The fear, anxiety, or avoidance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning. The fear, anxiety, or avoidance is persistent, typically lasting for 6 months or more.ДЇ. The fear or anxiety is out of proportion to the actual danger posed by the specific object or situation and to the sociocultural context.Д®. The phobic object or situation is actively avoided or endured with intense fear or anxiety.Д. The phobic object or situation almost always provokes immediate fear or anxiety.Д¬. Note: In children, the fear or anxiety may be expressed by crying, tantrums, freezing, or clinging.Д«.

Marked fear or anxiety about a specific object or situation (e.g.,flying,heights,animals, receiving an injection, seeing blood). The disturbance is not better explained by another mental disorder, such as refusing to leave home because of excessive resistance to change in autism spectrum disorder delusions or hallucinations concerning separation in psychotic disorders refusal to go outside without a trusted companion in agoraphobia worries about ill health or other harm befalling significant others in generalized anxiety disorder or concerns about having an illness in illness anxiety disorder.ДЄ. The disturbance causes clinically significant distress or impairment in social, academic, occupational, or other important areas of functioning.Д. The fear, anxiety, or avoidance is persistent, lasting at least 4 weeks in children and adolescents and typically 6 months or more in adults.Д¬. Repeated complaints of physical symptoms (e.g., headaches, stomach aches, nausea, vomiting) when separation from major attachment figures occurs or is anticipated.Д«. Repeated nightmares involving the theme of separation.ДЁ.

Persistent reluctance or refusal to sleep away from home or to go to sleep without being near a major attachment figure.Д§. Persistent and excessive fear of or reluctance about being alone or without major attachment figures at home or in other settings.Д¦. Persistent reluctance or refusal to go out, away from home, to school, to work, or elsewhere because of fear of separation.ДҐ. Persistent and excessive worry about experiencing an untoward event (e.g., getting lost, being kidnapped, having an accident, becoming ill) that causes separation from a major attachment figure.Д¤. Persistent and excessive worry about losing major attachment figures or about possible harm to them, such as illness, injury, disasters, or death.ДЈ. Recurrent excessive distress when anticipating or experiencing separation from home or from major attachment figures.Дў. Developmentally inappropriate and excessive fear or anxiety concerning separation from those to whom the individual is attached, as evidenced by at least three of the following:ДЎ.

Dsm 5 anxiety disorders