Worry and Uncertainty
- Patient reports persistent or excessive worry that feels difficult to control.
- Client experiences difficulty tolerating uncertainty and frequently anticipates negative or worst case outcomes.
- Patient reports feeling overwhelmed, on edge, or unable to relax due to ongoing anxiety.
Physical Symptoms and Sleep
- Client experiences physical symptoms of anxiety, including muscle tension, restlessness, racing heart, shortness of breath, dizziness, or gastrointestinal discomfort.
- Patient reports difficulty sleeping due to worry, racing thoughts, or heightened anxiety.
- Client reports fatigue or reduced energy related to prolonged anxiety, poor sleep, or ongoing stress.
Avoidance and Reassurance Seeking
- Client demonstrates avoidance of situations, activities, places, or conversations that trigger anxiety.
- Patient engages in reassurance seeking, repeated checking, or other behaviors intended to reduce anxiety.
- Client reports difficulty facing feared situations without preparation, support, or repeated confirmation.
Panic and Acute Anxiety
- Client experiences episodes of intense fear or acute anxiety accompanied by distressing physical or cognitive symptoms.
- Patient reports fear of losing control, experiencing a medical emergency, or being unable to escape during episodes of heightened anxiety.
- Client reports increased fear of future anxiety episodes or avoidance related to panic-like symptoms.
Social and Performance Anxiety
- Client experiences fear of judgment, criticism, embarrassment, or negative evaluation in social or performance situations.
- Patient reports anxiety in situations involving speaking, meeting new people, being observed, or completing tasks in front of others.
- Client may avoid social, academic, occupational, or performance situations due to fear of negative evaluation.
Concentration, Decision Making, and Functioning
- Patient reports difficulty concentrating, making decisions, or completing daily responsibilities due to anxiety and excessive worry.
- Client reports anxiety related distress that interferes with relationships, work, school, sleep, or participation in previously enjoyable activities.
- Patient experiences difficulty staying present or completing tasks when worry, fear, or physical anxiety symptoms increase.