Anxiety Disorders Association of America
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ANXIETY DISORDERS SELF-TEST FOR FAMILY MEMBERS

If you suspect a family member may be suffering from an anxiety disorder, ask him or her to answer the questions below by clicking the appropriate box. Print out the test and share it with a health care professional.

HOW CAN I TELL IF IT'S AN ANXIETY DISORDER?
Yes or No?
Are you troubled by the following?

Yes No Repeated, unexpected panic attacks during which you suddenly are overcome by intense fear or discomfort for no apparent reason; or the fear of having another panic attack?
Yes No Persistent, inappropriate thoughts, impulses, or images that you can't get out of your mind (such as a preoccupation with germs, worry about the order of things, or aggressive or sexual impulses)?
Yes No Powerful and ongoing fear of social situations involving unfamiliar people?
Yes No Excessive worrying (for at least six months) about a number of events or activities?
Yes No Fear of places or situations where getting help or escape might be difficult, such as in a crowd or on a bridge?
Yes No Shortness of breath or a racing heart for no apparent reason?
Yes No Persistent and unreasonable fear of an object or situation, such as flying, heights, animals, blood, etc?
Yes No Being unable to travel alone?
Yes No Spending more than one hour a day doing things over and over again (for example, hand washing, checking things, or counting)?

More days than not, do you experience the following?

Yes No Feel restless?
Yes No Feel easily tired distracted?
Yes No Feel irritable?
Yes No Have tense muscles or problems sleeping?
Yes No Have you experienced or witnessed a traumatic life-threatening or deadly event or serious injury to yourself or a loved one (for example, military combat, violent crime, or serious car accident)?
Yes No Does your anxiety interfere with your daily life?

Having more than one illness at the same time can make it difficult to diagnose and treat the different conditions. Illnesses that sometimes complicate anxiety disorders include depression and substance abuse. With this in mind, please take a minute to answer the following questions:

Yes No Have you experienced changes in sleeping or eating habits?

More days than not, do you feel...

Yes No sad or depressed?
Yes No disinterested in life?
Yes No worthless or guilty?

During the last year, has the use of alcohol or drugs...

Yes No resulted in your failure to fulfill responsibilities with work, school, or family?
Yes No placed you in a dangerous situation, such as driving a car under the influence?
Yes No gotten you arrested?
Yes No continued despite causing problems for you or your loved ones?

If you or someone you know would like more information about helping a family member, please click here to go to the ADAA resource page on that topic.






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