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Panic Disorder Assessment

  1. Have you been experiencing persistent thoughts, images, or impulses that seem inappropriate or intrusive and cause distress?
  2. Do you find yourself overly preoccupied with worry about the presence of dirt or germs to the point that it causes you great distress?
  3. If objects in your home or work environment are out of order or seem poorly arranged, does this cause you great distress or agitation until things are set perfectly?
  4. Have you been having repeated unwanted sexual thoughts that are upsetting to you but are beyond your control?
  5. Are you continuously worried about harm coming to someone you love because of what you perceive as your careless behavior?
  6. Are you preoccupied with worrying about losing something important to you to the point where it's all that you can think about?
  7. Do you feel consumed with worry about cleanliness, contamination, or spreading an illness to those around you, even in situations where these issues are not a realistic problem?
  8. Do you engage in ritualistic and repetitive counting in specific situations, such as always counting the number of steps between destinations or counting the number of objects in a room?
  9. Do you excessively horde things, save useless items, or routinely check to make sure things you consider of value haven’t been thrown away?
  10. Do you believe that certain colors, numbers, letters, or words are unlucky, and avoid these unlucky signs at all costs?
  11. Do you feel that it is necessary to repeat routine actions such as getting in and out of the car, entering a room, turning on a light, or crossing your legs a specific number of times or until it’s been done perfectly?
  12. Do you engage in repeated behavior such as hand washing, checking the locks to make sure that they’re locked, checking to make sure that an object of importance has not been lost, or straightening and arranging objects in your environment that is excessive and time consuming beyond rational necessity?
  13. Do you find that engaging in these behaviors consumes an unusual amount of time and intrudes on your ability to perform your daily routine?
  14. Do you feel that your repetitive intrusive thoughts cannot be controlled and cause you to eventually engage in a specific activity in order to quiet the thoughts, whether or not that activity is directly related to the intrusive thought?
  15. Do you recognize that your thoughts or actions are excessive or unreasonable but still feel unable to stop engaging in them?




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