w-385d01
DESCRIPTION
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_____ A. Anxiety about being in places or in situations from
which escape might be difficult (or embarrassing) or
in which help may not be available in the event of
a panic attack or other panic symptoms.
Some people have very strong fears of being in certain
places or situations. Do any of the following make you feel
very fearful, anxious, or nervous?
Being away from home alone ................................................ 69a
Being in crowded places, like a movie theater,
supermarket, shopping mall, church, or restaurant ......... 69b
Standing in long lines .............................................................. 69c
Being on a bridge or in a tunnel ........................................... 69d
Traveling in a bus, train, or plane ......................................... 69e
Driving or riding in a car .......................................................... 69f
Being home alone ..................................................................... 69g
Being in wide-open spaces, like a park ............................... 69h
IF YES TO ANY:
I know it may be difficult to describe,
but what is it about [PHOBIA] that worries you?
What do you think might happen to you?
What are you afraid of ?
_____ B. The situations are avoided or else require the presence
of a companion or are endured with distress or with
anxiety about having a panic attack.
To what degree do you avoid [PHOBIA]?
IF NO AVOIDANCE:
So what do you do—how do you cope?
Does having someone with you help?
Do you [PHOBIA] only when you’re with someone?
Do you [PHOBIA] alone?
IF YES:
How bad does the anxiety get?
What are you anxious about?
Exclusion Criteria
EXCLUDE the diagnosis if the anxiety or phobia is
better accounted for by another mental disorder.
Make an effort to differentiate, for example,
Agoraphobia from Specific Phobia or Social Phobia.
Consider the diagnosis of Specific Phobia if the
avoidance is limited to one of only a few specific
situations, or Social Phobia if the avoidance is
limited to social situations.
W-385D(1)
Copyright © 2002 by Mark Zimmerman, M.D.Not to be reproduced in whole or in part without written permission of Western Psychological Services.All rights reserved. 1 2 3 4 5 6 7 8 9 Printed in U.S.A.
PDSQ
Follow-up Interview Guide
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Published byWESTERN PSYCHOLOGICAL SERVICES
AGORAPHOBIA
The PDSQ item numbers relevant to the Agoraphobia subscale are printed in italics in the right margin.
Circle the item numbers to which a yes response was given. You should begin your follow-up inquiry by
asking about these items, and proceed to cover all of the DSM-IV criteria for this syndrome. This guideline
may be used to help you with your follow-up interview.
Note: Agoraphobia (covered by PDSQ Items 68 through 71) is not a separate disorder. Follow-up inquiry
should focus on assessing the duration and extent of symptoms and identifying the appropriate associated
mental disorder (usually Panic Disorder). The follow-up should also help determine whether symptoms can
be accounted for by a medication or general medical condition.
Mark Zimmerman, M.D.INCLUSION: A, B
EXCLUSION: One
Commonly co-occurring syndromes: Mood Disorder, Anxiety Disorder,
Substance Use Disorder, Posttraumatic Stress Disorder, Panic Disorder, Obsessive-Compulsive Disorder