their behavior and how it affects others. those who are aware that their behavior negatively affects others are unable to alter their actions. hypochondriasis is preoccupation with serious illness.(marx [rosens], 1745-1751; tintinalli, 1810-1812)