D. The phobic situation(s) is
avoided or else endured with
intense anxiety or distress.E. The avoidance, anxious anti-
cipation, or distress in the feared
situation interferes significantly
with the person’s normal routine,
occupational (academic) function-
ing, or with social activities or
relationships with others, or there
is marked distress about having the
phobia.F. For individuals under age 18
years, the duration is at least 6
months.G. The anxiety, panic attacks, or
phobic avoidance associated with
the specific object or situation are
not better accounted for by another
mental disorder, such as Obsessive-
Compulsive Disorder (for example,
fear of contamination), Posttraumatic
Stress Disorder (for example,
avoidance of stimuli associated with
a severe stressor), Separation
Anxiety Disorder (for example,
avoidance of school), Social Phobia
(for example, avoidance of social
situations because of fear of
embarrassment), Panic Disorder
with Agoraphobia, or Agoraphobia
without History of Panic Disorder.Did you go out of your way to
avoid (PHOBIC STIMULUS)?
(Are there things you didn’t do
because of this fear, that you would
otherwise have done?)
IF NO: How hard (is/was) it
for you to (CONFRONT
PHOBIC STIMULUS)?
IF UNCLEAR WHETHER FEAR
WAS CLINICALLY SIGNIFICANT:
How much did (PHOBIA) interfere
with your life?
(Is there anything you’ve avoided
because of being afraid of
(PHOBIC STIMULUS)?
IF DOES NOT INTERFERE
WITH LIFE: How much has the
fact that you were afraid of
(PHOBIC STIMULUS)
bothered you?
IF YOUNGER THAN AGE 18:
How long have you had these
fears?
IF NOT ALREADY CLEAR:
RETURN TO THIS ITEM AFTER
COMPLETING SECTION ON
PTSD AND OBSESSIVE-
COMPULSIVE DISORDER.
GO TO
*OBSES-
SIVE
COMPUL-
SIVE
DIS-
ORDER*? 1 2 3 F70GO TO
*OBSES-
SIVE
COMPUL-
SIVE
DIS-
ORDER*? 1 2 3 F71GO TO
*OBSES-
SIVE
COMPUL-
SIVE
DIS-
ORDER*? 1 2 3 F72GO TO
*OBSES-
SIVE
COMPUL-
SIVE
DIS-
ORDER*? 1 2 3 F73? = inadequate information 1 = absent or false 2 = subthreshold 3 = threshold or true
F I G U R E 6-1 (Continued)
182 CHAPTER 6