If you think your child may have an anxiety disorder, please answer the questions below, print out the page, and show the results to your child's health care professional.
| Yes No | Does the child have a distinct and ongoing fear of social situations involving unfamiliar people? |
| Yes No | Does the child worry excessively about a number of events or activities? |
| Yes No | Does the child experience shortness of breath or a racing heart for no apparent reason? |
| Yes No | Does the child experience age-appropriate social relationships with family members and other familiar people? |
| Yes No | Does the child often appear anxious when interacting with peers, or try to avoid them? |
| Yes No | Does the child have a persistent and unreasonable fear of an object or situation, such as flying, heights, or animals? |
| Yes No | When the child encounters the feared object or situation, does he react by freezing, clinging, or having a tantrum? |
| Yes No | Does the child worry excessively about her competence and quality of performance? |
| Yes No | Does the child cry, have tantrums, or refuse to leave a family member or other familiar person when she must? |
| Yes No | Has the child experienced a decline in classroom performance, refused to go to school, or avoided age-appropriate social activities? |
| Yes No | Does the child spend at least one hour each day repeating things over again, such as hand washing, checking, arranging, or counting? |
| Yes No | Does the child have exaggerated fears of people or events ( burglars, kidnappers, car accidents) that might be difficult, such as in a crowd or on an elevator? |
| Yes No | Does the child experience a great number of nightmares, headaches, or stomachaches? |
| Yes No | Does the child repetitively use toys to re-enact scenes from a disturbing event? |
| Yes No | Does the child redo tasks because of excessive dissatisfaction with less-than-perfect performance? |
Reference
Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Washington, DC, American Psychiatric Association, 1994.
Reprinted with the permission of the Anxiety Disorders Association of America.
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