It is recommended that the terms distress and impairment take into account the context of the person's environment during diagnosis. The DSM-IV-TR states that if a feared stimulus, whether it be an object or a situation, is absent entirely in an environment, a diagnosis cannot be made. An example of this situation would be an individual who has a fear of mice but lives in an area without mice. Even though the concept of mice causes marked distress and impairment within the individual, because the individual does not usually encounter mice, no actual distress or impairment is ever experienced. It is recommended that proximity to, and ability to escape from, the stimulus also be considered. As the<unk>  person approaches a feared stimulus, anxiety levels increase, and the degree to which the person perceives they might escape from the stimulus affects the intensity of fear in instances such as riding an elevator (e.g. anxiety increases at the midway point between floors and decreases when the floor is reached and the doors open). The DSM-V has been updated to reflect that an individual may have changed their daily activities around the feared stimulus in such a way that they may avoid it altogether. The person may still meet criteria for the diagnosis if they continue to avoid or refuse to participate in activities they would involve possible exposure to the<unk>  stimulus. + Specific<unk>  Social anxiety disorder Agoraphobia Features Fear out of proportion to the danger presented by an object or situation Anxiety of social encounters due to potential scrutiny from others Fear of leaving a protective place or situations viewed as being unable to escape from Duration ≥ 6 months ≥ 6 months ≥ 6 months Specific<unk> s A specific<unk>  is a marked and persistent fear of an object or situation. Specific<unk> s may also include fear of losing control, panicking, and fainting from an encounter with the<unk> . Specific<unk> s are defined concerning objects or situations, whereas social<unk> s emphasize social fear and the evaluations that might accompany them. The DSM breaks specific<unk> s into five subtypes: animal, natural environment, blood-injection-injury, situational and other. In children, blood-injection-injury<unk> , animal<unk> s, and natural environment<unk> s usually develop between the ages of 7 and 9 reflective of normal development. Additionally, specific<unk> s are most prevalent in children between the ages 10 and 13. Situational<unk> s are typically found in older children and adults.
Phobia
Claustrophobia
Alexithymia
Hyperreligiosity
Emotional lability
Mindfulness
Body integrity dysphoria
Automatism 