Document ID: chunk:federal_register_of_legislation:F2023L01440:reg:7:p1
Version: federal_register_of_legislation:F2023L01440
Segment Type: reg
Provision Reference: reg 7 (pt 1/2)
Character Range: 1698–5054

7               Kind of injury, disease or death to which this Statement of Principles relates
(1)          This Statement of Principles is about anxiety disorder and death from anxiety disorder.
Meaning of anxiety disorder
(2)          For the purposes of this Statement of Principles, anxiety disorder means:
(a)          generalised anxiety disorder; or
(b)          anxiety disorder due to another medical condition; or
(c)          substance/medication-induced anxiety disorder; or
(d)          other specified anxiety disorder or unspecified anxiety disorder;
where:

(3)          generalised anxiety disorder meets the following criteria (derived from DSM-5-TR):
(a)          Excessive anxiety and worry (apprehensive expectation), occurring more days than not for at least 6 months, about a number of events or activities (such as work or school performance);
(b)          The individual finds it difficult to control the worry;
(c)          The anxiety and worry are associated with 3 (or more) in an adult, or one or more in a child, of the following 6 symptoms (with at least some symptoms having been present for more days than not for the past 6 months):
(i)            restlessness or feeling keyed up or on edge;
(ii)         being easily fatigued;
(iii)       difficulty concentrating or mind going blank;
(iv)        irritability;
(v)          muscle tension; or
(vi)        sleep disturbance (difficulty falling or staying asleep, or restless, unsatisfying sleep);
(d)          The anxiety, worry or physical symptoms cause clinically significant distress or impairment in social, occupational or other important areas of functioning;
(e)          The disturbance is not attributable to the physiological effects of a substance (for example, a drug of abuse, a medication) or another medical condition (for example, hyperthyroidism); and
(f)           The disturbance is not better explained by another mental disorder (for example, anxiety or worry about having panic attacks in panic disorder, negative evaluation in social anxiety disorder [social phobia], contamination or other obsessions in obsessive-compulsive disorder, separation from attachment figures in separation anxiety disorder, reminders of traumatic events in posttraumatic stress disorder, gaining weight in anorexia nervosa, physical complaints in somatic symptom disorder, perceived appearance flaws in body dysmorphic disorder, having a serious illness in illness anxiety disorder, or the content of delusional beliefs in schizophrenia or delusional disorder).

(4)          anxiety disorder due to another medical condition meets the following criteria (derived from DSM-5-TR):
(a)          Panic attacks or anxiety is predominant in the clinical picture;
(b)          There is evidence from the history, physical examination, or laboratory findings that the disturbance is the direct pathophysiological consequence of another medical condition;
(c)          The disturbance is not better explained by another mental disorder;
(d)          The disturbance does not occur exclusively during the course of a delirium; and
(e)          The disturbance causes clinically significant distress or impairment in social, occupational or other important areas of functioning.

(5)          substance/medication-induced anxiety disorder meets the following criteria (derived