Separation anxiety disorder
Separation anxiety disorder is a psychological condition in which an individual has excessive anxiety regarding separation from home or from people to whom the individual has a strong emotional attachment (like a mother). Present in all age groups, adult separation anxiety disorder (affecting roughly 7% of adults) is more common than childhood separation anxiety disorder (affecting approximately 4% of children). [1][2]. Separation anxiety disorder is often characterized by some of the following symptoms:
- Recurring distress when separated from the subject of attachment (such as the mother or home)
- Persistent, excessive worrying about losing the subject of attachment
- Persistent, excessive worrying that some event will lead to separation from a major attachment
- Excessive fear about being alone without subject of attachment
- Persistent reluctance or refusal to go to sleep without being near a major attachment figure, like a mother
- Recurrent nightmares about separation
Additional recommended knowledge
Often, separation anxiety disorder is a symptom of a co-morbid condition. Studies show that children suffering from separation anxiety disorder are much more likely to have ADHD, bipolar disorder, panic disorder, and others later in life. [3]
Separation Anxiety Disorder should not be confused with Separation Anxiety, which occurs as "a normal stage of development for healthy, secure babies." [4] Separation anxiety occurs as babies begin to understand their own selfhood - or understand that they are a separate person from their primary caregiver. At the same time, the concept of object permanence emerges - which is when children learn that something still exists when it is not seen or heard. As babies begin to understand that they can be separated from their primary caregiver, they do not understand that their caregiver will return, nor do they have a concept of time. This, in turn, causes a normal and healthy anxious reaction.
WHO ICD-10 mental and behavioural disorders (F · 290–319) |
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Neurological/symptomatic | Dementia (Alzheimer's disease, multi-infarct dementia, Pick's disease, Creutzfeldt-Jakob disease, Huntington's disease, Parkinson's disease, AIDS dementia complex, Frontotemporal dementia) · Delirium · Post-concussion syndrome |
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Psychoactive substance | alcohol (drunkenness, alcohol dependence, delirium tremens, Korsakoff's syndrome, alcohol abuse) · opiods (opioid dependency) · sedative/hypnotic (benzodiazepine withdrawal) · cocaine (cocaine dependence) · general (Intoxication, Drug abuse, Physical dependence, Withdrawal) |
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Psychotic disorder | Schizophrenia (disorganized schizophrenia) · Schizotypal personality disorder · Delusional disorder · Folie à deux · Schizoaffective disorder |
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Mood (affective) | Mania · Bipolar disorder · Clinical depression · Cyclothymia · Dysthymia |
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Neurotic, stress-related and somatoform | Anxiety disorder (Agoraphobia, Panic disorder, Panic attack, Generalized anxiety disorder, Social anxiety) · OCD · Acute stress reaction · PTSD · Adjustment disorder · Conversion disorder (Ganser syndrome) · Somatoform disorder (Somatization disorder, Body dysmorphic disorder, Hypochondriasis, Nosophobia, Da Costa's syndrome, Psychalgia) · Neurasthenia |
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Physiological/physical behavioural | Eating disorder (anorexia nervosa, bulimia nervosa) · Sleep disorder (dyssomnia, insomnia, hypersomnia, parasomnia, night terror, nightmare) · Sexual dysfunction (erectile dysfunction, premature ejaculation, vaginismus, dyspareunia, hypersexuality) · Postpartum depression |
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Adult personality and behaviour | Personality disorder · Passive-aggressive behavior · Kleptomania · Trichotillomania · Voyeurism · Factitious disorder · Munchausen syndrome · Ego-dystonic sexual orientation |
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Mental retardation | Mental retardation |
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Psychological development (developmental disorder) | Specific: speech and language (expressive language disorder, aphasia, expressive aphasia, receptive aphasia, Landau-Kleffner syndrome, lisp) · Scholastic skills (dyslexia, dysgraphia, Gerstmann syndrome) · Motor function (developmental dyspraxia) Pervasive: Autism · Rett syndrome · Asperger syndrome |
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Behavioural and emotional, childhood and adolescence onset | ADHD · Conduct disorder · Oppositional defiant disorder · Separation anxiety disorder · Selective mutism · Reactive attachment disorder · Tic disorder · Tourette syndrome · Speech (stuttering · cluttering) |
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