In 1994, a study asking a random sample of thousands of Americans about their mental health reported that 15 percent had ever suffered from anxiety disorders. A 2009 study of people interviewed about their anxiety repeatedly for years raised that estimate to 49.5 percent – which would be 117 million U.S. adults.
Some psychiatrists say the increase in the prevalence of anxiety from about 4 percent to 50 percent is the result of psychiatrists and others "getting better at diagnosing anxiety," as Dr. Carolyn Robinowitz, a past president of the APA who is in private practice in Washington, D.C., put it. "People who criticize that are showing their bias," she said. "When we get better at diagnosing hypertension, we don’t say that’s terrible."
Critics, including other leading psychiatrists, disagree. They say the apparent explosion in anxiety shows there is something seriously and dangerously wrong with the DSM. Its next edition, due in May, would lower the threshold for identifying anxiety