SCID-I (for DSM-IV-TR) Social Phobia (NOV 2011) Anxiety Disorders F.

11
S
*SOCIAL PHOBIA* SOCIAL PHOBIA CRITERIA

IF SCREENING QUESTIONS #6 AND #7 ARE BOTH ANSWERED NO,

SKIP TO *SPECIFIC PHOBIA,* F. 16.

IF QUESTION #6 ANSWERED SCREEN Q# 6

YES: Youve said that there are YES NO F46a
things that you have been afraid to
do in front of other people, like
speaking, eating, or writing . . .

IF QUESTION #7 ANSWERED SCREEN Q# 7

YES NO F46b
YES: Youve [also] said that you
have been especially nervous or
anxious in social situations that IF NO: GO TO
involve people that you dont know *SPECIFIC PHOBIA*
very well F. 16

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?

IF YES TO EITHER OF ABOVE: Tell A. A marked and persistent fear of

me about that. Give me some one or more social or performance ? 1 2 3 F47
examples of when this has happened.. situations in which the person is
exposed to unfamiliar people or to GO TO
What were you afraid would happen possible scrutiny by others. The *SPECIFIC
When you are in (SOCIAL OR individual fears that he or she will PHOBIA*
PERFORMANCE SITUATION)? act in a way (or show anxiety F. 16
symptoms) that will be humiliating
IF PUBLIC SPEAKING FEARS ONLY: or embarrassing.
(Do you think that you are more
uncomfortable than most people are in PHOBIC SITUATION(S) Check:
that situation?)
___ public speaking
___ eating in front of others F48
___ writing in front of others F49
___ generalized (most social F50
situations) F51

___ other (Specify:______________) F52

?=inadequate information 1=absent or false 2=subthreshold 3=threshold or true

SCID-I (for DSM-IV-TR) Specific Phobia (NOV 2011) Anxiety Disorders F. 16

*SPECIFIC PHOBIA* SPECIFIC PHOBIA CRITERIA

SCREEN Q# 8 F66a
IF SCREENING QUESTION #8 ANSWERED NO, SKIP TO *OBSESSIVE YES NO
COMPULSIVE DISORDER,* F. 20.
IF NO: GO TO *OBSESSIVE
IF QUESTION #8 ANSWERED COMPULSIVE DISORDER*
YES: Youve said that there are F. 20
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 A. Marked and persistent fear that ? 1 2 3 F67
there any other things that youve is excessive or unreasonable, cued
been especially afraid of, like by the presence or anticipation of
GO TO
flying, seeing blood, getting a a specific object or situation (e.g., *OBSESSIVE
shot, heights, closed places, or flying, heights, animals, receiving COMPULSIVE
certain kinds of animals or an injection, seeing blood). DISORDER*
insects? F. 20

Tell me about that.

What were you afraid would happen

when (CONFRONTED WITH PHOBIC
STIMULUS)?

Did you always feel frightened when B. Exposure to the phobic stimulus ? 1 2 3 F68
you (CONFRONTED PHOBIC almost invariably provokes an
STIMULUS)? immediate anxiety response, which
may take the form of a situationally GO TO
*OBSESSIVE
bound or situationally predisposed COMPULSIVE
Panic Attack. Note: In children, the DISORDER*
anxiety may be expressed by crying, F. 20
tantrums, freezing, or clinging.

Did you think that you were more afraid C. The person recognizes that the ? 1 2 3 F69
of (PHOBIC STIMULUS) than you fear is excessive or unreasonable.
should have been (or than made Note: In children, this feature may
GO TO
sense)? be absent. *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

*OBSESSIVE COMPULSIVE DISORDER* OBSESSIVE COMPULSIVE DISORDER

CRITERIA SCREEN Q# 9 F84a
YES NO

IF SCREENING QUESTION #9 ANSWERED NO, SKIP TO

*COMPULSIONS,* F. 21. (NOTE: BECAUSE SOME SUBJECTS WITH
IF NO: GO TO
OCD MAY BE RELUCTANT TO CONFIDE THEIR OBSESSIONS *COMPULSIONS*
DURING THE SCREENING, CONSIDER RE-ASKING SCREENING F. 21
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 A. Either obsessions or compulsions:

I would like to ask you if you have
ever been bothered by thoughts Obsessions as defined by (1), (2),
that didnt make any sense and (3) and (4).
kept coming back to you even
when you tried not to have them? (1) recurrent and persistent thoughts, ? 1 2 3 F85
impulses, or images that are
(What were they?) experienced, at some time during the
disturbance, as intrusive and
inappropriate, and that cause marked
IF SUBJECT NOT SURE WHAT anxiety or distress
IS MEANT: . . . Thoughts like
(2) the thoughts, impulses, or images ? 1 2 3 F86
hurting someone, even though
you really didnt want to or being are not simply excessive worries
contaminated by germs or dirt? about real-life problems

When you had these thoughts, did you (3) the person attempts to ignore or ? 1 2 3 F87
try hard to get them out of your head? suppress such thoughts, impulses, or
(What would you try to do?) images, or to neutralize them with
some other thought or action

IF UNCLEAR: Where did you think (4) the person recognizes that the ? 1 2 3 F88
these thoughts were coming from? obsessional thoughts, impulses, or
images are a product of his or her
own mind (not imposed from without OBSES-
as in thought insertion) SIONS

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) Obsessive-Compulsive (NOV 2011) Anxiety Disorders F. 21

*COMPULSIONS*
SCREEN Q# 10 F88a
IF SCREENING QUESTION #10 ANSWERED NO, SKIP TO *CHECK YES NO
FOR OBSESSIONS/COMPULSIONS,* F. 22. (NOTE: BECAUSE SOME
SUBJECTS WITH OCD MAY BE RELUCTANT TO CONFIDE THEIR
COMPULSIONS DURING THE SCREENING, CONSIDER RE-ASKING IF NO: GO TO
SCREENING QUESTION BELOW AT THIS POINT IN THE SCID.) *CHECK FOR
OBSESSIONS /
IF QUESTION #10 ANSWERED YES: Youve COMPULSIONS*
F. 22
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 Compulsions as defined by

there ever anything that you had (1) and (2):
to do over and over again and
couldnt resist doing, like washing (1) repetitive behaviors (e. g., ? 1 2 3 F89
your hands again and again, handwashing, ordering, checking) or
counting up to a certain number, mental acts (e.g., praying, counting,
or checking something several repeating words silently) that the
times to make sure that you d person feels driven to perform in
done it right? response to an obsession, or
according to rules that must be
(What did you have to do?) applied rigidly

IF UNCLEAR: Why did you have to do (2) the behaviors or mental acts are ? 1 2 3 F90
(COMPULSIVE ACT?) What would aimed at preventing or reducing
happen if you didnt do it? distress or preventing some dreaded
event or situation; however these
IF UNCLEAR: How many times would behaviors or mental acts either are COMPULSIONS
you do (COMPULSIVE ACT)? How not connected in a realistic way with
much time a day would you spend what they are designed to neutralize
doing it? or prevent, or are clearly excessive

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 F. 31

*GENERALIZED ANXIETY DISORDER* GENERALIZED ANXIETY

SCREEN Q# 11 F134a
(CURRENT ONLY) DISORDER CRITERIA YES NO

IF: IN RESIDUAL PHASE OF SCHIZOPHRENIA,

F134b
CHECK HERE ___ AND GO TO *ANXIETY DISORDER NOS,* F. 40
IF NO: GO TO
*ANXIETY DISORDER
IF SCREENING QUESTION #11 ANSWERED NO, SKIP TO NOS* F. 40
*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 A. Excessive anxiety and worry ? 1 2 3 F135
things that might happen? (apprehensive expectation), occurring
more days than not for at least 6
GO TO
IF YES: What do you worry months, about a number of events or *ANXIETY
about? (How much do you worry activities (such as work or school DISORDER
about [EVENTS OR performance). NOS* F. 40
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 B. The person finds it difficult to ? 1 2 3 F136
find that its hard to stop yourself? control the worry.
GO TO
*ANXIETY
DISORDER
NOS* F. 40

When did this anxiety start? F(2). Does not occur exclusively ? 1 3 F137
COMPARE ANSWER WITH ONSET during the course of a Mood
OF MOOD OR PSYCHOTIC Disorder, Psychotic Disorder, or a
GO TO
DISORDER. Pervasive Developmental Disorder. *ANXIETY
DISORDER
NOS* F. 40

?=inadequate information 1=absent or false 2=subthreshold 3=threshold or true