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Issues in Differential Diagnosis: Considering Generalized Anxiety Disorder, Obsessive-Compulsive Disorder, and Posttraumatic Stress Disorder

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Abstract

An accurate diagnosis provides a foundation for case conceptualization and facilitates effective treatment practices. Accurate diagnoses are also critical to the organization of participants in empirical research. Although not without its own problems, the Diagnostic and Statistical Manual of Mental Disorders – Text Revision (DSMIV- TR), currently in its fourth iteration (American Psychiatric Association, 2000), is the most frequently used taxonomic system for organizing psychological disorders. Within this framework, disorders are presented as categories (discrete entities) characterized by specific criteria. However, one of the shortcomings associated with a categorical approach is the existence of considerable overlap in symptomatology among disorders. Moreover, comorbidity is common and, among youth with anxiety disorders, it is the norm (Kendall, Brady, & Verduin, 2001). For example, Curry, March, and Hervey (2004) found that 30–65% of children who met criteria for an anxiety disorder also met criteria for an additional disorder. Differential diagnosis among disorders (i.e., the anxiety disorders) poses challenges to both researchers and clinicians.

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Authors and Affiliations

  1. Child and Adolescent Anxiety Disorders Clinic, Temple University, Philadelphia, PA, USA

    Jeremy Cohen

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  1. Jeremy Cohen
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  2. Matthew Mychailyszyn
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  3. Cara Settipani
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  5. Philip C. Kendall
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Correspondence to Jeremy Cohen .

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Editors and Affiliations

  1. , Department of Psychology, Fordham University, East Fordham Road 441, Bronx, 10458, New York, USA

    Dean McKay

  2. , Departments of Pediatrics, Psychiatry, a, University of South Florida, Tampa, 33612, Florida, USA

    Eric A. Storch

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Cohen, J., Mychailyszyn, M., Settipani, C., Crawley, S., Kendall, P.C. (2011). Issues in Differential Diagnosis: Considering Generalized Anxiety Disorder, Obsessive-Compulsive Disorder, and Posttraumatic Stress Disorder. In: McKay, D., Storch, E. (eds) Handbook of Child and Adolescent Anxiety Disorders. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-7784-7_3

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