To help diagnose an anxiety disorder and rule out other conditions, your doctor or mental health provider may have you fill out a psychological questionnaire. Your doctor will probably do a physical exam to look for signs that your anxiety might be linked to a medical condition.
To be diagnosed with an anxiety disorder, you must meet criteria in the Diagnostic and Statistical Manual of Mental Disorders (DSM), published by the American Psychiatric Association. This manual is used by mental health providers to diagnose mental conditions and by insurance companies to reimburse for treatment.
Symptoms and diagnostic criteria differ for each type of anxiety disorder. However, they all share the features of excessive fear and problems with functioning as a result. Anxiety disorders often occur along with other mental health problems — such as depression or substance abuse — which can make diagnosis and treatment more challenging.
Tests and diagnosis at Mayo Clinic: Children and teens
Mayo Clinic's Pediatric Anxiety Disorders Clinic includes a comprehensive, one-day assessment clinic for children and teens with heightened anxiety, fears, nervousness and worry. Health care professionals thoroughly evaluate your child, providing diagnosis and treatment recommendations in a timely manner. During the evaluation, the care team conducts an interview that focuses on identifying anxious thoughts, physical sensations and behaviors.
In cases where anxiety is caused by or occurs with a medical illness, a doctor also performs a physical exam during the initial evaluation. A child and adolescent psychologist and a psychiatrist who specialize in anxiety disorders staff the clinic. This staffing allows for an integrated medical and psychological understanding of your child's symptoms.
Apr. 09, 2014
- Anxiety disorders. In: Diagnostic and Statistical Manual of Mental Disorders DSM-5. 5th ed. Arlington, Va.: American Psychiatric Association; 2013. http://www.psychiatryonline.org. Accessed Oct. 11, 2013.
- Highlights of changes from DSM-IV-TR to DSM-5. American Psychiatric Association. http://www.dsm5.org/Documents/changes%20from%20dsm-iv-tr%20to%20dsm-5.pdf. Accessed Oct. 8, 2013.
- Anxiety disorders. National Institute of Mental Health. http://www.nimh.nih.gov/health/topics/anxiety-disorders/index.shtml. Accessed Oct. 11, 2013.
- Facts for families: The anxious child. American Academy of Child and Adolescent Psychiatry. http://www.aacap.org/AACAP/Families_and_Youth/Facts_for_Families/Facts_for_Families_Pages/The_Anxious_Child_47.aspx. Accessed Oct. 11, 2013.
- U.S. News best hospitals 2012-2013. U.S. News & World Report. http://health.usnews.com/best-hospitals/rankings. Accessed Dec. 10, 2013.
- Bystritsky A. Pharmacotherapy for generalized anxiety disorder. http://www.uptodate.com/home. Accessed Oct. 11, 2013.
- Mayo-Wilson E, et al. Media-delivered cognitive behavioural therapy and behavioural therapy (self-help) for anxiety disorders in adults. Cochrane Database Systematic Reviews. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD005330.pub3/abstract. Accessed Oct. 11, 2013.
- Ravindran AV, et al. Complementary and alternative therapies as add-on to pharmacotherapy for mood and anxiety disorders: A systematic review. Journal of Affective Disorders. 2013;15:707.
- Rakel D. Integrative Medicine. 3rd ed. Philadelphia, Pa.: Saunders Elsevier; 2012. http://www.clinicalkey.com. Accessed Oct. 11, 2013.
- Natural medicines in the clinical management of anxiety. Natural Medicines Comprehensive Database. http://www.naturaldatabase.com. Accessed Oct. 11, 2013.
- Support & programs. National Alliance on Mental Illness. http://www.nami.org/Template.cfm?section=Find_Support. Accessed Oct. 11, 2013.
- Getting support. Anxiety and Depression Association of America. http://www.adaa.org/finding-help/getting-support. Accessed Oct. 11, 2013.
- Sarris J, et al. Plant-based medicines for anxiety disorders, Part 2: A review of clinical studies with supporting preclinical evidence. CNS Drugs. 2013;27:301.
- Kava. Natural Medicines Comprehensive Database. http://www.naturaldatabase.com. Accessed Oct. 17, 2013.
- Valerian. Natural Medicines Comprehensive Database. http://www.naturaldatabase.com. Accessed Oct. 17, 2013.
- Passionflower. Natural Medicines Comprehensive Database. http://www.naturaldatabase.com. Accessed Oct. 17, 2013.
- FDA drug safety communication: Revised recommendations for Celexa (citalopram hydrobromide) related to potential risk of abnormal heart rhythms with high doses. U.S. Food and Drug Administration. http://www.fda.gov/drugs/drugsafety/ucm297391.htm. Accessed Oct. 28, 2013.
- Bauer BA (expert opinion). Mayo Clinic, Rochester, Minn. Oct. 28, 2013.
- Whiteside SP (expert opinion). Mayo Clinic, Rochester, Minn. Nov. 27, 2013.
- Theanine. Natural Medicines Comprehensive Database. http://www.naturaldatabase.com. Accessed Dec. 3, 2013.
- Sawchuk CN (expert opinion). Mayo Clinic, Rochester, Minn. Dec. 5, 2013.
- Hall-Flavin DK (expert opinion). Mayo Clinic, Rochester, Minn. Dec. 5, 2013.