SCID-I (for DSM-IV-TR) Posttraumatic Stress (JAN 2007) Anxiety Disorders F. 25
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1 SCID-I (for DSM-IV-TR) Posttraumatic Stress (JAN 2007) Anxiety Disorders F. 25 *POSTTRAUMATIC STRESS * Sometimes things happen to people that are extremely upsetting--things like being in a life threatening situation like a major disaster, very serious accident or fire; being physically assaulted or raped; seeing another person killed or dead, or badly hurt, or hearing about something horrible that has happened to someone you are close to. At any time during your life, have any of these kinds of things happened to you? IF NO SUCH EVENTS, CHECK HERE AND *GENERALIZED ANXIETY,* F103 Traumatic Events List Brief Description Date (Month/Yr) Age F103a F103b F103c F103d F103e F103f F103g F103h F103i F103j F103k F103l F103m F103n F103o F103p F103q F103r F103s F103t F103u IF ANY EVENTS LISTED: Sometimes traumatic experiences like (TRAUMAS LISTED ABOVE) keep coming back in nightmares, flashbacks, or thoughts that you can t get rid of. Has that ever happened to you? IF NO: What about being very upset when you were in a situation that reminded you of one of these terrible things? IF NO TO BOTH OF ABOVE, CHECK HERE AND SKIP TO *GENERALIZED ANXIETY,*. F104
2 SCID-I (for DSM-IV-TR) Posttraumatic Stress (JAN 2007) Anxiety Disorders F. 29 About how long did these problems-- (CITE POSITIVE PTSD SYMPTOMS)-- last? E. Duration of the disturbance (symptoms in criteria B, C, and D) is more than 1 month.? F127 F. The disturbance causes clinically social, occupational, or other POSTTRAUMATIC STRESS CRITERIA A, B, C, D, E, AND F ARE CODED 3.? F F129 POST- TRAUMATIC STRESS
3 SCID-I (for DSM-IV-TR) Due to GMC (JAN 2007) Anxiety Disorders F. 37 IF UNCLEAR: How much did (ANXIETY SYMPTOMS) interfere with your life? (Has it made it hard for you to do your work or be with your friends?) E. The disturbance causes clinically social, occupational or other NOTE: THE D CRITERION (DELIRIUM R/O) HAS BEEN OMITTED. ANXIETY DUE TO GMC CRITERIA A, B/C, AND E CODED 3.? F152 *SUBSTANCE INDUCED* F F152a ANXIETY DUE TO A GMC CHECK HERE IF CURRENT IN PAST MONTH F152b Indicate which type of symptom presentation predominates: 1 - With Generalized Anxiety 2 - With Panic attacks 3 - With Obsessive-Compulsive symptoms F152c CONTINUE ON NEXT PAGE
4 SCID-I (for DSM-IV-TR) Substance-induced (JAN 2007) Anxiety Disorders F. 39 IF UNKNOWN: How much (SUB- STANCE) were you using when you began to have (ANXIETY SYMPTOMS)? IF UNKNOWN: Have you had any other episodes of (ANXIETY SYMPTOMS)? IF YES: How many? Were you using (SUBSTANCES) at those times? IF UNKNOWN: How much did (ANXIETY SYMPTOMS) interfere with your life? (Has it made it hard for you to do your work or be with your friends?) (3) the anxiety symptoms are substantially in excess of what would be expected given the character, duration, or amount of the substance used (4) there is evidence suggesting the existence of an independent, non-substanceinduced Anxiety Disorder (e.g., a history of recurrent nonsubstance-related panic attacks) E. The symptoms cause clinically social, occupational, or other NOTE: THE D CRITERION (DELIRIUM R/O) HAS BEEN OMITTED. SUBSTANCE-INDUCED ANXIETY CRITERIA A, B, C, AND E ARE CODED 3.? F156 RETURN TO BEING EVALUATED 1 3 F156a SUBSTANCE-INDUCED ANXIETY CHECK HERE IF CURRENT IN PAST MONTH F156b Indicate which type of symptom presentation predominates: 0 - Unspecified 1 - With Generalized Anxiety 2 - With Panic Attacks 3 - With Obsessive/ Compulsive Symptoms 4 - With Phobic Symptoms F156c Indicate context of development of anxiety symptoms: 1- With Onset During Intoxication 2- With Onset During Withdrawal F156d RETURN TO EPISODE BEING EVALUATED
5 SCID-I (for DSM-IV-TR) Anxiety NOS (JAN 2007) Anxiety Disorders F. 41 IF UNCLEAR: During the past month, have you had (ANXIETY SXS)? CHECK HERE IF PRESENT IN LAST MONTH F157a INDICATE TYPE OF ANXIETY NOS: 1 Clinically significant social phobic symptoms related to the social impact of having a general medical condition or mental disorder (e.g., Parkinson s disease, dermatologic conditions, Stuttering, Anorexia Nervosa, Body Dysmorphic Disorder). 2 Situations in which the clinician has concluded that an Anxiety Disorder is present but is unable to determine whether it is primary, due to a general medical condition, or substance-induced. 3 Mixed anxiety-depressive disorder: clinically significant symptoms of anxiety and depression but the criteria are not met for a specific Mood or Anxiety Disorder (Go to Module J, page J. 6 for research criteria). 4 Other: F158
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