Which of the following is NOT a criterion for Generalized Anxiety Disorder?

Question

BlackTom AI · Accepted Answer

DSM-5 requires three or more of six associated symptoms for adults with Generalized Anxiety Disorder (GAD), not four. The key knowledge points: GAD diagnostic criteria in DSM-5 include (1) excessive anxiety and worry more days than not for at least 6 months about a number of events or activities, (2) difficulty controlling the worry, (3) anxiety and worry associated with at least three of six symptoms in adults (restlessness, being easily fatigued, difficulty concentrating, irritability, muscle tension, sleep disturbance), (4) clinically significant distress or impairment in important areas of functioning, and (5) exclusion of substance/medical causes and other mental disorders.

Step-by-step reasoning:
1. List the formal DSM-5 adult criteria: duration (≥6 months), difficulty controlling worry, associated symptoms (≥3 of 6), distress/impairment, and exclusions.
2. Compare each multiple-choice option to these criteria:
   - Option A: "Excessive anxiety and worry about various events for more days than not for at least 6 months" — matches DSM-5 duration and scope requirement, so it IS a criterion.
   - Option B: "The anxiety and worry are associated with at least four of six symptoms..." — DSM-5 specifies at least THREE of the six symptoms for adults; four is more stringent than required. Therefore this statement is NOT a DSM-5 criterion (it misstates the symptom count).
   - Option C: "The anxiety, worry, or associated physical symptoms cause clinically significant distress or impairment in important areas of functioning" — matches DSM-5 distress/impairment requirement, so it IS a criterion.
   - Option D: "Difficulty with controlling the worry" — explicitly listed in DSM-5 as a core criterion, so it IS a criterion.

Why the correct answer is correct: Option B is the only choice that misstates the official diagnostic threshold (four instead of three) and therefore is not a true DSM-5 criterion for adult GAD. Other options accurately reflect DSM-5 criteria. This confirms the correct answer is: "The anxiety and worry are associated with at least four of six symptoms of: restlessness, being easily fatigued, having difficulty concentrating, irritability, muscle tension, and sleep disturbance."

Which of the following is NOT a criterion for Generalized Anxiety Disorder?Single choice

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