SCID-I (for DSM-IV-TR) S *SOCIAL PHOBIA*

Social Phobia

(NOV 2011)

Anxiety Disorders

F. 11

SOCIAL PHOBIA CRITERIA

IF SCREENING QUESTIONS #6 AND #7 ARE BOTH ANSWERED NO, SKIP TO *SPECIFIC PHOBIA,* F. 16. IF QUESTION #6 ANSWERED YES: Youve said that there are things that you have been afraid to do in front of other people, like speaking, eating, or writing . . . IF QUESTION #7 ANSWERED YES: Youve [also] said that you have been especially nervous or anxious in social situations that involve people that you dont know very well IF SCREENER NOT USED: Has there been anything that you have been afraid to do or felt uncomfortable doing in front of other people, like speaking, eating, or writing? IF NO: Have you been especially nervous or anxious in social situations that involve people that you dont know very well?
SCREEN Q# 6 YES NO F46a

SCREEN Q# 7 YES NO

F46b

IF NO: GO TO *SPECIFIC PHOBIA* F. 16

IF YES TO EITHER OF ABOVE: Tell me about that. Give me some examples of when this has happened.. What were you afraid would happen When you are in (SOCIAL OR PERFORMANCE SITUATION)? IF PUBLIC SPEAKING FEARS ONLY: (Do you think that you are more uncomfortable than most people are in that situation?)

A. A marked and persistent fear of one or more social or performance situations in which the person is exposed to unfamiliar people or to possible scrutiny by others. The individual fears that he or she will act in a way (or show anxiety symptoms) that will be humiliating or embarrassing. PHOBIC SITUATION(S) Check: ___ ___ ___ ___ public speaking eating in front of others writing in front of others generalized (most social situations)

1
GO TO *SPECIFIC PHOBIA* F. 16

F47

F48 F49 F50 F51 F52

___ other (Specify:______________)

?=inadequate information

1=absent or false

2=subthreshold

3=threshold or true

SCID-I (for DSM-IV-TR) *SPECIFIC PHOBIA*

Specific Phobia

(NOV 2011)

Anxiety Disorders

F. 16
F66a

SPECIFIC PHOBIA CRITERIA

IF SCREENING QUESTION #8 ANSWERED NO, SKIP TO *OBSESSIVE COMPULSIVE DISORDER,* F. 20. IF QUESTION #8 ANSWERED YES: Youve said that there are other things that youve been especially afraid of, like flying, seeing blood, getting a shot, heights, closed places, or certain kinds of animals or insects . . . IF SCREENER NOT USED: Are there any other things that youve been especially afraid of, like flying, seeing blood, getting a shot, heights, closed places, or certain kinds of animals or insects? Tell me about that. What were you afraid would happen when (CONFRONTED WITH PHOBIC STIMULUS)? Did you always feel frightened when you (CONFRONTED PHOBIC STIMULUS)? B. Exposure to the phobic stimulus almost invariably provokes an immediate anxiety response, which may take the form of a situationally bound or situationally predisposed Panic Attack. Note: In children, the anxiety may be expressed by crying, tantrums, freezing, or clinging. C. The person recognizes that the fear is excessive or unreasonable. Note: In children, this feature may be absent. ? 1 A. Marked and persistent fear that is excessive or unreasonable, cued by the presence or anticipation of a specific object or situation (e.g., flying, heights, animals, receiving an injection, seeing blood).

IF NO: GO TO *OBSESSIVE COMPULSIVE DISORDER* F. 20

F67

GO TO *OBSESSIVE COMPULSIVE DISORDER* F. 20

F68

GO TO *OBSESSIVE COMPULSIVE DISORDER* F. 20

Did you think that you were more afraid of (PHOBIC STIMULUS) than you should have been (or than made sense)?

F69

GO TO *OBSESSIVE COMPULSIVE DISORDER* F. 20

?=inadequate information

1=absent or false

2=subthreshold

3=threshold or true

SCID-I (for DSM-IV-TR)

Obsessive-Compulsive

(NOV 2011)

Anxiety Disorders

F. 20
F84a

*OBSESSIVE COMPULSIVE DISORDER*

OBSESSIVE COMPULSIVE DISORDER SCREEN Q# 9 CRITERIA

IF SCREENING QUESTION #9 ANSWERED NO, SKIP TO *COMPULSIONS,* F. 21. (NOTE: BECAUSE SOME SUBJECTS WITH OCD MAY BE RELUCTANT TO CONFIDE THEIR OBSESSIONS DURING THE SCREENING, CONSIDER RE-ASKING SCREENING QUESTION BELOW AT THIS POINT IN THE SCID.) IF QUESTION #9 ANSWERED YES: Youve said that you have had thoughts that didnt make any sense and kept coming back to you even when you tried not to have them IF SCREENER NOT USED: Now I would like to ask you if you have ever been bothered by thoughts that didnt make any sense and kept coming back to you even when you tried not to have them? (What were they?) A. Either obsessions or compulsions: Obsessions as defined by (1), (2), (3) and (4). (1) recurrent and persistent thoughts, ? impulses, or images that are experienced, at some time during the disturbance, as intrusive and inappropriate, and that cause marked anxiety or distress (2) the thoughts, impulses, or images ? are not simply excessive worries about real-life problems ? (3) the person attempts to ignore or suppress such thoughts, impulses, or images, or to neutralize them with some other thought or action (4) the person recognizes that the obsessional thoughts, impulses, or images are a product of his or her own mind (not imposed from without as in thought insertion) ? 1

IF NO: GO TO *COMPULSIONS* F. 21

F85

IF SUBJECT NOT SURE WHAT IS MEANT: . . . Thoughts like hurting someone, even though you really didnt want to or being contaminated by germs or dirt? When you had these thoughts, did you try hard to get them out of your head? (What would you try to do?)

F86

F87

IF UNCLEAR: Where did you think these thoughts were coming from?

F88

OBSESSIONS

NO OBSESSIONS CONTINUE ON NEXT PAGE

DESCRIBE CONTENT OF OBSESSION(S):

?=inadequate information

1=absent or false

2=subthreshold

3=threshold or true

SCID-I (for DSM-IV-TR) *COMPULSIONS*

Obsessive-Compulsive

(NOV 2011)

Anxiety Disorders

F. 21

IF SCREENING QUESTION #10 ANSWERED NO, SKIP TO *CHECK FOR OBSESSIONS/COMPULSIONS,* F. 22. (NOTE: BECAUSE SOME SUBJECTS WITH OCD MAY BE RELUCTANT TO CONFIDE THEIR COMPULSIONS DURING THE SCREENING, CONSIDER RE-ASKING SCREENING QUESTION BELOW AT THIS POINT IN THE SCID.) IF QUESTION #10 ANSWERED YES: Youve said that there were things that you had to do over and over again and couldnt resist doing, like washing your hands again and again, counting up to a certain number or checking something several times to make sure that you had done it right . . . IF SCREENER NOT USED: Was there ever anything that you had to do over and over again and couldnt resist doing, like washing your hands again and again, counting up to a certain number, or checking something several times to make sure that you d done it right? (What did you have to do?) IF UNCLEAR: Why did you have to do (COMPULSIVE ACT?) What would happen if you didnt do it? IF UNCLEAR: How many times would you do (COMPULSIVE ACT)? How much time a day would you spend doing it? Compulsions as defined by (1) and (2): (1) repetitive behaviors (e. g., handwashing, ordering, checking) or mental acts (e.g., praying, counting, repeating words silently) that the person feels driven to perform in response to an obsession, or according to rules that must be applied rigidly (2) the behaviors or mental acts are aimed at preventing or reducing distress or preventing some dreaded event or situation; however these behaviors or mental acts either are not connected in a realistic way with what they are designed to neutralize or prevent, or are clearly excessive ? 1

SCREEN Q# 10 YES NO

F88a

IF NO: GO TO *CHECK FOR OBSESSIONS / COMPULSIONS* F. 22

F89

F90

COMPULSIONS

GO TO *CHECK FOR OBSESSIONS/ COMPULSIONS,* F. 22 (TOP OF NEXT PAGE)

DESCRIBE CONTENT OF COMPULSION(S):

?=inadequate information

1=absent or false

2=subthreshold

3=threshold or true

SCID-I (for DSM-IV-TR)

Generalized Anxiety Disorder

(NOV 2011)

Anxiety Disorders
SCREEN Q# 11 YES NO

F. 31
F134a

*GENERALIZED ANXIETY DISORDER* GENERALIZED ANXIETY (CURRENT ONLY) DISORDER CRITERIA IF: IN RESIDUAL PHASE OF SCHIZOPHRENIA, CHECK HERE ___ AND GO TO *ANXIETY DISORDER NOS,* F. 40 IF SCREENING QUESTION #11 ANSWERED NO, SKIP TO *ANXIETY DISORDER NOS,* F. 40 IF QUESTION #11 ANSWERED YES: Youve said that in the last 6 months youve been particularly nervous or anxious . . . IF SCREENER NOT USED: In the last 6 months, have you been particularly nervous or anxious? Do you also worry a lot about bad things that might happen? IF YES: What do you worry about? (How much do you worry about [EVENTS OR ACTIVITIES]?) During the last 6 months, would you say that you have been worrying more days than not? When youre worrying this way, do you find that its hard to stop yourself? B. The person finds it difficult to control the worry. ? 1

F134b IF NO: GO TO *ANXIETY DISORDER NOS* F. 40

? 1 2 A. Excessive anxiety and worry (apprehensive expectation), occurring more days than not for at least 6 GO TO months, about a number of events or *ANXIETY activities (such as work or school DISORDER performance). NOS* F. 40

F135

F136

GO TO *ANXIETY DISORDER NOS* F. 40

When did this anxiety start? COMPARE ANSWER WITH ONSET OF MOOD OR PSYCHOTIC DISORDER.

F(2). Does not occur exclusively during the course of a Mood Disorder, Psychotic Disorder, or a Pervasive Developmental Disorder.

1
GO TO *ANXIETY DISORDER NOS* F. 40

F137

?=inadequate information

1=absent or false

2=subthreshold

3=threshold or true