Generalized Anxiety Disorder Questionnaire for DSM‐IV (GA‐DSM‐IV)
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Over the last 6 months, how often has the patient been bothered by the following problems?
More than half
Nearly every
Several days
Not at all
the days
day
A. Core Symptom of Anxiety?
1. Excessive anxiety or worry about a number of events or activities 0 1 2 3
B. Feeling out of Control?
2. Finding it difficult to control worrying 0 1 2 3
C. Symptoms of Anxiety?
3. Feeling restless, keyed up or on edge 0 1 2 3
4. Being easily fatigued 0 1 2 3
5. Difficulty concentrating or mind going blank 0 1 2 3
6. Being irritable 0 1 2 3
7. Having muscle tension 0 1 2 3
8. Having disturbed sleep, such as difficulty falling asleep, difficulty
0 1 2 3
staying asleep or restless unsatisfying sleep.
D. Daily function
Not at all Somewhat Very Extremely
9. Is the patient significantly distressed by these symptoms? much
Clinician Please Score = 0 1 2 3
10. How difficult have these problems made it for the patient to do work, Not difficult Somewhat Very Extremely
take care of things at home, or get along with other people? at all difficult difficult difficult
Clinician Please Score = 0 1 2 3
RATING
Total (linear) Score =
Algorithm Positive?
No Yes
GAD requires ≥ 2 for section A + B + D and 3x symptoms (each ≥ 2) from C; not explained by another disorder
GA‐DSM‐IV‐CV © 2013 Alex J Mitchell | Christine Clifford. All rights reserved
