Separation Anxiety Disorder
Assessment
BizCalcs.com
Title
Read each question carefully and completely. Take as much time as you need to reflect on each question. This tool is of no help to you if you refuse to answer each question honestly. Answers are completely confidential. No personal information is requested and your answers are not saved. Remember, if you cheat, you're only cheating yourself.
Answer 'Yes' if your child is younger than 18 and has experienced they symptom for at least 4 weeks? (The word 'you' in the following questions could also refer to either parent or another caregiver.)
1. Does your child seem anxious about leaving home or being separated from you (or another caregiver)?
2. Does your child often worry about you being hurt or dying?
3. Does your child often worry about being kidnapped or lost?
4. Does your child resist leaving you, even to go to school?
5. Is your child afraid of being left anywhere, including home, without you?
6. Does your child refuse to go to sleep without you nearby or does he/she get anxious about sleeping away from home?
7. Does your child have frequent nightmares about being separated from you?
8. Does your child have physical symptoms (dizziness, nausea, headaches, heart palpitations) before or during a period of separation?
9. Do your child's symptoms interfere with his/her daily activities (school, social situations, etc.)?

Total 'Yes' (out of 9 possible)
Interpretation



All calculators are made available as self-help tools for your independent use with results based on information provided by the user. All examples are hypothetical and are for illustrative purposes only. Calculated results are believed to be accurate but results are not guaranteed. Health and Parenting Assessments address subjects that may be of interest to the general public. These assesments should be used for education about medical conditions only and are not for providing medical diagnosis. Only a health care professional can diagnose and recommend treatment. Users are advised to promptly check with a physician if a medical condition exists or is suspected.
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Updated 05 Jul 2007
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