Which symptom is NOT associated with "With Anxious Distress"?

The symptom of feeling excessive happiness is not associated with "With Anxious Distress." This specifier is designed to characterize the presence of anxiety-related symptoms that are often experienced alongside depressive disorders or mood disorders. Symptoms such as feeling keyed up or tense, feeling unusually restless, and difficulty concentrating due to worry all indicate an increased state of anxiety, which aligns with the criteria for "With Anxious Distress."

In contrast, excessive happiness signifies a positive emotional state that would not fit within a framework that describes anxious or distressed feelings. This distinction highlights the significance of identifying the emotional states that are characteristic of specific diagnostic categories in the DSM-5-TR, ensuring that the symptoms accurately reflect the mental health challenges individuals may face.