2010 BC Guide in Determining Fitness to Drive

Anxiety disorders (Axis I)There are a number of anxiety disorders classified in the DSM-IV-TR, including: Generalized Anxiety Disorder specific phobias Posttraumatic Stress Disorder Social Phobia Obsessive Compulsive Disorder, and Panic Disorder.Symptoms include intense and prolonged feelings of fear or distress that occur out of proportionto the actual threat or danger. The feelings of distress also must be sufficient to interfere withnormal daily functioning.Attention-Deficit/Hyperactivity Disorder (Axis I)Attention-Deficit/Hyperactivity Disorder (ADHD) is characterized by inappropriate degrees ofinattention, impulsivity, and over-activity that begin in childhood. ADHD is one of the mostcommon neurobehavioral disorders of childhood and can persist through adolescence and intoadulthood.Although many individuals with ADHD show symptoms of both inattention and hyperactivityimpulsivity,there may be a predominance of either inattention or hyperactivity-impulsivity. Thisvariability of presentation is reflected in the three major classifications of the disorder: Combined Type (exhibiting both inattention and hyperactivity-impulsivity) Predominately Inattentive Type, and Predominately Hyperactivity-Impulsivity Type.The symptoms of hyperactivity and impulsivity tend to diminish over time so that many adultswill present with primary symptoms of inattention only.Schizophrenia (Axis I)The effects of Schizophrenia on the individual can be profound. Common symptoms includedelusions and hallucinations, thought disorders, lack of motivation, and social withdrawal. Thesymptoms of Schizophrenia are generally divided into three broad categories 8 : Positive or “psychotic” symptoms are characterized by abnormal thoughts or behaviours.For example, hallucinations are disturbances of perception where individuals hear or seethings that are not there. Disorganised symptoms are characterized by poorly organized, illogical or bizarre thoughtprocesses. These disturbances in logical thought processes frequently produce observablepatterns of behaviour that are also disorganized and bizarre.8 Monash Report 213, April 2004, pg. 272-73228