SCID - Full Interview

STRUCTURED CLINICAL INTERVIEW FOR DSM-IV AXIS I DISORDERS
Patient Edition (January 1995 FINAL)

S C I D I / P (Version 2.0)
Michael B. First, M.D.; Robert L. Spitzer, M.D.;
Miriam Gibbon, M.S.W.; and Janet B.W. Williams, D.S.W.
Study:
Study No.:
Subject:
I.D. No.:
Rater:
Rater No.:
Date of
Interview:
__ __ __ __ __ __
Mo. Day Year

Sources of information (check all that apply): __ Subject
__ Family/friends/associates
__ Health professional/chart/referral note
Edited and checked by:
Date:
The development of the SCID was supported in part by

NIMH Contract #278-83-0007 (DB) and NIMH Grant #1 R01 MH40511.
For citation: First, Michael B.; Spitzer, Robert L.; Gibbon, Miriam; and Williams,
Janet B.W.: Structured Clinical Interview for DSM-IV Axis I Disorders
Patient Edition (SCID-I/P, Version 2.0)
Biometrics Research Department
New York State Psychiatric Institute
1051 Riverside Drive Unit 60
New York, New York 10032
1995 Biometrics Research Department
Modified for the Research Evaluating the Value of Augmenting Medication with
Psychotherapy (REVAMP) Study (January, 2003)
SCID-I/P Version 2.0 (for DSM-IV)
(Jan 1995 FINAL)
Summary Score Sheet i
SCID-I/P SUMMARY SCORE SHEET

DX
Diagnosis
Code
Meets Symptomatic Dx. Crit.

Past Month
Lifetime Prevalence
Inadequate
info.
Absent
Subthresh- Thresh
old
old
Absent
Present
PSYCHOTIC SXS
(Non-organic)
3
EXCLUDED
FROM
STUDY
MOOD DISORDERS
01
Bipolar I Disorder
3
EXCLUDED
FROM
STUDY
02
Bipolar II Disorder
3
EXCLUDED
FROM
STUDY
SCIDI/P, Version 2.0: Modified for the REVAMP Study (January, 2003)
Page 1

DX
Diagnosis
Code
(Jan 1995 FINAL)
Summary Score Sheet ii

Past Month
Lifetime Prevalence
Inadequate
info.
Absent
Subthresh- Thresh old

old
Absent
Present
MOOD DISORDERS (continued)

04
Major Depressive
Disorder
EXCLUDED
FROM
STUDY
Type of current episode:

Single Episode
Recurrent
1
2
0
1
2
1
2
3
0
1
2
05
Dysthymic Disorder
(current only)
1
2
Early onset
Late onset
Neither Melancholic or
Atypical, or
Melancholic
Atypical
Current severity:
Mild
Moderate
Severe, without
psychotic features
Non-chronic
Chronic, incomplete
recovery
Chronic, continuous fullsyndrome
Note: Patients with both current major depressive

disorder and current dysthymic disorder are considered
to have double depression.
Page 2

DX
Diagnosis
Code
SUBSTANCE
USE
DISORDERS
(Jan 1995 FINAL)

Past Month
Lifetime Prevalence
Inadequate
info.
Absent
Summary Score Sheet iii
Abuse
Dependence
Absent
Present
17
Alcohol
18
Sedative-Hypnotic
Anxiolytic
19
Cannabis
20
Stimulants
21
Opioid
22
Cocaine
23
Hall./PCP
24
Poly Drug
25
Other
EXCLUDE FROM
STUDY ONLY IF
DETOX REQUIRED
Page 3

DX
Diagnosis
Code
(Jan 1995 FINAL)

Past Month
Lifetime Prevalence
Inadequate
info.
Absent
Summary Score Sheet iv
Subthresh- Thresh
old
old
Absent
Present
ANXIETY DISORDERS
26
Panic Disorder
1
2
without Agoraphobia
with Agoraphobia
27
Agoraphobia without
History of Panic Disorder
(AWOPD)
28
Social Phobia
29
Specific Phobia
30
Obsessive Compulsive
3
EXCLUDE
FROM
STUDY IF
PRINCIPAL
DIAGNOSIS
31
Posttraumatic Stress
3
EXCLUDE
FROM
STUDY IF
PRINCIPAL
DIAGNOSIS
32
Generalized Anxiety
(current only)
Page 4

DX
Diagnosis
Code
(Jan 1995 FINAL)

Past Month
Lifetime Prevalence
Inadequate
info.
Absent
Summary Score Sheet v
Subthresh- Thresh
old
old
Absent
Present
ANXIETY DISORDERS (continued)

33
Anxiety Disorder Due To

a General Medical
Condition
Specify:
1
2
34
With Panic Attacks

With Generalized Anxiety
Substance-Induced
Anxiety Disorder
Specify:
1
2
35
With Panic Attacks

With Generalized Anxiety
Anxiety Disorder NOS
Page 5

DX
Diagnosis
Code
(Jan 1995 FINAL)

Past Month
Lifetime Prevalence
Inadequate
info.
Absent
Summary Score Sheet vi
Subthresh- Threshold
old
Absent
Present
SOMATOFORM
DISORDERS
36
Somatization Disorder
(current only)
37
Pain Disorder
(current only)
38
Undifferentiated
Somatoform Disorder
(current only)
39
Hypochondriasis
(current only)
40
Body Dysmorphic
(current only)
3
EXCLUDE IF
PRINCIPAL
DIAGNOSIS
EATING DISORDERS
41
Anorexia Nervosa
42
Bulimia Nervosa
EXCLUDE IF
PRINCIPAL
DIAGNOSIS
45
OTHER DSM-IV
AXIS I DISORDER:
Specify:
Page 6
(Jan 1995 FINAL)
Summary Score Sheet vii
PRINCIPAL AXIS I DIAGNOSIS (i.e., the disorder that is [or should be] the main focus of current
clinical attention).
Enter dx code number from scoresheet for principal diagnosis: ____ ____
Note: Code 00 if no current Axis I disorder. Code -3 if unknown.
INTERVIEWERS DIAGNOSES, IF DIFFERENT FROM SCID DIAGNOSES:
DSM-IV Axis IV: Psychosocial and Environmental Problems

Check:
___ Problems with primary support group (Childhood, Adult, Parent-Child).
Specify: _______________
___ Problems related to the social environment.
Specify: _______________
___ Educational problems. Specify: _______________
___ Occupational problems. Specify: _______________
___ Housing problem s. Specify: _______________
___ Economic problems. Specify: _______________
___ Problems with access to health care services.
Specify: _______________
___ Problems related to interaction with the legal system/crime.
Specify: _______________
___ Other psychosocial problems. Specify: _______________
Page 7
(Jan 1995 FINAL)
Summary Score Sheet viii
DSM-IV Axis V: Global Assessment of Functioning (GAF) Scale

Consider psychological, social, and occupational functioning on a hypothetical continuum of
mental health illness. Do not include impairment in functioning due to physical (or
environmental) limitations.
Indicate appropriate code for the LOWEST level of functioning during the week of
POOREST functioning in past month. (Use intermediate level when appropriate,
e.g., 45, 68, 72.) Note: Make a rating of 0 if inadequate information.
__ __ __
100
91
90
81
80
71
70
61
60
51
50
41
40
31
30
21
20
11
10
1
Superior functioning in a wide range of activities, lifes problems never seem to

get out of hand, is sought by others because of his or her many positive
qualities. No symptoms.
Absent or minimal symptoms (e.g., mild anxiety before an exam), good
functioning in all areas, interested and involved in a wide range of activities,
socially effective, generally satisfied with life, no more than everyday problems
or concerns (e.g., an occasional argument with family members).
If symptoms are present, they are transient and expectable reactions to
psychosocial stressors (e.g., difficulty concentrating after family argument), no
more than slight impairment in social, occupational, or school functioning
(e.g., temporarily falling behind in school work).
Some mild symptoms (e.g., depressed mood and mild insomnia) OR some
difficulty in social, occupational, or school functioning (e.g., occasional truancy,
or absences from work), but generally functioning pretty well, has some
meaningful interpersonal relationships.
Moderate symptoms (e.g., flat affect and circumstantial speech, occasional panic
attacks) OR moderate difficulty in social, occupational, or school functioning
(e.g., few friends, conflicts with co-workers).
Serious symptoms (e.g., suicidal ideation, severe obsessional rituals, frequent
shoplifting) OR any serious impairment in social, occupational, or school
functioning (e.g., no friends, unable to keep a job).
Some impairment in reality testing or communication (e.g., speech is at times
illogical, obscure, or irrelevant) OR major impairment in several areas, such as
work or school, family relations, judgment, thinking, or mood (e.g., depressed
man avoids friends, neglects family, and is unable to work; child frequently beats up
younger children, is defiant at home, and is failing at school).
Behavior is considerably influenced by delusions or hallucinations OR serious
impairment in communication or judgment (e.g., sometimes incoherent, acts
grossly inappropriately, suicidal preoccupation) OR inability to function in almost all
areas (e.g., stays in bed all day; no job, home, or friends).
Some danger of hurting self or others (e.g., suicide attempts without clear
expectation of death, frequently violent, manic excitement) OR occasionally fails to
maintain minimal personal hygiene (e.g., smears feces) OR gross impairment in
communication (e.g., largely incoherent or mute).
Persistent danger of severely hurting self or others (e.g., recurrent violence) OR
persistent inability to maintain personal hygiene OR serious suicide act with
clear expectation of death.
Page 8
(Jan 1995 FINAL)
Overview i
OVERVIEW
Im going to be asking you about problems
or difficulties you may have had, and Ill be
making some notes as we go along. Do you
have any questions before we begin?
DEMOGRAPHIC DATA
SEX:
1 male
2 female
Whats your date of birth?
DOB:
___ ___ ___

mon day year
Are you married?
MARITAL STATUS
(most recent):
1 married or living with

someone as if married
2 widowed
3 divorced or annulled
4 separated
5 never married
EDUCATION:
1 grade 6 or less
2 grade 7 to 12 (without
graduating high school)
3 graduated high school or
high school equivalent
4 part college
5 graduated 2 year college
6 graduated 4 year college
7 part graduate/professional
school
8 completed graduate/
professional school
IF NO: Were you ever?

Any children?
IF YES: How many?
Where do you live?
Who do you live with?
EDUCATION AND WORK HISTORY
How far did you get in school?
IF FAILED TO COMPLETE A
PROGRAM IN WHICH THEY WERE
ENROLLED: Why didnt you finish?
What kind of work do you do?

(Do you work outside of your home?)
Page 9
(Jan 1995 FINAL)
Overview ii
Are you working now?

IF YES: How long have you worked
there?
IF LESS THAN 6 MONTHS: Why did
you leave your last job?
Have you always done that kind of
work?
IF NO: Why is that?
What kind of work have you done?
How are you supporting yourself now?
IF UNKNOWN: Has there ever been a
period of time when you were unable to
work or go to school?
IF YES: When? Why was that?
OVERVIEW OF PRESENT ILLNESS
IF UNKNOWN: Have you been in
any kind of treatment in the past
month?
IF CURRENTLY IN TREATMENT:
DATE ADMITTED TO INPATIENT
OR OUTPATIENT FACILITY FOR
PRESENT ILLNESS
CURRENT TREATMENT STATUS (PAST MONTH):

1 Current inpatient (including residential
treatment)
2 Current outpatient
3 Other (e.g., 12-step program)
4 No current treatment
Number of weeks since admission 1
to facility
2
3
< 1 week
1-4 weeks
> 4 weeks
When did you come to the

(hospital, clinic)?
CHIEF COMPLAINT
AND DESCRIPTION OF
PRESENTING PROBLEM
What led to your coming here (this time)?
(Whats the major problem youve been having
trouble with?)
IF DOES NOT GIVE DETAILS OF
PRESENTING PROBLEM:
Tell me more about that.
(What do you mean by ?)
Page 10
(Jan 1995 FINAL)
Overview iii
ONSET OF PRESENT ILLNESS

OR EXACERBATION
When did this begin?
(When did you first notice that something
was wrong?)
When were you last feeling OK
(your usual self)?
NEW SXS OR RECURRENCE
Is this something new or a return of
something you had before?
(What made you come for help now?)
ENVIRONMENTAL CONTEXT AND
POSSIBLE PRECIPITANTS OF
PRESENT ILLNESS OR
EXACERBATION
(USE THIS INFORMATION FOR
CODING AXIS IV.)
What was going on in your life when this
began?
Did anything happen or change just before
all this started? (Do you think this had
anything to do with your [PRESENT
ILLNESS]?
COURSE OF PRESENT ILLNESS
OR EXACERBATION
After it started, what happened next?
(Did other things start to bother you?)
Since this began, when have you felt the
worst?
IF MORE THAN A YEAR AGO: In the
last year, when have you felt the worst?
Page 11
(Jan 1995 FINAL)
Overview iv
TREATMENT HISTORY
When was the first time you saw someone
for emotional or psychiatric problems?
(What was that for? What treatment(s) did
you get? What medications?)
What about treatment for drugs or alcohol?
(THE LIFE CHART ON PAGE vi OF
OVERVIEW MAY BE USED TO DOCUMENT
A COMPLICATED HISTORY OF
PSYCHOPATHOLOGY AND TREATMENT)
Have you ever been a patient in a
psychiatric hospital?
Number of previous hospitalizations

(Do not include transfers)
IF YES: What was that for?

(How many times?)
0
1
2
3
4
5 (or
more)
IF GIVES AN INADEQUATE ANSWER,

CHALLENGE GENTLY:
e.g., Wasnt there something else?
People dont usually go to psychiatric
hospitals just because they are (TIRED/
NERVOUS/PTS OWN WORDS)
Have you ever been in a hospital for
treatment of a medical problem?
IF YES: What was that for?
OTHER CURRENT PROBLEMS
Have you had any other problems in the last
month?
Whats your mood been like?
How has your physical health been?
(Have you had any medical problems?)
(USE THIS INFORMATION TO CODE AXIS
III)
Page 12
(Jan 1995 FINAL)
Overview v
Do you take any medications or vitamins

(other than those youve already told me
about)?
IF YES: How much and how often do
you take (MEDICATION)? (Has there
been any change in the amount you
have been taking?)
How much have you been drinking (alcohol)
(in the past month)? Have you been taking
any drugs (in the past month)? (What about
marijuana, cocaine, other street drugs?)
CURRENT SOCIAL FUNCTIONING
How have you been spending your free
time?
Who do you spend time with?
MOST LIKELY CURRENT DIAGNOSES:
DIAGNOSES THAT NEED TO BE RULED

OUT:
Page 13
(Jan 1995 FINAL)
Overview vi
LIFE CHART
Age (or date)
Description (symptoms, triggering events)
Treatment
RETURN TO OVERVIEW PAGE iv, OTHER CURRENT PROBLEMS
Page 14
SCID-I
(DSM-IV) Version 2.0
(Jan 1995 FINAL) Screening Questions
Screening Page 1
SCID SCREENING MODULE (OPTIONAL)

Now I want to ask you some more
specific questions about problems you
may have had. Well go into more detail
about them later.
RESPOND TO POSITIVE RESPONSES WITH: Well talk more about that later.
1.
Has there been any time in your life when you had five or more
drinks (beer, wine, or liquor) on one occasion?
1
CIRCLE
NO ON
E.1
2.
Have you ever used street drugs?
1
CIRCLE
NO ON
E.10
3.
Have you ever gotten hooked on a prescribed medicine or

taken a lot more of it than you were supposed to?
1
CIRCLE
NO ON
E.10
4.
5.
Have you ever had a panic attack, when you suddenly felt
frightened or anxious or suddenly developed a lot of
physical symptoms?
1
CIRCLE
NO ON
F.1
Were you ever afraid of going out of the house alone, being in
crowds, standing in a line, or traveling on buses or trains?
1
CIRCLE
NO ON
F.7
6.
7.
Is there anything that you have been afraid to do or felt

uncomfortable doing in front of other people, like speaking,
eating, or writing?
Are there any other things that you have been especially afraid
of, like flying, seeing blood, getting a shot, heights, closed
places, or certain kinds of animals or insects?
? = inadequate information
1 = absent or false
1
CIRCLE
NO ON
F.11
1
CIRCLE
NO ON
F.16
2 = subthreshold
CIRCLE
YES
ON E.1
2
CIRCLE
YES
ON E.10
2
CIRCLE
YES
ON E.10
2
CIRCLE
YES
ON F.1
2
CIRCLE
YES
ON F.7
2
CIRCLE
YES
ON F.11
2
CIRCLE
YES
ON F.16
3 = threshold or true
Page 15
SCID-I
8.
9.
10.
(Jan 1995 FINAL) Screening Questions
Have you ever been bothered by thoughts that didnt make any
sense and kept coming back to you even when you tried not to
have them?
Was there ever anything that you had to do over and over again
and couldnt resist doing, like washing your hands again and
again, counting up to a certain number, or checking something
several times to make sure that youd done it right?
1
CIRCLE
NO ON
F.20
1
CIRCLE
NO ON
F.21
In the last six months, have you been particularly nervous or

anxious?
1
CIRCLE
NO ON
F.31
11.
Have you ever had a time when you weighed much less than
other people thought you ought to weigh?
1
CIRCLE
NO ON
H.1
12.
Have you often had times when your eating was out of
control?
1
CIRCLE
NO ON
H.4
1 = absent or false
2 = subthreshold
Screening Page 2
CIRCLE
YES
ON F.20
2
CIRCLE
YES
ON F.21
2
CIRCLE
YES
ON F.31
2
CIRCLE
YES
ON H.1
2
CIRCLE
YES
ON H.4
Page 16
SCID-P (W/PSY SCREEN) (Version 1.0)
Psychotic Screening B/C.1
B/C. *Psychotic Screening*

THIS MODULE IS FOR CODING PSYCHOTIC AND ASSOCIATED SXS THAT HAVE
BEEN PRESENT AT ANY POINT IN THE PERSONS LIFETIME. (IN SOME
CLINICAL AND RESEARCH SETTINGS, SUBJECTS WITH A HISTORY OF NONORGANIC PSYCHOTIC SYMPTOMS, OR A HISTORY OF NON-ORGANIC
PSYCHOTIC SYMPTOMS THA T OCCUR IN A CONTEXT OTHER THAN A MOOD
DISORDER, WILL BE EXCLUDED.)
FOR ALL PSYCHOTIC AND ASSOCIATED SYMPTOMS CODED 3, DETERMINE
WHETHER THE SYMPTOM IS NOT ORGANIC, OR WHETHER THERE IS A
POSSIBLE OR DEFINITE ORGANIC CAUSE. THE FOLLOWING QUESTIONS MAY BE
USEFUL IF THE OVERVIEW HAS NOT ALREADY PROVIDED THE INFORMATION:
When you were (PSYCHOTIC SXS), were you taking any drugs or medicines?
Drinking a lot? Physically ill?
IF HAS NOT ACKNOWLEDGED
PSYCHOTIC SXS: Now I am going to
ask you about unusual experiences that
people sometimes have.
IF HAS ACKNOWLEDGED PSYCHOTIC
SXS: You have told me about
(PSYCHOTIC EXPERIENCES). Now I
am going to ask you more about those
kinds of things.
DELUSIONS
False personal belief(s) based on incorrect
inference about external reality and firmly
sustained in spite of what almost everyone
else believes and in spite of what
constitutes incontrovertible and obvious
proof or evidence to the contrary. Code
overvalued ideas [unreasonable and
sustained beliefs that are maintained with
less than delusional intensity] as 2.
NOTE: A SINGLE DELUSION MAY BE
CODED 3 ON MORE THAN ONE OF THE
FOLLOWING ITEMS.
Did it ever seem that people were talking

about you or taking special notice of you?
Delusions of reference, i.e., personal

significance is falsely attributed to
objects or events in environment
What about receiving special messages

from the TV, radio, or newspaper, or from DESCRIBE:
the way things were arranged around you?
What about anyone going out of the way to Persecutory delusions, i.e., the individual
give you a hard time, or trying to hurt you? (or his or her group) is being attacked,
harassed, cheated, persecuted, or
conspired against
Poss def
organic
Not
organic
Poss def
organic
Not
organic
DESCRIBE:
1 = absent or false
2 = subthreshold
Page 17

Did you ever feel that you were
especially important in some way, or that
you had powers to do things that other
people couldnt do?

Grandiose delusions, i.e., content
involves exaggerated power, knowledge,
or importance
DESCRIBE:
Did you ever feel that parts of your body

had changed or stopped working? (What
did the doctor say?)
Somatic delusions, i.e., content involves

change or disturbance in body functioning
DESCRIBE:
(Did you feel that you had committed a

crime or done something terrible for
which you should be punished?)
Other delusions, e.g., delusions of guilt,

jealousy, nihilism, poverty
DESCRIBE:
1 = absent or false
2 = subthreshold
Poss def
organic
Not
organic
Poss def
organic
Not
organic
Poss def
organic
Not
organic
Page 18

*Hallucinations*

HALLUCINATIONS (PSYCHOTIC)
A sensory perception without external
stimulation of the relevant sensory organ.
(CODE 2 FOR HALLUCINATIONS THAT
ARE SO TRANSIENT AS TO BE WITHOUT
DIAGNOSTIC SIGNIFICANCE.)
Did you ever hear things that other

people couldnt hear, such as noises, or
the voices of people whispering or
talking? (Were you awake at the time?)
Auditory hallucinations when fully awake

and heard either inside or outside of head
Did you ever have visions or see things

that other people couldnt see? (Were
you awake at the time?)
Visual hallucinations
DESCRIBE:
DESCRIBE:
NOTE: DISTINGUISH FROM AN

ILLUSION, I.E., A MISPERCEPTION OF
A REAL EXTERNAL STIMULUS.
What about strange sensations in your
body or on your skin?
Tactile hallucinations, e.g., electricity
DESCRIBE:
(What about smelling things that other

people couldnt smell?)
Other hallucinations, e.g., gustatory,

olfactory
DESCRIBE:
ANY ITEM CODED 3 IN NOT ORG

SECTION
1
1
3
Not
organic
Poss def
organic
Not
organic
Poss def
organic
Not
organic
Poss def
organic
Not
organic
1
1
Poss def
organic
No hx psychosis
LIFETIME OR CURRENT
PREVALENCE OF PSYCHOSIS
3
3
Exclude
from
Study
3
EXCLUDE
FROM
STUDY
1 = absent or false
2 = subthreshold
Page 19
SCID-I
*PAST MANIC EPISODE*
Past Manic (Jan 1995 FINAL)
MANIC EPISODE CRITERIA
NOTE: IF CURRENTLY ELEVATED OR

IRRITABLE MOOD BUT FULL CRITERIA
ARE NOT MET FOR A MANIC EPISODE,
SUBSTITUTE THE PHRASE Has there
ever been another time IN EACH OF
THE SCREENING QUESTIONS BELOW.
Have you ever had a period of
time when you were feeling so
good, high, or hyper that other
people thought you were not your
normal self or you were so hyper
that you got into trouble?
(Did anyone say you were
manic?) (Was that more than just
feeling good?)
IF NO: What about a period of
time when you were so
irritable that you found
yourself shouting at people or
starting fights or arguments?
(Did you find yourself shouting
at people you really didnt
know?)
A. A distinct period of abnormally

and persistently elevated,
expansive, or irritable mood
GO TO
PTSD
Check if:
____ elevated, expansive mood
____ irritable mood
When was that?

What was it like?
How long did that last?
(as long as one week?)
(Did you have to go into a
hospital?)
lasting at least one week (or any

duration if hospitalization is
necessary)
Have you had more than one time

like that? (Which time was the
most extreme?)
NOTE: IF THERE IS EVIDENCE

FOR MORE THAN ONE PAST
EPISODE, SELECT THE WORST
ONE FOR YOUR INQUIRY ABOUT
PAST MANIC EPISODE. IF THERE
WAS AN EPISODE IN THE PAST
YEAR, ASK ABOUT THAT EPISODE
EVEN IF IT WAS NOT THE WORST.
IF UNCLEAR: Have you had any

times like that in the past year?
1 = absent or false
2 = subthreshold
GO TO
*PAST
HYPOMANIC
EPISODE*
Page 21
SCID-I
FOCUS ON THE WORST

PERIOD OF THE EPISODE
THAT YOU ARE INQUIRING
ABOUT.
IF UNCLEAR: During (EPISODE),
when were you the most (OWN
EQUIVALENT FOR MANIA)?

B. During the period of mood
disturbance, three (or more) of the
following symptoms have persisted
(four if the mood is only irritable) and
have been present to a significant
degree:
During that time

how did you feel about
yourself?
(1) inflated self-esteem or

grandiosity
(2) decreased need for sleep

(e.g., feels rested after only
three hours of sleep)
were you much more talkative

than usual? (Did people have
trouble stopping you or
understanding you? Did people
have trouble getting a word in
edgewise?)
(3) more talkative than usual or

pressure to keep talking
were your thoughts racing

through your head?
(4) flight of ideas or subjective

experience that thoughts are
racing
were you so easily distracted

by things around you that you had
trouble concentrating or staying
on one track?
(5) distractibility (i.e., attention

too easily drawn to unimportant
or irrelevant external stimuli)
how did you spend your time?

(Work, friends, hobbies?) (Were
you so active that your friends or
family were concerned about
you?)
(6) increase in goal-directed

activity (either socially, at work
or school, or sexually) or
psychomotor agitation
(More self-confident that usual?)

(Any special powers or abilities?)
did you need less sleep than
usual?
IF YES: Did you still feel rested?
IF NO INCREASED ACTIVITY:
Were you physically restless?
(How bad was it?)
Check if:
____ increase in activity
____ psychomotor agitation
1 = absent or false
2 = subthreshold
Page 22
SCID-I
During this time

did you do anything that could
have caused trouble for you or
your family? (Buying things
you didnt need?) (Anything
sexual that was unusual for you?)
(Reckless driving?)
(7) excessive involvement in

pleasurable activities which
have a high potential for painful
consequences (e.g., engaging
in unrestrained buying sprees,
sexual indiscretions, or foolish
business investments)
AT LEAST THREE B SXS ARE
CODED 3 (FOUR IF MOOD ONLY
IRRITABLE)
IF NOT ALREADY ASKED: Has there

been any other time when you were
(high/irritable/OWN EQUIVALENT)
and had even more of the symptoms
that I just asked you about?
IF YES: RETURN TO *PAST
MANIC EPISODE,* AND INQUIRE
ABOUT WORST EPISODE.
CONTINUE
IF NO: GO TO PTSD
IF NOT KNOWN: At that time, did

you have serious problems at
home or at work (school) because
you were (SYMPTOMS) or did
you have to go to into a hospital?
C. The mood disturbance is

sufficiently severe to cause marked
impairment in occupational
functioning or in usual social activities
or relationships with others, or to
necessitate hospitalization to prevent
harm to self or others, or there are
psychotic features.
IF NOT ALREADY ASKED: Has

there been any other time when you
were (high/irritable/OWN
EQUIVALENT) and had
(ACKNOWLEDGED MANIC
SYMPTOMS) and you got into
trouble with people or were
hospitalized?
IF YES: RECODE CRITERION C as 3
CONTINUE
ON NEXT
PAGE
IF NO: GO TO *PAST HYPOMANIC CRITERION C*

1 = absent or false
2 = subthreshold
Page 23
SCID-I
Just before this began, were you

physically ill?
IF YES: What did the doctor
say?
taking any medications?
IF YES: Any change in the
amount you were taking?
drinking or using any street
drugs?
D. Not due to the direct

physiological effects of a
substance (e.g., a drug of abuse,
medication) or to a general
medical condition
DUE TO SUBSTANCE USE

OR GMC
IF GENERAL MEDICAL CONDITION

OR SUBSTANCE THAT CAN BE
ETIOLOGICALLY ASSOCIATED WITH
MANIA, GO TO *GMC/SUBSTANCE*
AND RETURN HERE AND MAKE
RATING OF 1 OR 3.
NOTE: MANIC EPISODES THAT ARE
CLEARLY PRECIPITATED BY
SOMATIC ANTIDEPRESSANT
TREATMENT (E.G., MEDICATION,
ECT, LIGHT THERAPY) SHOULD NOT
COUNT TOWARDS A DIAGNOSIS OF
BIPOLAR I DISORDER.
REFER TO LIST OF GENERAL
MEDICAL CONDITIONS AND
SUBSTANCES
IF UNKNOWN: Has there been any

other time when you were
(high/irritable/OWN EQUIVALENT)
and were not (using SUBSTANCE/ill
with GMC)?
PRIMARY
MOOD
EPISODE

MANIC EPISODE,* AND INQUIRE
ABOUT OTHER EPISODE.
IF NO: GO TO PTSD
CONTINUE
1 = absent or false
2 = subthreshold
Page 24
SCID-I
MANIC EPISODE CRITERIA

A, B, C, AND D ARE CODED 3
3
EXCLUDE
FROM
STUDY
How old were you when (PAST

MANIC EPISODE) started?
Age at onset of Past Manic

Episode coded above
How many separate times were

you (HIGH/OWN EQUIVALENT)
and had (ACKNOWLEDGED
MANIC SYMPTOMS) for a period
of time (or were hospitalized)?
Number of Manic Episodes

(CODE -6 IF TOO INDISTINCT
OR NUMEROUS TO COUNT)
1 = absent or false
GO TO NEXT
MODULE
2 = subthreshold
Page 25
SCID-I
Past Hypomanic (Jan 1995 FINAL)
*PAST HYPOMANIC EPISODE*
HYPOMANIC EPISODE CRITERIA
(When you were [HIGH/IRRITABLE/

OWN EQUIVALENT],did it last for at
least four days?)
A. A distinct period of sustained

elevated, expansive, or irritable
mood, lasting throughout at least 4
days, that is clearly different from
the usual nondepressed mood
What was it like?
Check if:
____ elevated, expansive mood
____ irritable mood
Have you had more than one time like

that? (Which time was the most
extreme?)
NOTE: IF THERE IS EVIDENCE

FOR MORE THAN ONE PAST
EPISODE, SELECT THE
WORST ONE FOR YOUR
INQUIRY ABOUT PAST
HYPOMANIC EPISODE. IF
THERE WAS AN EPISODE IN
THE PAST YEAR, ASK ABOUT
THAT EPISODE EVEN IF IT WAS
NOT THE WORST.
IF UNCLEAR: Have you had any

times like that in the past year?
FOCUS ON THE WORST PERIOD

OF THE EPISODE THAT YOU ARE
INQUIRING ABOUT.
IF UNCLEAR: During (EPISODE),
when were you the most (OWN
EQUIVALENT FOR HYPOMANIA)?
GO TO
PTSD
B. During the period of mood

disturbance, three (or more) of the
following symptoms have persisted
(four if the mood is only irritable) and
have been present to a significant
degree:
During that time

how did you feel about yourself?
(1) inflated self-esteem or

grandiosity
(2) decreased need for sleep (e.g.,

feels rested after only three hours
of sleep)
were you much more talkative than

usual? (Did people have trouble
stopping you or understanding you?
Did people have trouble getting a
word in edgewise?)
(3) more talkative than usual or

pressure to keep talking
were your thoughts racing through

your head?
(4) flight of ideas or subjective

experience that thoughts are racing
(More self-confident than usual?)

(Any special powers or abilities?)
did you need less sleep than
usual?
IF YES: Did you still feel rested?
1 = absent or false
2 = subthreshold
Page 27
SCID-I
During this time

were you so easily distracted
by things around you that you had
trouble concentrating or staying
on one track?
(5) distractibility (i.e., attention too

easily drawn to unimportant or
irrelevant external stimuli)
how did you spend your time?

(Work, friends, hobbies?) (Were
you so active that your friends or
family were concerned about
you?)
(6) increase in goal-directed

activity (either socially, at work or
school, or sexually) or
IF NO INCREASED ACTIVITY:
Were you physically restless?
(How bad was it?)
did you do anything that could
have caused trouble for you or
your family? (Buying things you
didnt need?) (Anything sexual
that was unusual for you?)
(Reckless driving?)
Check if:
____ increase in activity
(7) excessive involvement in
pleasurable activities that have a
high potential for painful
consequences (e.g., engaging in
unrestrained buying sprees,
sexual indiscretions, or foolish
business investments)
NOTE: BECAUSE OF THE
DIFFICULTY OF DISTINGUISHING NORMAL PERIODS OF
GOOD MOOD FROM
HYPOMANIA, REVIEW ALL
ITEMS CODED 3 IN CRITERIA
A AND B AND RECODE ANY
EQUIVOCAL JUDGMENTS.
AT LEAST THREE B SXS ARE
CODED 3 (FOUR IF MOOD ONLY
IRRITABLE)
GO TO
PTSD
1 = absent or false
2 = subthreshold
Page 28
SCID-I
*PAST HYPOMANIC CRITERION C*

IF NOT KNOWN: Is this very
different from the way you usually
are? (How were you different? At
work? With friends?)
C. The episode is associated with

an unequivocal change in
functioning that is uncharacteristic
of the person when not
symptomatic
IF NOT KNOWN: Did other people

notice the change in you?
(What did they say?)
D. The disturbance in mood and

the change in functioning are
observable by others
GO TO
PTSD
GO TO
PTSD
IF NOT KNOWN: At that time, did you

have serious problems at home or at
work (school) because you were
(SYMPTOMS) or did you have to go
into a hospital?
E. The episode is not severe enough

to cause marked impairment in social
or occupational functioning, or to
necessitate hospitalization, and there
are no psychotic features
1 = absent or false
2 = subthreshold
CONSIDER
RECODING
CRITERION
C
Page 29
SCID-I

physically ill?
say?
taking any medications?
amount you were taking?
drinking or using any street
drugs?
F. Not due to the direct

physiological effects or a
medical condition
DUE TO SUBSTANCE USE

OR GMC
IF THERE IS A POSSIBILITY OF A
GENERAL MEDICAL CONDITION
OR SUBSTANCE THAT CAN BE
ETIOLOGICALLY ASSOCIATED
WITH HYPOMANIA, GO TO
*GMC/SUBSTANCE* AND RETURN
HERE AND MAKE RATING OF 1
OR 3.
NOTE: HYPOMANIC EPISODES
CLEARLY PRECIPITATED BY
SOMATIC ANTIDEPRESSANT
TREATMENT (E.G., MEDICATION,
ECT, LIGHT THERAPY) SHOULD NOT
COUNT TOWARDS A DIAGNOSIS OF
BIPOLAR II DISORDER BUT ARE
CONSIDERED TO BE SUBSTANCEINDUCED MOOD DISORDERS.
REFER TO LIST OF GENERAL
MEDICAL CONDITIONS AND
SUBSTANCES
IF UNKNOWN: Has there been any

other time when you were
(high/irritable/OWN EQUIVALENT) and
were not (using SUBSTANCE/ill with
GMC)?
PRIMARY
MOOD
EPISODE

HYPOMANIC EPISODE,* AND
INQUIRE ABOUT OTHER EPISODE.
IF NO: GO TO PTSD
CONTINUE
1 = absent or false
2 = subthreshold
Page 30
SCID-I
HYPOMANIC EPISODE CRITERIA

A, B, C, D, E, AND F ARE
CODED 3
EXCLUDE
FROM
STUDY
How old were you when (PAST

HYPOMANIC EPISODE) started?
Age at onset of Past Hypomanic

Episode coded above
How many separate times were

you (high/irritable/OWN
EQUIVALENT) and had
(ACKNOWLEDGED MANIC
SYMPTOMS) for a period of
time?
Total number of Hypomanic

Episodes (CODE -6 IF TOO
INDISTINCT OR NUMEROUS TO
COUNT)
1 = absent or false
GO TO NEXT
MODULE
2 = subthreshold
Page 31
SCID-I
Version 2.0 (for DSM-IV)
PTSD (Jan 1995 FINAL)
*POSTTRAUMATIC STRESS DISORDER*

Sometimes things happen to people that are extremely upsetting things like being in a lifethreatening situation like a major disaster; very serious accident or fire; being physically assaulted
or raped; seeing another person killed or dead, or badly hurt; or hearing about something horrible
that has happened to someone you are close to. At any time during your life, have any of these
kinds of things happened to you?
IF NO SUCH EVENTS, CHECK HERE _____ AND GO TO CURRENT MDE
Traumatic Events List
Brief description
Date (Month/Yr)
Age
/
/
/
/
/
/
/
IF ANY EVENTS LISTED: Sometimes these things keep coming back in nightmares, flashbacks,
or thoughts that you cant get rid of. Has that ever happened to you?
IF NO: What about being very upset when you were in a situation that reminded you
of one of these terrible things?
IF NO TO BOTH OF ABOVE, CHECK HERE _____ AND SKIP TO CURRENT MDE
1 = absent or false
2 = subthreshold
Page 33
SCID-I
POSTTRAUMATIC STRESS
DISORDER CRITERIA
FOR FOLLOWING QUESTIONS,
FOCUS ON TRAUMATIC
EVENT(S) MENTIONED IN
SCREENING QUESTION
ABOVE.
A. The person has been exposed

to a traumatic event in which both
of the following were present:
IF MORE THAN ONE TRAUMA

IS REPORTED: Which of these
do you think affected you the
most?
(1) the person experienced,

witnessed, or was confronted with
an event or events that involved
actual or threatened death or
serious injury, or a threat to the
physical integrity of self or others
IF UNCLEAR: How did you react

when (TRAUMA) happened? (Were
you very afraid or did you feel terrified
or helpless?)
(2) the persons response

involved intense fear,
helplessness, or horror
Now Id like to ask a few questions

about specific ways that it may have
affected you.
GO TO
CURRENT
MDE
?
GO TO
CURRENT
MDE
B. The traumatic event is persistently
reexperienced in one (or more) of the
following ways:
For example
did you think about (TRAUMA)
when you didnt want to or did
thoughts about (TRAUMA) come
to you suddenly when you didnt
want them to?
(1) recurrent and intrusive

distressing recollections of the
event, including images, thoughts,
or perceptions.
what about having dreams

about (TRAUMA)?
(2) recurrent distressing dreams

of the event.
what about finding yourself

acting or feeling as if you were
back in the situation?
(3) acting or feeling as if the

traumatic event were recurring
(includes a sense of reliving the
experience, illusions,
hallucinations, and dissociative
flashback episodes, including
those that occur on awakening or
when intoxicated)
what about getting very upset

when something reminded you of
(TRAUMA)?
(4) intense psychological distress

at exposure to internal or external
cues that symbolize or resemble
an aspect of the traumatic event
1 = absent or false
2 = subthreshold
Page 34
SCID-I
what about having physical

symptoms like breaking out
in a sweat, breathing heavily
or irregularly, or your heart
pounding or racing?
(5) physiological reactivity on

exposure to internal or external
cues that symbolize or resemble
an aspect of the traumatic event
AT LEAST ONE B SX IS
CODED 3
GO TO
CURRENT
MDE
C. Persistent avoidance of stimuli
associated with the trauma and
numbing of general responsiveness
(not present before the trauma), as
indicated by three (or more) of the
following:
Since (THE TRAUMA)
have you made a special
effort to avoid thinking or
talking about what happened?
(1) efforts to avoid thoughts,

feelings, or conversations
associated with the trauma
have you stayed away from

things or people that
reminded you of (TRAUMA)?
(2) efforts to avoid activities,

places, or people that arouse
recollections of the trauma
have you been unable to

remember some important
part of what happened?
(3) inability to recall an

important aspect of the trauma
have you been much less

interested in doing things that
used to be important to you,
like seeing friends, reading
books, or watching TV?
(4) markedly diminished

interest or participation in
significant activities
have you felt distant or cut

off from others?
(5) feeling of detachment or

estrangement from others
have you felt numb or like

you no longer had strong
feelings about anything or
loving feelings for anyone?
(6) restricted range of affect

(e.g., unable to have loving
feelings)
1 = absent or false
2 = subthreshold
Page 35
SCID-I
did you notice a change in

the way you think about or
plan for the future?
(7) sense of a foreshortened

future (e.g., does not expect to
have a career, marriage,
children, or a normal life span)
AT LEAST 3 C SXS ARE

CODED 3
GO TO
CURRENT
MDE
Since (THE TRAUMA)
D. Persistent symptoms of
increased arousal (not present
before the trauma) as indicated by
two (or more) of the following:
have you had trouble

sleeping? (What kind of
trouble?)
(1) difficulty falling or staying

asleep
have you been unusually

irritable? What about
outbursts of anger?
(2) irritability or outbursts of

anger
have you had trouble

concentrating?
(3) difficulty concentrating
..have you been watchful or

on guard even when there
was no reason to be?
(4) hypervigilance
have you been jumpy or

easily startled, like by sudden
noises?
(5) exaggerated startle

response
AT LEAST TWO D SXS ARE

CODED 3
GO TO
CURRENT
MDE
1 = absent or false
2 = subthreshold
Page 36
SCID-I
About how long did these problems

(CITE POSITIVE PTSD
SYMPTOMS) last?
E. Duration of the disturbance

(symptoms in criteria B, C, and D) is
more than one month
GO TO
CURRENT
MDE
F. The disturbance causes

clinically significant distress or
impairment in social, occupational,
or other important areas of
functioning
GO TO
CURRENT
MDE
POSTTRAUMATIC STRESS
DISORDER CRITERIA A, B, C,
D, E, AND F ARE CODED 3
GO TO
CURRENT
MDE
POST
TRAUMATIC
STRESS
DISORDER
*CHRONOLOGY OF PTSD*
IF UNCLEAR: During the past month,
have you had (SYMPTOMS OF
PTSD)?
Has met criteria for Posttraumatic

Stress Disorder during past month
IF PRINGO TO
CURRENT CIPAL DX
EXCLUDE
MDE
FROM
STUDY
1 = absent or false
2 = subthreshold
Page 37
NOTES ON DIFFERENTIAL DIAGNOSIS OF CHRONIC MAJOR DEPRESSION AND

DOUBLE DEPRESSION
Double Depressions versus Chronic Major Depression
The distinction between chronic major depression (major depressive episode with a duration of at
least two years) and double depression (major depressive episode superimposed on antecedent
dysthymia) can be extremely difficult, and often requires the interviewer to go beyond the standard
probes included in the SCID Major Depressive Episode and Dysthymic Disorder sections, and seek
additional information. The distinction is based largely on the type of onset of depression. In double
depression, the onset is insidious, and takes at least two years before reaching the point of a full
syndromal major depressive episode. In chronic major depression, the onset is more acute, and full
criteria for major depression are met within the first two years of the disturbance.
Thus, for differential diagnosis, the interviewer and patient must carefully review the first few
years of the patients chronic depression. It is important to bear in mind that in order to diagnose a major
depression within the first two years of the disturbance (which would indicate a diagnosis of chronic major
depression), there must be a period in which five or more major depressive symptoms were present most
of the day almost every day (e.g., at least 12 out of 14 days) for at least two weeks. In contrast, if the
patient was depressed most of the day, more days than not (i.e., at least 50% of the time) during the first
two years of the disturbance, but never reached the point of having five or more major depressive
symptoms most of the day almost every day for at least two consecutive weeks, this indicates an
antecedent dysthymia and a study diagnosis of double depression (major depression superimposed on
antecedent dysthymia).
If a patient reports being depressed their entire life or as far back as they can remember, this
suggests an insidious onset and the patient should generally be assumed to have an antecedent
dysthymia. In rare cases, a patient may have a major depressive episode, recover completely, and
sometime later develop a mild chronic depression with an insidious onset. In DSM-IV, the clock starts
over after a patient has been fully recovered (i.e., symptom-free) from a major depressive episode for
two months or more. That is, after two months of full recovery from a prior major depressive episode, a
patient again becomes eligible for a diagnosis of dysthymia. Note that this is the only way in which a
patient whose depressive illness began with a major depressive episode can ever be classified as having
double depression.
Chronic Major Depression: Continuous Full-Syndrome versus Incomplete Recovery
Chronic major depression is defined in two ways for this study. In both cases, the patient meets
criteria for a major depressive episode during the first two years of the disturbance. However, in the first
case, the patient meets full criteria continuously for at least the past two years. This is how chronic major
depression is defined in DSM-IV. For the purpose of this study, it will be referred to as chronic major
depression, continuous full-syndrome type.
The other form of chronic major depression included in this study consists of cases in which the
patient meets criteria for a major depressive episode during the first two years of the disturbance, ruling
out a diagnosis of antecedent dysthymia, but experiences periods of incomplete, or partial, recovery
during the course of the chronic depression. Incomplete recovery is defined as no longer meeting full
criteria for major depression, but still exhibiting significant depressive symptomatology (i.e., more than
just one or two mild symptoms) on a chronic-intermittent basis. This form of chronic depression is
Page 39
classified as chronic major depression in DSM-III-R, and as major depressive disorder, recurrent,
without full interepisode recovery, with no dysthymic disorder in DSM-IV. For the purpose of this study, it
will be referred to as chronic major depression, incomplete recovery type. Note that this diagnosis is
excluded if the patient has experienced a period of full recovery for more than two months during the past
two years, because then the episode is considered to have ended (a period of full recovery lasting over
two months during the past two years would also rule out diagnoses of chronic major depression,
continuous full-syndrome type and double depression, hence such a patient could not participate in the
study).
As an example of chronic depression, incomplete recovery type, consider the case of a 35-yearold male who has been depressed for the past ten years. He met full criteria for a major depressive
episode for six months during the first year of the disturbance, but then experienced a partial (or
incomplete) recovery in which he was depressed, on average, for four days a week and had three major
depressive symptoms for the next nine years, and did not meet full criteria for a major depressive
episode again until he experienced an exacerbation four months before entering the study.
Chronic Major Depression Superimposed on Antecedent Dysthymia
In some cases, patients will report having an episode of chronic major depression, continuous fullsyndrome type, superimposed on an antecedent dysthymic disorder. In other words, their course of
illness began with two or more years of dysthymia, but they entered the study in a major depressive
episode that met full criteria continuously for at least two years. Such patients meet criteria for both
double depression and chronic major depression, continuous full-syndrome type, and both diagnoses
should be assigned. However, note that the diagnoses of double depression and chronic major
depression, incomplete recovery type cannot both be assigned to the same patient. The reason is that
the subsyndromal depressive symptomatology present between major depressive episodes is assumed
to represent a return to the patients dysthymic baseline, rather than an incomplete recovery from the
major depressive episode.
Suggestions for Assessment
In assessing the course of depression, and distinguishing between the various types of chronic
depressive syndromes, it is generally helpful to construct a timeline with the patient that traces the onset,
duration, and severity of their depression. For example:
Age
12
Age
18
Age
22
Age
28
Age
35
Finally, it is important for the interviewer to be careful and consistent in their use of language in
talking with the patient, and to make sure that the patient understands the subtle distinctions that the
interviewer is trying to make in describing the onset, severity, and duration of depression. For example,
distinctions such as almost every day versus more days than not (or over half the time) are critical
for an accurate diagnosis, and it is very easy for interviewers and patients to misunderstand one another
unless these terms are used clearly, carefully, and consistently. Similarly, when discussing the age or
date of onset, duration, and severity of periods of depression, it is critical that both the interviewer and
patient are completely clear about which periods are being discussed.
Page 40
Case 1
23-year-old female with onset of clear dysthymia at age 8 with clear progression to major depression at
age 16. Current episode has lasted 7 years. No well periods.
10
12
14
16
18
20
22
24
26
Normal
Dysthymic
Major
Depression
Chronic Major Depression, Continuous Full-Syndrome Type, Superimposed on

Antecedent Dysthymia
Case 2
31-year-old male with a clear onset of dysthymia at age 5, major depressive episodes lasting 3-6 months
at ages 20, 23, and 27 resolving to dysthymic state, and a current episode of major depression lasting
less than 5 years. No well periods since age 5.
10
15
20
25
30
35
40
Normal
Dysthymic
Major
Depression
Major Depression Superimposed on Antecedent Dysthymia
Page 41
Case 3
50-year-old woman who states that her usual self has always been depressed, with disturbances of
sleep, interest, guilt, energy, concentration, and psychomotor activity. She has sometimes felt worse or
better with occasional periods of suicidal tendencies, but does not recall any change. I have been this
way since I was born.
Normal
Dysthymic
Major
Depression
Even though this person was not able to identify a change from her usual self, it was the decision of the
group to categorize this patient as having chronic major depression rather than dysthymia because of the
current severity and an inability to recognize a change in severity.
Current Chronic Major Depression, No Antecedent Dysthymia, Continuous Full-Syndrome

Type
Case 4
35-year-old male who has been depressed for the past ten years. He met full criteria for a major
depressive episode for 6 months during the first year of the disturbance, but then experienced a partial
(or incomplete) recovery in which he was depressed, on average, for 4 days a week and had three major
depressive symptoms for the next 9 years, and did not meet full criteria for a major depressive episode
again until he experienced an exacerbation four months ago.
20
25
30
35
Normal
Dysthymic
Major
Depression
Chronic Major Depression, No Antecedent Dysthymia, Incomplete Recovery Type
Page 42
Depression Timeline
This should be completed with the patient based on information from the Overview, Major Depression, and Dysthymia sections of the SCID. It
should be completed at the end of the Major Depression section or the beginning of the Dysthymia section, and should be revised if further
information becomes available in a subsequent section. The result should be a graph similar to that in the Note on Differential Diagnosis
section, with the onset and offset of all periods of dysthymia and major depression depicted on the graph, together with the approximate date
or the patients age at the time.
Normal Mood
(Euthymia)
Mild Depression
(Dysthymia)
Moderate-Severe
(Depression [MDE])
Current
MDE
Page 43
SCID-I
Current MDE (Jan 1995 FINAL)
Mood Episodes A.1
A. MOOD EPISODES
IN THIS SECTION, MAJOR DEPRESSIVE EPISODES, DYSTHYMIC DISORDER, MOOD
DISORDER DUE TO A GENERAL MEDICAL CONDITION, SUBSTANCE-INDUCED MOOD
DISORDER, AND EPISODE SPECIFIERS ARE EVALUATED.
CURRENT MAJOR DEPRESSIVE
EPISODE
MDE CRITERIA
Now I am going to ask you some more A. Five (or more) of the following
questions about your mood.
symptoms have been present during
the same two-week period and
represent a change from previous
functioning; at least one of the
symptoms is either (1) depressed
mood, or (2) loss of interest or
pleasure.
In the last month
has there been a period of time
when you were feeling depressed or
down most of the day nearly every
day? (What was that like?)
IF YES: How long did it last? (As
long as two weeks?)
what about losing interest or
pleasure in things you usually
enjoyed?
IF YES: Was it nearly every day?
How long did it last? (As long as
two weeks?)
(1) depressed mood most of

the day, nearly every day, as
indicated either by subjective
report (e.g., feels sad or
empty) or observation made by
others (e.g., appears tearful).
Note: in children and
adolescents can be irritable
mood.
(2) markedly diminished

interest or pleasure in all, or
almost all, activities most of the
day, nearly every day (as
indicated either by subjective
account or observation made
by others).
\ /
/ \
IF NEITHER
ITEM (1)
NOR ITEM
(2) IS
CODED 3,
EXCLUDE
FROM
STUDY
NOTE: WHEN RATING THE FOLLOWING ITEMS,

CODE (1) IF CLEARLY DUE TO A GENERAL MEDICAL
CONDITION, OR TO MOOD-INCONGRUENT
DELUSIONS OR HALLUCINATIONS.
1 = absent or false
2 = subthreshold
Page 45
SCID-I
Mood Episodes A.2
FOR THE FOLLOWING QUESTIONS,

FOCUS ON THE WORST TWO
WEEKS IN THE PAST MONTH (OR
ELSE THE PAST TWO WEEKS IF
EQUALLY DEPRESSED FOR ENTIRE
MONTH)
During this (TWO-WEEK PERIOD)
did you lose or gain any weight?
(How much?) (Were you trying to
lose weight?)
IF NO: How was your appetite?
(What about compared to your
usual appetite?) (Did you have to
force yourself to eat?) (Eat
[less/more] than usual?) (Was
that nearly every day?)
(3) significant weight loss when not

dieting, or weight gain (e.g., a change
of more than 5% of body weight in a
month) or decrease or increase in
appetite nearly every day. Note: in
children, consider failure to make
expected weight gains.
(4) insomnia or hypersomnia nearly

every day
were you so fidgety or restless

that you were unable to sit still?
(Was it so bad that other people
noticed it? What did they notice?
Was that nearly every day?)
(5) psychomotor agitation or

retardation nearly every day
(observable by others, not merely
subjective feelings of restlessness or
being slowed down)
what was your energy like? (Tired

all the time? Nearly every day?)
Check if::
____ weight loss or decreased
appetite
____ weight gain or increased
appetite
how were you sleeping? (Trouble

falling asleep, waking frequently,
trouble staying asleep, waking too
early, OR sleeping too much? How
many hours a night compared to
usual? Was that nearly every night?)
IF NO: What about the opposite

talking or moving more slowly
than is normal for you? (Was it
so bad that other people noticed
it? What did they notice? Was
that nearly every day?)
Check if:
____ insomnia
____ hypersomnia
NOTE: CONSIDER BEHAVIOR

DURING THE INTERVIEW
Check if:
____ psychomotor retardation
(6) fatigue or loss of energy nearly
every day
1 = absent or false
2 = subthreshold
Page 46
SCID-I
Mood Episodes A.3
During this time

how did you feel about yourself?
(Worthless?) (Nearly every day?)
IF NO: What about feeling guilty
about things you had done or not
done? (Nearly every day?)
(7) feelings of worthlessness or

excessive or inappropriate guilt
(which may be delusional) nearly
every day (not merely self-reproach
or guilt about being sick)
NOTE: CODE 1 OR 2 IF ONLY

LOW SELF-ESTEEM
Check if:
____ worthlessness
____ inappropriate guilt
did you have trouble thinking or
concentrating? (What kinds of things
did it interfere with?) (Nearly every
day?)
IF NO: Was it hard to make
decisions about everyday things?
(Nearly every day?)
were things so bad that you were
thinking a lot about death or that you
would be better off dead? What about
thinking of hurting yourself?
IF YES: Did you do anything to
hurt yourself?
(8) diminished ability to think or

concentrate, or indecisiveness, nearly
every day (either by subjective
account or as observed by others)
Check if:
____ diminished ability to think
____ indecisiveness
(9) recurrent thoughts of death (not
just fear of dying), recurrent suicidal
ideation without a specific plan, or a
suicide attempt or a specific plan for
committing suicide
NOTE: CODE 1 FOR SELFMUTILATION W/O SUICIDAL
INTENT
Check if:
____ thoughts of own death
____ suicidal ideation
____ specific plan
____ suicide attempt
AT LEAST FIVE OF THE ABOVE
SXS [A (1-9)] ARE CODED 3 AND
AT LEAST ONE OF THESE IS ITEM
(1) OR (2)
1 = absent or false
2 = subthreshold
EXCLUDED
FROM
STUDY
Page 47
SCID-I
IF UNCLEAR: Has (depressive

episode/OWN EQUIVALENT) made it
hard for you to do your work, take care
of things at home, or get along with
other people?
B. The symptoms cause clinically

significant distress or impairment in
social, occupational, or other
important areas of functioning.

physically ill?
C. Not due to the direct

medical condition

say?
using any medications?
amount you were using?
drinking or using any street drugs?
IF GENERAL MEDICAL
CONDITION OR SUBSTANCE MAY
BE ETIOLOGICALLY ASSOCIATED
WITH DEPRESSION, GO TO
*GMC/SUBSTANCE* AND
RETURN HERE TO MAKE RATING
OF 1 OR 3
Etiological general medical conditions
include: degenerative neurological
illnesses (e.g., Parkinsons disease,
Huntingtons disease, cerebrovascular disease), metabolic and
endocrine conditions (e.g., B-12
deficiency, hypothyroidism),
autoimmune conditions (e.g.,
systemic lupus erythematosis), viral
or other infections (e.g., hepatitis,
mononucleosis, HIV), and certain
cancers (e.g., carcinoma of the
pancreas).
Etiological substances include:
alcohol, amphetamines, cocaine,
hallucinogens, inhalants, opioids,
phencyclidine, sedatives, hypnotics,
anxiolytics, and other or unknown
substances (e.g., steroids).
1 = absent or false
2 = subthreshold
Mood Episodes A.4

?
EXCLUDED
FROM
STUDY
DUE TO
SUBSTANCE
USE OR
GMC.
EXCLUDED
FROM
STUDY
PRIMARY
MOOD
EPISODE
CONTINUE
BELOW
Page 48
SCID-I
(Did this begin soon after someone

close to you died?)
Mood Episodes A.5
D. Not better accounted for by

1
Bereavement, i.e., after the loss of a
loved one, the symptoms persist for
longer than 2 months or are
SIMPLE
characterized by marked functional
BEREAVEimpairment, morbid preoccupation
MENT
with worthlessness, suicidal ideation, EXCLUDED
psychotic symptoms, or psychomotor
FROM
retardation.
STUDY
MAJOR DEPRESSIVE EPISODE

CRITERIA A, B, C, AND D ARE
CODED 3
1
EXCLUDED
FROM
STUDY
IF NOT KNOWN: How long did this

period of (being depressed/OWN
EQUIVALENT) last?
Code 3 if CHRONIC
DEPRESSION (i.e., if current MDE
has lasted for two years with no
period of two months or longer
without depressive symptoms
3
NOT
SIMPLE
BEREAVEMENT
CONTINUE
BELOW
3
CURRENT
MAJOR
DEPRESSIVE
EPISODE
3
CHRONIC
Duration of current MDE (in months)

IF CHRONIC CODED 3:
CODE CHRONIC TYPE:
Did you have most of the symptoms
you described the entire two years, or
were there times in which you had only
three or four symptoms?
0 Not chronic
1 Chronic SX, but not
continuously at fullsyndromal level
3 - Chronic SX continuously
at full-syndromal level
How many separate times have you

been (depressed/OWN
EQUIVALENT) nearly every day for
at least two weeks and had several
of the symptoms that you
described, like (SXS OF WORST
EPISODE)?
Total number of episodes of Major

Depressive Syndrome, including
current (CODE -6 IF TOO
NUMEROUS OR INDISTINCT TO
COUNT)
How old were you when you first

had a lot of these symptoms for at
least two weeks?
Age at onset of first unequivocal

Major Depressive Syndrome
(CODE -3 IF UNKNOWN)
1 = absent or false
2 = subthreshold
Page 49
SCID-I
Version 2.0
Major Depressive (Jan 1995 FINAL)
*MAJOR DEPRESSIVE DISORDER*
Mood Differential A.6
MAJOR DEPRESSIVE DISORDER CRITERIA

At least one Major Depressive
Episode that is not due to the
direct physiological effects of a
general medical condition or
substance use.
At least one Major Depressive
Episode is not better accounted for
by Schizoaffective Disorder and is
not superimposed on
Schizophrenia, Schizophreniform
Disorder, Delusional Disorder, or
Psychotic Disorder Not Otherwise
Specified.
Has never had any Manic or
unequivocal Hypomanic Episodes.
EXCLUDED
FROM
STUDY
1
EXCLUDED
FROM
STUDY
EXCLUDED
FROM
STUDY
MAJOR
DEPRESSIVE
DISORDER
Indicate type:
1 Single episode
2 Recurrent (to be considered separate episodes, there must be an interval of at least two
consecutive months in which criteria are not met for a Major Depressive Episode)
Indicate type:
0 Non-chronic (current episode has lasted less than two years)
1 Chronic, incomplete recovery type (current episode has lasted more than two years, but
has not met full criteria for major depression during the entire time, and there is no
antecedent dysthymia)
2 - Chronic, continuous full-syndrome type (current episode has met full criteria for major
depression continuously for at least two years)
1 = absent or false
2 = subthreshold
Page 50
SCID-I
Melancholic Features (Jan 1995 FINAL)
Mood Episodes A.7
*WITH MELANCHOLIC FEATURES*
MELANCHOLIC FEATURES CRITERIA
IF UNKNOWN: During (PERIOD

OF CURRENT EPISODE), when
were you feeling the worst?
A. Either of the following, occurring

during the most severe period of
the current episode:
During that time
(1) loss of pleasure in all, or

almost all, activities
CODE BASED ON RESPONSE TO

ITEM A2 (PAGE A.1).
If something good hapopens to you or

someone tries to cheer you up, do you
feel better at least for a while?
\ /
/ \
(2) lack of reactivity to usually
pleasurable stimuli (does not
feel much better, even
temporarily, when something
good happens)
IF NEITHER
A (1) OR A (2)
ARE CODED
3, GO TO
*ATYPICAL
FEATURES*
A.9
B. Three (or more) of the following:

Is your feeling of (OWN EQUIVALENT
FOR DEPRESSED MOOD) different
from the kind of feeling you would get
if someone close to you died? (Or
something else bad happened to
you?)
(1) distinct quality of depressed

mood (i.e., the depressed
mood is perceived as distinctly
different from the kind of
feeling experienced after the
death of a loved one)
(2) the depression is regularly

worse in the morning
IF YES: How is it different?

Do you usually feel worse in the
morning?
1 = absent or false
2 = subthreshold
Page 51
SCID-I
CODE BASED ON A6 (PAGE A.2).
Melancholic Features (Jan 1995 FINAL)
Mood Episodes A.8
(3) early morning awakening

(at least two hours before
usual time of awakening)
CODE BASED ON A9 (Page A.2)
(4) marked psychomotor

retardation or agitation
(5) significant anorexia or weight

loss
(6) excessive or inappropriate

guilt
IF UNCLEAR: What time do you

wake up in the morning? (How
much earlier is it than your usual
time [before you were
depressed]?)
IF UNCLEAR: Have you been

feeling guilty about things you
have done or not done?
IF YES: Tell me about that.
AT LEAST THREE B ITEMS ARE
CODED 3
GO TO
*ATYPICAL
FEATURES*
A.9
CRITERIA A AND B ARE CODED 3
3
WITH
MELANCHOLIC
FEATURES
1 = absent or false
2 = subthreshold
Page 52
SCID-I
Atypical Features (Jan 1995 FINAL)
*WITH ATYPICAL FEATURES*
ATYPICAL FEATURES CRITERIA
In the past two weeks
The following features must

predominate during the most
recent two weeks of the Major
Depressive Episode:
NOTE: THE FOLLOWING

QUESTION WAS ALREADY ASKED
ON PAGE A.8 IN THE CONTEXT OF
MELANCHOLIC FEATURES:
If something good happens to you or
someone tries to cheer you up, do
you feel better, at least for a while?
A. Mood reactivity (i.e., mood

brightens in response to actual or
potential positive events).
Mood Episodes A.9
GO TO
NEXT
MODULE
B. Two (ore more) of the following
features:
CODE BASED ON A3 (PAGE A.2)
(1) significant weight gain or

increase in appetite
How many hours (in a 24-hour period)

do you usually sleep (including
naps)?
(2) hypersomnia
Do your arms or legs often feel heavy

(as though they were full of lead)?
(3) leaden paralysis (i.e., heavy,

leaden feelings in arms or legs)
Are you especially sensitive to how

others treat you?
(4) long-standing pattern of

interpersonal rejection sensitivity
(not limited to episodes of mood
disturbances) that results in
significant social or occupational
impairment
What happens to you when someone

rejects, criticizes, or slights you? (Do
you get very down or angry?) (For
how long?) (How has this affected
you?) (Is your reaction more extreme
than most peoples?)
NOTE: CODE 3 IF MORE THAN

10 HOURS A DAY
Have you avoided doing things or

being with people because you were
afraid of being criticized or rejected?
1 = absent or false
2 = subthreshold
Page 53
SCID-I
Atypical Features (Jan 1995 FINAL)

AT LEAST TWO B CRITERIA
ARE CODED 3
Mood Episodes A.10

1
GO TO
NEXT
MODULE
C. Criteria are not met for With
Melancholic Features or With
Catatonic Features during the same
episode.
CRITERIA A, B, AND C ARE CODED

3
GO TO
NEXT
MODULE
1
GO TO
NEXT
MODULE
WITH
ATYPICAL
FEATURES
1 = absent or false
2 = subthreshold
Page 54
SCID-I
Dysthmic Disorder (Jan 1995 FINAL)
*DYSTHYMIC DISORDER*
(CURRENT ONLY)
Mood Episodes A.11
DYSTHYMIC DISORDER CRITERIA
IF THERE HAS EVER BEEN A MANIC OR HYPOMANIC EPISODE,

CHECK HERE ____ AND GO TO NEXT MODULE.
IF CURRENT MAJOR DEPRESSIVE
EPISODE: Lets review when you first
had most of the symptoms of
(CURRENT MAJOR DEPRESSIVE
EPISODE). For the two years prior to
(BEGINNING DATE), were you
bothered by depressed mood, most of
the day, more days than not? (More
than half the time?)
A. Depressed mood (or can be

irritable mood in children and
adolescents) for most of the day, for
more days than not, as indicated
either by subjective account or
observation made by others, for at
least two years (one year for children
and adolescents).
IF YES: What was that like?
FIRST MET CRITERIA FOR

CURRENT MAJOR DEPRESSIVE
EPISODE:
Month/Yr: ____/____
How long have you been feeling this

way? (When did this begin?)
GO TO
NEXT
MODULE
Age: ____
Age at onset of current Dysthymic

Disorder (CODE -3 IF UNKNOWN)
1 = absent or false
2 = subthreshold
Page 55
SCID-I
Dysthymic Disorder (Jan 1995 FINAL)
COMPARE ONSET OF DYSTHYMIC

SXS WITH DATES OF PAST MAJOR
DEPRESSIVE EPISODES TO
DETERMINE IF THERE WERE ANY
MAJOR DEPRESSIVE EPISODES IN
FIRST TWO YEARS OF
DYSTHYMIC DISORDER.
D. No major depressive episode

during the first two years of the
disturbance (one year for children
and adolescents); i.e., not better
account for by chronic Major
Depressive Disorder, or Major
Depressive Disorder in partial
remission
IF A MAJOR DEPRESSIVE
EPISODE PRECEDED DYSTHYMIC
SXS: Now I want to know whether
you got completely back to your usual
self after that (MAJOR DEPRESSIVE
EPISODE) that you had (DATE),
before this long period of being mildly
depressed? (Were you back to your
usual self for at least two months?)
Note: There may have been a

previous Major Depressive Episode
provided there was a full remission
(no significant signs or symptoms for
two months) before development of
the Dysthymic Disorder. In addition,
after the initial two years (one year for
children or adolescents) of Dysthymic
Disorder, there may be superimposed
episodes of Major Depressive
Disorder, in which case both
diagnoses may be given.
Mood Episodes A.12

?
GO TO
NEXT
MODULE
NOTE: CODE 3 IF NO PAST

MAJOR DEPRESSIVE EPISODES
OR IF MAJOR DEPRESSIVE
EPISODES WERE NOT PRESENT
DURING THE FIRST TWO YEARS
OR IF THERE WAS AT LEAST A
TWO-MONTH PERIOD WITHOUT
SYMPTOMS PRECEDING THE
ONSET.
What is the longest period of time,
during this period of long-lasting
depression, that you felt OK? (NO
DYSTHYMIC SYMPTOMS)
C. During the two-year period (oneyear for children or adolescents) of

the disturbance, the person has never
been without the symptoms in A and
B for more than two months at a time.
GO TO
NEXT
MODULE
NOTE: CODE 1 IF NORMAL MOOD

FOR AT LEAST TWO MONTHS AT A
TIME.
1 = absent or false
2 = subthreshold
Page 56
SCID-I
During these periods of (OWN

EQUIVALENT FOR CHRONIC
DEPRESSION), do you often
Mood Episodes A.13
B. Presence, while depressed, of

two (or more) of the following:
lose your appetite? (What about

overeating?)
(1) poor appetite or overeating
have trouble sleeping or sleep too

much?
(2) insomnia or hypersomnia
have little energy to do things or

feel tired a lot?
(3) low energy or fatigue
feel down on yourself? (Feel

worthless, or a failure?)
(4) low self-esteem
have trouble concentrating or

making decisions?
(5) poor concentration or difficulty

making decisions
feel hopeless?
(6) feelings of hopelessness
AT LEAST TWO B SYMPTOMS

CODED 3
GO TO
NEXT
MODULE
E. Has never had a Manic Episode or
an equivocal Hypomanic Episode.
GO TO
NEXT
MODULE
IF NOT ALREADY CLEAR: RETURN
TO THIS ITEM AFTER
COMPLETING THE PSYCHOTIC
DISORDERS SECTION.
F. Does not occur exclusively during

the course of a chronic psychotic
disorder, such as Schizophrenia or
Delusional Disorder.
NOTE: CODE 3 IF NO CHRONIC

PSYCHOTIC DISORDER OR IF NOT
SUPERIMPOSED ON A CHRONIC
PSYCHOTIC DISORDER.
1 = absent or false
2 = subthreshold
GO TO
NEXT
MODULE
3
NOT
SUPERIMPOSED
CONTINUE
Page 57
SCID-I

physically ill?
IF YES: What did the doctor say?
using any medications?
amount you were using?
drinking or using any street drugs?
G. Not due to the direct physiological

effects of a substance (e.g., a drug of
abuse, medication) or to a general
medical condition
IF GENERAL MEDICAL
WITH DEPRESSION, GO TO
*GMC/SUBSTANCE* AND
RETURN HERE AND MAKE
RATING OF 1 OR 3.
Mood Episodes A.14

?
DUE TO
SUBSTANCE
USE OR
GMC
GO TO NEXT
MODULE
PRIMARY
MOOD
DISORDER
Etiological general medical conditions

include: degenerative neurological
illnesses (e.g., Parkinsons disease,
Huntingtons disease, cerebrovascular
disease, metabolic and endocrine
conditions (e.g., B-12 deficiency,
hypothyroidism), autoimmune
conditions (e.g., systemic lupus
erythematosis), viral or other
infections (e.g., hepatitis, mononucleosis, HIV), and certain cancers
(e.g., carcinoma of the pancreas)
alcohol, amphetamines, cocaine,
hallucinogens, inhalants, opioids,
phencyclidine, sedatives, hypnotics,
anxiolytics, and other or unknown
substances (e.g., steroids)
IF UNCLEAR: How much do your
depressed feelings interfere with your
life?
H. The symptoms cause clinically

important areas of functioning
DYSTHYMIC DISORDER CRITERIA

A, B, C, D, E, F, G, AND H ARE
CODED 3.
CONTINUE
?
GO TO
NEXT
MODULE
1
GO TO
NEXT
MODULE
3
DYSTHYMIC
DISORDER
Indicate Specifier:
1 Early Onset: onset before age 21
2 Late Onset: onset age 21 or older
1 = absent or false
2 = subthreshold
Page 58
SCID-I
Due to a GMC (Jan 1995 FINAL)
Mood Episodes A.15
*GMC/SUBSTANCE CAUSING MOOD SYMPTOMS*

MOOD DISORDER DUE TO A
MOOD DISORDER DUE TO A GENERAL

MEDICAL CONDITION CRITERIA
IF SYMPTOMS NOT TEMPORALLY ASSOCIATED WITH A GENERAL MEDICAL CONDITION,

CHECK HERE ____ AND GO TO *SUBSTANCE-INDUCED MOOD DISORDER,* A.17.
CODE BASED ON INFORMATION
ALREADY OBTAINED.
Do you think your (MOOD SXS) were

in any way related to your
(COMORBID GENERAL MEDICAL
CONDITION)?
IF YES: Tell me how.
(Did the [MOOD SXS] start or get
much worse only after [COMORBID
GENERAL MEDICAL CONDITION]
began?
If YES AND GMC HAS
RESOLVED: Did the (MOOD
SXS) get better once the
(COMORBID GENERAL
MEDICAL CONDITION) got
better?
A. A prominent and persistent

disturbance in mood characterized by
either (or both) of the following:
(1) depressed mood or markedly
diminished interest or pleasure in
all, or almost all, activities
(2) elevated, expansive, or

irritable mood
B./C. There is evidence from the

history, physical examination, or
laboratory findings that the
disturbance is the direct physiological
consequence of a general medical
condition and the disturbance is not
better accounted for by another
mental disorder (e.g., Adjustment
Disorder With Depressed Mood, in
response to the stress of having a
general medical condition).
GO TO
*SUBSTANCEINDUCED*
A.17
THE FOLLOWING FACTORS SHOULD BE

CONSIDERED AND SUPPORT THE
CONCLUSION THAT THE GMC IS
ETIOLOGIC TO THE MOOD SYMPTOMS:
1) THERE IS EVIDENCE FROM THE
LITERATURE OF A WELL-ESTABLISHED
ASSOCIATION BETWEEN THE GMC AND
MOOD SYMPTOMS.
2) THERE IS A CLOSE TEMPORAL
RELATIONSHIP BETWEEN THE COURSE OF
THE MOOD SYMPTOMS AND THE COURSE
OF THE GENERAL MEDICAL CONDITION.
3) THE MOOD SYMPTOMS ARE
CHARACTERIZED BY UNUSUAL
PRESENTING FEATURES (E.G., LATE AGE
AT ONSET).
1 = absent or false
2 = subthreshold
Page 59
SCID-I
Due to a GMC (Jan 1995 FINAL)
Mood Episodes A.16
4) THE ABSENCE OF
ALTERNATIVE EXPLANATIONS
(E.G., MOOD SYMPTOMS AS A
PSYCHOLOGICAL REACTION
TO THE GMC).
IF UNCLEAR: How much did (MOOD
SYMPTOMS) interfere with your life?
E. The symptoms cause clinically

D. The disturbance does not occur

exclusively during the course of
Delirium.
GO TO
*SUBSTANCEINDUCED*
A.17
1
MOOD
DISORDER
DUE TO A
GMC
DELIRIUM
DUE TO A
GMC
Indicate which type of symptom

presentation predominates:
1 With Depressive Features
(if predominant mood is
depressed but the full
criteria are not met for a
Major Depressive Episode)
2 With Major Depressive-like
Episode
3 With Manic Features
4 With Mixed Features
CONTINUE ON NEXT PAGE
1 = absent or false
2 = subthreshold
Page 60
SCID-I
Substance-Induced (Jan 1995 FINAL)
*SUBSTANCE-INDUCED MOOD
DISORDER*
SUBSTANCE-INDUCED
MOOD DISORDER CRITERIA
IF SYMPTOMS NOT TEMPORALLY ASSOCIATED WITH SUBSTANCE,

CHECK HERE ____ AND RETURN TO EPISODE BEING EVALUATED.
ALREADY OBTAINED.
A. A prominent and persistent

disturbance in mood
characterized by either (or both)
of the following:
Mood Episodes A.17

EPISODE BEING EVALUATED:
Current MDE
Past MDE
Current Manic
Current Hypomanic
Past Manic
Past Hypomanic
Dysthymic
Minor Dep. Episode
Bipolar NOS
Depressive NOS
(1) depressed mood or markedly

diminished interest or pleasure in
all, or almost all, activities
(2) elevated, expansive, or

irritable mood
IF NOT KNOWN: When did the

(MOOD SYMPTOMS) begin? Were
you already using (SUBSTANCE) or
had you just stopped or cut down
your use?
B. There is evidence from the history,

?
1
2
physical examination, or laboratory
findings that either (1) the symptoms
in A developed during or within a
NOT
month of substance intoxication or
SUBSTANCEwithdrawal, or (2) medication use is
INDUCED
etiologically related to the disturbance RETURN TO
EPISODE
BEING
EVALUATED
Do you think your (MOOD SXS) are

in any way related to your
(SUBSTANCE USE)?
C. The disturbance is not better

accounted for by a Mood Disorder
that is not substance-induced.
Evidence that the symptoms are
better accounted for by a Mood
Disorder that is not substanceinduced might include:
IF YES: Tell me how.

ASK ANY OF THE FOLLOWING
QUESTIONS AS NEEDED TO RULE
OUT A NON-SUBSTANCEINDUCED ETIOLOGY:
IF UNKNOWN: Which came first, the
(SUBSTANCE USE) or the (MOOD
SYMPTOMS)?
1) the mood symptoms precede

the onset of the Substance Abuse
or Dependence
IF UNKNOWN: Have you had a

period of time when you stopped
using (SUBSTANCE)?
2) the mood symptoms persist for

a substantial period of time (e.g.,
about a month) after the cessation
of acute withdrawal or severe
intoxication
IF YES: After you stopped using

(SUBSTANCE) did the (MOOD
SXS) get better?
1 = absent or false
2 = subthreshold
NOT
SUBSTANCEINDUCED
RETURN TO
EPISODE
BEING
EVALUATED
Page 61
SCID-I
Substance-Induced (Jan 1995 FINAL)
IF UNKNOWN: How much of

(SUBSTANCE) were you using when
you began to have (MOOD
SYMPTOMS)?
3) the mood symptoms are

substantially in excess of what
would be expected given the
character, duration, or amount of
the substance used
IF UNKNOWN: Have you had any

other episodes of (MOOD
SYMPTOMS)?
4) there is evidence suggesting

the existence of an independent
non-substance-induced Mood
Disorder (e.g., a history of
recurrent non-substance-related
Major Depressive Episodes)
IF YES: How many? Were you

using (SUBSTANCES) at those
times?
IF UNKNOWN: How much did
(MOOD SYMPTOMS) interfere with
your life?
E. The symptoms cause clinically

D. The disturbance does not occur

Delirium.
Mood Episodes A.18
RETURN TO
EPISODE
BEING
EVALUATED
1
SUBSTANCEINDUCED
MOOD
DISORDER
SUBSTANCEINDUCED
DELIRIUM

1 With Depressive Features
2 With Manic Features
3 With Mixed Features
Indicate context of development of mood
symptoms:
1 With Onset During Intoxication
2 With Onset During Withdrawal
RETURN TO EPISODE
BEING EVALUATED
1 = absent or false
2 = subthreshold
Page 62
A.19
MAIN DIAGNOSIS FOR REVAMP STUDY
Check main study diagnosis here:

Chronic Major Depression, no antecedent dysthymia, continuous full-syndrome type. On
Summary Score Sheet (page ii), circle 3 for past month Major Depressive Disorder, circle 2 for
Chronic (continuous full syndrome type), and circle 1 for Dysthymic Disorder.
Chronic Major Depression, no antecedent dysthymia, incomplete recovery type. On
Summary Score Sheet (page ii), circle 3 for past month Major Depressive Disorder, circle 1 for
Chronic (incomplete recovery type), and circle 1 for Dysthymic Disorder.
Major Depression Superimposed on Antecedent Dysthymia. On Summary Score Sheet
(page ii), circle 3 for past month Major Depressive Disorder, circle 0 for Non-Chronic subtype,
and circle 3 for Dysthymic Disorder.
Chronic Major Depression (continuous full-syndrome type) Superimposed on Antecedent
Dysthymia. On Summary Score Sheet (page ii), circle 3 for past month Major Depressive
Disorder, circle 2 for Chronic (continuous full-syndrome type), and circle 3 for Dysthymic
Disorder.
Page 63
SCID-I
Alcohol Use Disorders
(Jan 1995 FINAL)
E.1
E. SUBSTANCE USE DISORDERS

ALCOHOL USE DISORDERS (LIFETIME)
IF SCREENING QUESTION #1 ANSWERED NO, CHECK HERE _____ AND
SKIP TO *NON-ALCOHOL SUBSTANCE USE DISORDERS,* E.10.
IF SCREENER NOT USED OR IF QUESTION #1 IS

ANSWERED YES, CONTINUE:
IF NO: GO TO
*NON-ALCOHOL
USE DISORDERS*
E.10
What are your drinking habits like? (How

much do you drink?)
When in your life were you drinking
the most? (How long did that period
last?)
SCREEN Q#1
YES
NO
RECORD DATE OF HEAVIEST

USE AND DESCRIBE PATTERN:
During that time

how often were you drinking?
what were you drinking? how much?
During that time
did your drinking cause problems for
you?
did anyone object to your drinking?
IF ALCOHOL DEPENDENCE SEEMS LIKELY,
CHECK HERE _____ AND SKIP TO *ALCOHOL
DEPENDENCE,* E.4.
IF ANY INCIDENTS OF EXCESSIVE DRINKING OR ANY
EVIDENCE OF ALCOHOL-RELATED PROBLEMS,
CONTINUE WITH *ALCOHOL ABUSE,* ON NEXT PAGE.
IF NEVER HAD ANY INCIDENTS OF EXCESSIVE DRINKING AND
THERE IS NO EVIDENCE OF ANY ALCOHOL-RELATED PROBLEMS,
SKIP TO *NON-ALCOHOL SUBSTANCE USE DISORDERS,* E.10.
1 = absent or false
2 = subthreshold
Page 65
SCID-I
Alcohol Abuse
(Jan 1995 FINAL)
*LIFETIME ALCOHOL ABUSE*
ALCOHOL ABUSE CRITERIA
Let me ask you a few more

questions about your drinking
habits.
A. A maladaptive pattern of
substance use leading to clinically
significant impairment or distress, as
manifested by one (or more) of the
following occurring within a twelvemonth period:
Have you ever been intoxicated or

high or very hung over while you
were doing something important,
like being at school or work, or
taking care of children?
IF NO: What about missing
something important, like staying
away from school or work or missing
an appointment because you were
intoxicated, high, or very hung over?
E.2
(1) recurrent alcohol use resulting

in a failure to fulfill major role
obligations at work, school, or
home (e.g., repeated absences or
poor work performance related to
alcohol use; alcohol-related
absences, suspensions, or
expulsions from school; neglect of
children or household)
(2) recurrent alcohol use in

situations in which it is physically
hazardous (e.g., driving an
automobile or operating a
machine when impaired by
alcohol use)
(3) recurrent alcohol-related legal

problems (e.g., arrests for
alcohol-related disorderly
conduct)
(4) continued alcohol use despite

having persistent or recurrent
social or interpersonal problems
caused or exacerbated by the
effects of alcohol (e.g., arguments
with spouse about consequences
of intoxication, physical fights)
IF YES TO EITHER OF ABOVE: How

often? (Over what period of time?)
Did you ever drink in a situation in
which it might have been dangerous
to drink at all? (Did you ever drive
while you were really too drunk to
drive?)
IF YES AND UNKNOWN: How
Has your drinking gotten you into
trouble with the law?
IF YES AND UNKNOWN: How
IF NOT ALREADY KNOWN: Has
your drinking caused problems
with other people, such as with
family members, friends, or
people at work? (Have you ever
gotten into physical fights or had
bad arguments about your
drinking?)
IF YES: Did you keep on
drinking anyway? (Over what
period of time?)
1 = absent or false
2 = subthreshold
Page 66
SCID-I
Alcohol Abuse
(Jan 1995 FINAL)
AT LEAST ONE A ITEM

CODED 3
IF NO POSSIBILITY OF PHYSIOLOGICAL DEPENDENCE OR

COMPULSIVE USE, GO TO *NON-ALCOHOL USE DISORDERS,* E.10.
OTHERWISE CONTINUE ASKING ABOUT DEPENDENCE, E.4.
1 = absent or false
2 = subthreshold
E.3
3
ALCOHOL
ABUSE
CONTINUE
ASKING
ABOUT
DEPENDENCE,
E.4
Page 67
SCID-I
ALCOHOL DEPENDENCE
Alcohol Abuse
(Jan 1995 FINAL)
E.4
ALCOHOL DEPENDENCE CRITERIA
Id now like to ask you some more

questions about your drinking
habits.
A maladaptive pattern of alcohol use,

leading to clinically significant
impairment or distress, as manifested
by three (or more) of the following
occurring at any time in the same
twelve-month period:
NOTE: CRITERIA FOR ALCOHOL
DEPENDENCE ARE NOT IN DSM-IV
ORDER
Have you often found that when

you started drinking you ended up
drinking much more than you
were planning to?
(3) alcohol is often taken in larger

amounts OR over a longer time
period than was intended
(4) there is a persistent desire OR

unsuccessful effort to cut down or
control substance use
Have you spent a lot of time

drinking, being high, or hung
over?
(5) a great deal of time is spent in

activities necessary to obtain
alcohol, use alcohol, or recover from
its effects
Have you had times when you

would drink so often that you
started to drink instead of working
or spending time at hobbies or
with your family or friends?
(6) important social, occupational, or

recreational activities given up or
reduced because of alcohol use
IF NO: What about drinking for

a much longer period of time
than you were planning to?
Have you tried to cut down or stop
drinking alcohol?
IF YES: Did you ever actually
stop drinking altogether?
(How many times did you try to
cut down or stop altogether?)
IF NO: Did you want to stop or
cut down? (Is this something
you kept worrying about?)
1 = absent or false
2 = subthreshold
Page 68
SCID-I

your drinking ever caused any
psychological problems like
making you depressed or anxious,
making it difficult to sleep, or
causing blackouts?
your drinking ever caused
significant physical problems or
made a physical problem worse?
Alcohol Dependence
(Jan 1995 FINAL)
E.5
(7) alcohol use is continued despite

knowledge of having a persistent or
recurrent physical or psychological
problem that is likely to have been
caused or exacerbated by alcohol
(e.g., continued drinking despite
recognition that an ulcer was made
worse by alcohol consumption)
(1) tolerance, as defined by either of

the following:
IF YES TO EITHER OF ABOVE:

Did you keep on drinking anyway?
Have you found that you needed to
drink a lot more in order to get the
feeling you wanted than you did
when you first started drinking?
IF YES: How much more?
IF NO: What about finding that
when you drank the same
amount, it had much less effect
than before?
Have you ever had any withdrawal
symptoms when you cut down or
stopped drinking like
(a) a need for markedly increased

amounts of alcohol to achieve
intoxication or desired effect
(b) markedly diminished effect
with continued use of the same
amount of alcohol
(2) withdrawal, as manifested by
either (a) or (b):
(a) at least TWO of the following:
sweating or racing heart

hand shakes?
trouble sleeping?
feeling nauseated or vomiting?
feeling agitated?
or feeling anxious?
(How about having a seizure or
seeing, feeling, or hearing things
that werent really there?)
IF NO: Have you ever started the
day with a drink, or did you often
drink to keep yourself from getting
the shakes or becoming sick?
autonomic hyperactivity (e.g.,

sweating or pulse rate greater
than 100)
increased hand tremor
insomnia
nausea or vomiting
anxiety
grand mal seizures
transient visual, tactile, or
auditory hallucinations or
illusions
(b) alcohol (or a substance from

the sedative/hypnotic/anxiolytic
class) taken to relieve or avoid
withdrawal symptoms
1 = absent or false
2 = subthreshold
Page 69
SCID-I
IF UNKNOWN: When did (SXS

CODED 3 ABOVE) occur? (Did they
all happen around the same time?)
Alcohol Dependence
(Jan 1995 FINAL)
AT LEAST THREE A ITEMS

CODED 3 AND ITEMS
OCCURRED WITHIN THE SAME
TWELVE-MONTH PERIOD
E.6
ALCOHOL
DEPENDENCE
Indicate If:
1 - With Physiological Dependence
(current evidence of tolerance or
withdrawal)
2 - Without Physiological Dependence
(no current evidence of tolerance or
withdrawal)
GO TO DEPENDENCE CHRONOLOGY, E.7
IF ALCOHOL ABUSE QUESTIONS (PAGES E.1-E.3) HAVE NOT YET
BEEN ASKED, GO TO PAGE E.1 AND CHECK FOR ABUSE.
IF ABUSE QUESTIONS HAVE BEEN ASKED AND ABUSE IS PRESENT,
CODE 3; OTHERWISE, IF QUESTIONS HAVE BEEN ASKED AND
ABUSE IS NOT PRESENT, GO TO *NON-ALCOHOL USE DISORDERS,* E.10.
GO TO *NONALCOHOL USE
DISORDER*
E.10
How old were you when you first
had (ABUSE SXS CODED 3)?
Age at onset of Alcohol Abuse


have you had anything at all to drink?
Criteria for Alcohol Abuse met at any

time in past month
IF YES: Tell me more about it.

(Has your drinking caused you
any problems?)
1 = absent or false
PAST
ABUSE
2 = subthreshold
3
ALCOHOL
ABUSE
3
EXCLUDE
FROM
STUDY
ONLY IF
DETOX
REQUIRED
Page 70
SCID-I
Alcohol Dependence
(Jan 1995 FINAL)
E.7
*CHRONOLOGY FOR DEPENDENCE*

How old were you when you first had
(LIST OF ALCOHOL DEPENDENCE
OR ABUSE SXS CODED 3)?
Age at onset of Alcohol Dependence

or Abuse (CODE -3 IF UNKNOWN)
IF UNCLEAR: During the past

month, have you had anything at
all to drink?
Full criteria for Alcohol Dependence

met at any time in past month (or
never had a month without symptoms
of Dependence or Abuse since onset
of Dependence)
IF YES: Tell me more about it.

(Has your drinking caused you
any problems?)
GO TO
*REMISSION
SPECIFIERS*
E.8
3
EXCLUDE
FROM
STUDY
ONLY IF
DETOX
REQUIRED
*SEVERITY SPECIFIERS FOR DEPENDENCE*

NOTE SEVERITY OF DEPENDENCE FOR WORST WEEK OF PAST MONTH
(Additional questions about the effect of alcohol on social
and occupational functioning may be necessary.)
1 Mild:
Few, if any, symptoms in excess of those required to

make the diagnosis, and the symptoms result in no
more than mild impairment in occupational functioning
or in usual social activities or relationships with others
(or criteria met for Dependence in the past and some
current problems).
2 Moderate: Symptoms or functional impairment between mild and

severe.
3 Severe:
Many symptoms in excess of those required to make

the diagnosis, and the symptoms markedly interfere
with occupational functioning or with usual social
activities or relationships with others.
GO TO NON-ALCOHOL USE DISORDERS, E.10
1 = absent or false
2 = subthreshold
Page 71
SCID-I
Alcohol Dependence
(Jan 1995 FINAL)
E.8
*REMISSION SPECIFIERS FOR DEPENDENCE*

THE FOLLOWING REMISSION SPECIFIERS CAN BE APPLIED ONLY AFTER NO
CRITERIA FOR DEPENDENCE OR ABUSE HAVE BEEN MET FOR AT LEAST ONE
MONTH IN THE PAST.
Note: These specifiers do not apply if the individual is On Agonist
Therapy or In a Controlled Environment (next page).
Number of months prior to interview when last had some problems
with Alcohol
1
Early Full Remission: For at least one month, but less than
twelve months, no criteria for Dependence or Abuse have been met.
Dependence - 1
month
0 - 11 months
Sustained Full Remission: None of the criteria for Dependence

or Abuse have been met at any time during a period of twelve
months or longer.
Dependence - 1
month
Early Partial Remission: For at least one month, but less than
twelve months, one or more criteria for Dependence or Abuse have
been met (but the full criteria for Dependence have not been met).
Dependence - 1
month
0 - 11 months
11+ months
Sustained Partial Remission: Full criteria for Dependence have

not been met for a period of twelve months or longer; however,
one or more criteria for Dependence or Abuse have been met.
Dependence - 1
month
11+ months
1 = absent or false
2 = subthreshold
Page 72
SCID-I
Alcohol Dependence
(Jan 1995 FINAL)
Check ____ if
On Agonist Therapy: The individual is on a prescribed

agonist medication (e.g., Valium) and no criteria for
Dependence or Abuse have been met for that class of
medication for at least the past month (except tolerance to,
or withdrawal from, the agonist). This category also applies
to those being treated for Dependence using a partial
agonist or a mixed agonist/antagonist.
Check ____ if
In A Controlled Environment: The individual is in an

environment where access to alcohol and controlled
substances is restricted and no criteria for Dependence or
Abuse have been met for at least the past month.
Examples are closely-supervised and substance-free jails,
therapeutic communities, and locked hospital units.
1 = absent or false
2 = subthreshold
E.9
Page 73
SCID-I
Alcohol Dependence
(Jan 1995 FINAL)
E.10
*NON-ALCOHOL SUBSTANCE USE DISORDERS* (LIFET IME DEPENDENCE AND ABUSE)

SCREEN Q#2
YES
NO
IF SCREENING QUESTIONS #2 AND #3 ARE BOTH ANSWERED NO,

CHECK HERE _____ AND SKIP TO THE NEXT MODULE.
IF SCREENER NOT USED OR IF QUESTION #2 OR QUESTION #3 WAS
ANSWERED YES, CONTINUE:
Now I am going to ask you about
your use of drugs or medicines.
SCREEN Q#3
YES
NO
SHOW DRUG LIST TO SUBJECT
IF NO TO BOTH:
GO TO NEXT
MODULE
Have you ever taken any of these to get

high, to sleep better, to lose weight, or to
change your mood?
REFERRING TO LIST ON NEXT PAGE, DETERMINE LEVEL OF DRUG USE USING GUIDELINES BELOW
GUIDELINES FOR RATING LEVEL
OF DRUG USE:
FOR EACH DRUG GROUP EVER USED:
IF STREET DRUG: When were you
using (DRUG) the most?
Either (1) or (2):

(1) has ever taken street drug
more than 10 times in a one-month
period
(Has there ever been a

time when you used it at
least ten times in a onemonth period of time?)
IF PRESCRIBED: Did you ever
get hooked (become dependent)
on (PRESCRIBED DRUG) or
take much more of it than was
prescribed?
(2) reports becoming dependent

on a prescribed drug OR using
much more of it than was
prescribed
IF DRUG GROUP NEVER USED OR USED ONLY ONCE, OR IF PRESCRIBED

DRUG USED AS DIRECTED, CIRCLE 1 FOR DRUG GROUP ON E.11.
IF DRUG GROUP USED AT LEAST TWICE, BUT LESS THAN LEVEL
INDICATED ON (1), CODE 2 FOR DRUG GROUP ON E.11.
IF DRUG GROUP USED AT LEVEL INDICATED IN ITEM (1) OR IF POSSIBLY
DEPENDENT ON PRESCRIBED DRUG (ITEM (2) IS TRUE), CODE 3 ON E.11.
1 = absent or false
2 = subthreshold
Page 74
SCID-I
Version 2.0 (for DSM-IV) Non-Alcohol Use Disorders
CIRCLE THE NAME OF EACH DRUG EVER

USED (OR WRITE IN NAME IF OTHER)
(Jan 1995 FINAL)
RECORD PERIOD OF HEAVIEST

USE (AGE OR DATE, AND
DURATION) AND DESCRIBE
PATTERN OF USE
E.11
INDICATE LEVEL
OF USE (USE
GUIDELINES,
E.10)
Sedatives-hypnotics-anxiolytics:
Quaalude, Seconal, Valium, Xanax,
Librium, barbiturates, Miltown,
Ativan, Dalmane, Halcion, Restoril,
or other:
Cannabis: marijuana, hashish, THC, or

other:
Stimulants: amphetamine, speed,

crystal meth, dexadrine, Ritalin,
ice, or other:
Opioids: heroin, morphine, opium,

Methadone, Darvon, codeine, Percodan, Demerol, Dilaudid, unspecified
or other:
Cocaine: intranasal, IV, freebase,

crack, speedball, unspecified
or other
Hallucinogens/PCP: LSD, mescaline,

peyote, psilocybin, STP, mushrooms, PCP (angel dust), Extasy,
MDMA, or other:
Other: steroids, glue, paint, inhalants,
nitrous oxide (laughing gas), amyl
or butyl nitrate (poppers),
nonprescription sleep or diet pills,
unknown, or other:
ANY DRUG GROUPS CODED 2

OR 3
GO TO
NEXT
MODULE
1 = drug never used
2 = 10 times in a month
3 = >10 times or dependence on prescribed drug
Page 75
SCID-I
Version 2.0 (for DSM-IV) Non-Alcohol Use Disorders
IF AT LEAST THREE DRUG

GROUPS USED AND PERIOD OF
INDISCRIMINANT USE SEEMS
LIKELY, ASK THE FOLLOWING:
Youve told me that youve used
(DRUG/ALCOHOL). Was there a
period where you were using a lot
of different drugs at the same time
and that it did not matter what you
were taking as long as you could
get high?
(Jan 1995 FINAL)
Behavior during the same 12-month

period in which the person was
repeatedly using at least three groups
of substance (not including caffeine
and nicotine), but no single substance
predominated. Further, during this
period, the Dependence criteria were
(likely) met for substances as a group
but not for any specific substance.
E.12
2
3
USE
POLY
DRUG
COLUMN
NOTE: IN CASES THAT INCLUDE

PERIODS OF INDISCRIMINATE USE
AND OTHER PERIODS OF USE OF
SPECIFIC DRUGS, POLY DRUG
SHOULD BE CODED IN ADDITION
TO SPECIFIC DRUG COLUMNS.
IF NO DRUG CLASSES WERE CODED 3 ON PREVIOUS PAGE (I.E., 2S ONLY),

GO TO *SUBSTANCE ABUSE,* E.22.
FOR DRUG CLASSES CODED 3 CIRCLE THE APPROPRIATE COLUMNS ON PAGES E.12 TO E.18.
Now Im going to ask you some specific questions
about your use of (DRUGS CODED 3).
ASK EACH OF THE FOLLOWING QUESTIONS FOR
EACH DRUG CODED 3: For (DRUG)
Have you often found that when you
started using (DRUG) you ended up
using much more of it than you were
planning to?
IF NO: What about using it over a
much longer period of time than
you were planning to?
NOTE: CRITERIA FOR DEPENDENCE
ARE IN A DIFFERENT ORDER THAN
IN DSM-IV.
(3) The substance is often taken
in larger amounts OR over a
longer period than was intended.
SED/
HYPN/
ANX
CANN STIMU
ABIS LANTS
OPI
OID
COC
AINE
HALL/
PCP
POLY OTHER
1 = absent or false
2 = subthreshold
Page 76
SCID-I
Version 2.0 (for DSM-IV) Non-Alcohol Dependence
(Jan 1995 FINAL)
E.13
Have you tried to cut down or stop

using (DRUG)?
IF YES: Have you ever actually
stopped using (DRUG)
altogether?
(How many times did you try to
cut down or stop altogether?)
IF UNCLEAR: Did you want to
stop or cut down?
IF YES: Is this something you
kept worrying about?
SED/
HYPN/
ANX
(4) There is a persistent desire
OR unsuccessful efforts to cut
down or control substance use
CANN STIMU
ABIS LANTS
OPI
OID
COC
AINE
HALL/
PCP
POLY OTHER
1 = absent or false
2 = subthreshold
Page 77
SCID-I
(Jan 1995 FINAL)
E.14
Have you spent a lot of time using

(DRUG) or doing whatever you
had to do to get it? Did it take you
a long time to get back to normal?
(How much time? As long as
several hours?)
SED/
HYPN/
ANX
(5) A great deal of time is spent in
activities necessary to obtain the
substance, use the substance, or
recover from its effects
CANN STIMU
ABIS LANTS
OPI
OID
COC
AINE
HALL/
PCP
POLY OTHER
OPI
OID
COC
AINE
HALL/
PCP
Have you had times when you would use

(DRUG) so often that you used (DRUG) instead
of working or spending time on hobbies or with
your family or friends?
SED/
HYPN/
ANX
(6) Important social, occupational,
or recreational activities given up
or reduced because of substance
use
CANN STIMU
ABIS LANTS
POLY OTHER
1 = absent or false
2 = subthreshold
Page 78
SCID-I
(Jan 1995 FINAL)
E.15
IF NOT ALREADY KNOWN: Has (DRUG)

caused psychological problems, like
making you depressed?
IF NOT ALREADY KNOWN: Has (DRUG)
ever caused physical problems or made a
physical problem worse?
IF YES TO EITHER ABOVE: Did you
keep on using (DRUG) anyway?
SED/
HYPN/
ANX
(7) The substance use is continued
despite knowledge of having had a
persistent or recurrent physical or
psychological problem that is likely
to have been caused or
exacerbated by the substance
(e.g., current cocaine use despite
recognition of cocaine-related
depression)
CANN STIMU
ABIS LANTS
OPI
OID
COC
AINE
HALL/
PCP
POLY OTHER
OPI
OID
COC
AINE
HALL/
PCP
Have you found that you needed to

use a lot more (DRUG) in order to get
high than you did when you first
started using it?
IF YES: How much more?
IF NO: What about finding that
when you used the same amount,
it had much less effect than before?
(1) Tolerance, as defined by

either of the following:
(a) a need for markedly
increased amount of the
substance to achieve
intoxication or desired effect
(b) markedly diminished effect
with continued use of the
same amount of the
substance
SED/
HYPN/
ANX
CANN STIMU
ABIS LANTS
POLY OTHER
1 = absent or false
2 = subthreshold
Page 79
SCID-I
(Jan 1995 FINAL)
E.16
THE FOLLOWING ITEM MAY NOT APPLY TO

CANNABIS AND HALLUCINOGENS/PCP
Have you ever had withdrawal symptoms,
that is, felt sick when you cut down or
stopped using (DRUG)?
IF YES: What symptoms did you have?
REFER TO LIST OF WITHDRAWAL
SYMPTOMS ON E.17.
IF HAD WITHDRAWAL SXS: After not
using (DRUG) for a few hours or more,
have you often used it to keep yourself from
getting sick with (WITHDRAWAL SXS)?
What about using (DRUG IN SAME
GROUP) when you were feeling sick with
(WITHDRAWAL SXS) so that you would
feel better?
(2) Withdrawal, as manifested
by either of the following:
SED/
HYPN/
ANX
CANN STIMU
ABIS LANTS
OPI
OID
COC
AINE
HALL/
PCP
POLY OTHER
(a) the characteristic

withdrawal syndrome for the
substance
(b) the same (or a closely

related) substance is taken to
relieve or avoid withdrawal
symptoms
1 = absent or false
2 = subthreshold
Page 80
SCID-I
(Jan 1995 FINAL)
E.17
LIST OF WITHDRAWAL SYMPTOMS (FROM DSM -IV CRITERIA)

Listed below are the characteristic withdrawal symptoms for those classes of psychoactive
substances for which a withdrawal syndrome has been identified. (NOTE: A specific withdrawal
syndrome has not been identified for CANNABIS AND HALLUCINOGENS/PCP.) Withdrawal
symptoms may occur following the cessation of prolonged moderate or heavy use of a
psychoactive substance or a reduction in the amount used.
SEDATIVES, HYPNOTICS, AND ANXIOLYTICS
Two (or more) of the following, developing within several hours to a few days after cessation (or
reduction) of sedative, hypnotic, or anxiolytic use, which has been heavy and prolonged:
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
autonomic hyperactivity (e.g., sweating or pulse rate greater than 100)

increased hand tremor
insomnia
nausea or vomiting
transient visual, tactile, or auditory hallucinations or illusions
anxiety
grand mal seizures
STIMULANTS/COCAINE
Dysphoric mood AND two (or more) of the following physiological changes, developing within a
few hours to several days after cessation (or reduction) of substance use, which has been heavy
and prolonged):
(1)
(2)
(3)
(4)
(5)
fatigue
vivid, unpleasant dreams
insomnia or hypersomnia
increased appetite
psychomotor retardation or agitation
OPIOIDS
Three (or more) of the following, developing within minutes to several days after cessation (or
reduction) of opioid use, which has been heavy and prolonged (several weeks or longer) or after
administration of an opioid antagonist (after a period of opioid use):
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
dysphoric mood
nausea or vomiting
muscle aches
lacrimation or rhinorrhea
pupillary dilation, piloerection, or sweating
diarrhea
yawning
fever
insomnia
Page 81
SCID-I
IF UNKNOWN: When did (SXS

SED/
CODED 3 ABOVE) occur? (Did they HYPN/
all happen around the same time?)
ANX
SUBSTANCE DEPENDENCE At
least 3 items are coded 3 AND
items occurred within the same
twelve-month period
Indicate type:
With Physiological Dependence
(current evidence of tolerance or
withdrawal)
Without Physiological Dependence (no current evidence of
tolerance or withdrawal)
CANN STIMU
ABIS LANTS
(Jan 1995 FINAL)
OPI
OID
COC
AINE
HALL/
PCP
E.18
POLY OTHER
FOR EACH CLASS CODED 3, GO TO *CHRONOLOGY,* E.19.

Fewer than 3 items coded 3
GO TO *LIFETIME SUBSTANCE ABUSE,* E.22

AND ASK THE FOUR ABUSE ITEMS FOR
EACH DRUG CLASS CODED 1 ABOVE
Page 82
SCID-I
(Jan 1995 FINAL)
E.19
*CHRONOLOGY*
have you used (DRUG) at all?
IF YES: Has your (DRUG) use
caused you any problems?
(How about being high when you were
at school or work, or taking care of
children? How about missing something
important because of being high or
hung over? How about using (DRUG)
while you were driving? How about
getting into trouble with the law
because of your use of (DRUG)?
NOTE: YOU MAY NEED TO REFER
TO ABUSE CRITERIA, PAGE E.22.
Full criteria for Dependence met
at any time in past month (or
never had a month without symptoms of Dependence or Abuse
since onset of Dependence)
SED/
HYPN/
ANX
CANN STIMU
ABIS LANTS
OPI
OID
COC
AINE
HALL/
PCP
POLY OTHER
EXCLUDE FROM STUDY

ONLY IF DETOX REQUIRED
No symptoms of Dependence or
Abuse in past month or meets
partial criteria after one month
without symptoms
FOR EACH CLASS CODED 1 INDICATE

REMISSION SPECIFIERS E.21
Page 83
SCID-I
(Jan 1995 FINAL)
E.20
FOR EACH DRUG CLASS WITH CURRENT DEPENDENCE, CODE SEVERITY:

USE SCALE BELOW TO RATE
SEVERITY OF DEPENDENCE FOR
WORST WEEK OF PAST MONTH
(Additional questions about the effect
of the substance on social and
occupational functioning may be
necessary)
1 Mild:
SED/
HYPN/
ANX
CANN STIMU
ABIS LANTS
OPI
OID
COC
AINE
HALL/
PCP
POLY OTHER
Few, if any, symptoms in excess of those required

to make the diagnosis, and the symptoms result in
no more than mild impairment in occupational
functioning or in usual social activities or
relationships with others.
2 Moderate: Symptoms or functional impairment between mild and

severe.
3 Severe:
Many symptoms in excess of those required to make the

diagnosis, and the symptoms markedly interfere with
occupational functioning or with usual social activities or
relationships with others.
Page 84
SCID-I
(Jan 1995 FINAL)
E.21
*REMISSION SPECIFIERS *
THE FOLLOWING REMISSION SPECIFIERS CAN BE APPLIED ONLY AFTER NO CRITERIA
FOR DEPENDENCE OR ABUSE HAVE BEEN MET FOR AT LEAST ONE MONTH IN THE PAST.
Note: These specifiers do not apply if the individual is
On Agonist Therapy or In a Controlled Environment.
(See page E.9 for definitions of these specifiers.)
1
Early Full Remission: For at least one month, but less than
twelve months, no criteria for Dependence or Abuse have been met.
Dependence - 1
month
Early Partial Remission: For at least one month, but less than
twelve months, one or more criteria for Dependence or Abuse have
been met (but the full criteria for Dependence have not been met).
Dependence - 1
month
0 - 11 months
Sustained Full Remission: None of the criteria for Dependence

or Abuse have been met at any time during a period of twelve
months or longer.
Dependence - 1
month
0 - 11 months
11+ months
Sustained Partial Remission: Full criteria for Dependence have

not been met for a period of twelve months or longer; however,
one or more criteria for Dependence or Abuse have been met.
Dependence - 1
month
USE SCALE BELOW TO INDICATE

TYPE OF REMISSION
11+ months
SED/
HYPN/
ANX
CANN STIMU
ABIS LANTS
OPI
OID
COC
AINE
HALL/
PCP
POLY OTHER
Early Full Remission
Early Partial Remission
Sustained Full Remission
Sustained Partial Remission
Check if On Agonist Therapy

Check if In a Controlled Environment
Page 85
SCID-I
Version 2.0 (for DSM-IV) Non-Alcohol Abuse
(Jan 1995 FINAL)
E.22
*LIFETIME SUBSTANCE ABUSE*

FOR EACH CLASS CODED 2 (I.E., DRUGS USED AT A
LEVEL OF <10 TIMES IN ANY ONE MONTH), START THIS
SECTION WITH THE FOLLOWING INTRODUCTION:
Now Im going to ask you some specific questions
about your use of (DRUGS CODED 2).
FOR EACH DRUG CLASS CODED 3 ON PAGE E.18
THAT DID NOT MEET CRITERIA FOR DEPENDENCE.
Now Id like to ask you a few more questions about
your use of (DRUGS CODED 3 THAT DID NOT
MEET CRITERIA FOR DEPENDENCE).
SUBSTANCE ABUSE CRITERIA
A. A maladaptive pattern of substance
use leading to clinically significant
impairment or distress, as manifested
by one (or more) of the following
occurring within a twelve-month period:
Have you ever been intoxicated or high or
very hung over with (DRUG) while you were
doing something important, like being at
school or work, or taking care of children?
IF NO: What about missing something
important, like staying away from school or
work or missing an appointment because
you were intoxicated, high, or very hung
over?
IF YES AND UNKNOWN: How often?
(Over what period of time?)
(1) Recurrent substance use
SED/
resulting in a failure to fulfill major HYPN/
role obligations at work, school, or ANX
home (e.g., repeated absences or
3
poor work performance related to
substance use; substance-related
2
absences, suspensions, or
expulsions from school; neglect of
1
children or household)
CANN STIMU
ABIS LANTS
OPI
OID
COC
AINE
HALL/
PCP
POLY OTHER
Page 86
SCID-I
(Jan 1995 FINAL)
E.23
Have you ever used (DRUG) in a situation in

which it might have been dangerous to be
using (DRUG) at all? (Have you ever driven
while you were really too high to drive?)
SED/
HYPN/
ANX
(2) Recurrent substance use in
situations in which it is physically
hazardous (e.g., driving an
automobile or operating a
machine when impaired by
substance use)
CANN STIMU
ABIS LANTS
OPI
OID
COC
AINE
HALL/
PCP
POLY OTHER
OPI
OID
COC
AINE
HALL/
PCP
Has your use of (DRUG) ever gotten you into

trouble with the law?
SED/
HYPN/
ANX
(3) Recurrent substance-related
legal problems (e.g., arrests for
substance-related disorderly
conduct)
CANN STIMU
ABIS LANTS
POLY OTHER
Page 87
SCID-I
(Jan 1995 FINAL)
E.24
IF NOT ALREADY KNOWN: Has your

use of (DRUG) caused problems with
other people, such as with family
members, friends, or people at work?
(Did you ever get into physical fights or
bad arguments about your drug use?)
IF YES: Did you keep on using
(DRUG) anyway? (Over what
period of time?)
(4) Continued substance use
despite having persistent or
recurrent social or interpersonal
problems caused or exacerbated
by the effects of the substance
(e.g., arguments with spouse
about consequences of
intoxication, physical fights)
SED/
HYPN/
ANX
COC
AINE
HALL/
PCP
POLY OTHER
OPI
OID
COC
AINE
HALL/
PCP
CANN STIMU
ABIS LANTS
POLY OTHER
OPI
OID
COC
AINE
HALL/
PCP
FOR DRUG CLASSES WITH

LIFETIME ABUSE (I.E., CODED 3
ON PRIOR ITEM):
SED/
HYPN/
ANX
Has some symptoms of Substance

Abuse in past month
IF UNCLEAR: When was the last

time you had problems with
(SUBSTANCE)?
OPI
OID
SED/
HYPN/
ANX
SUBSTANCE ABUSE (LIFETIME):
At least one A item is coded 3
CANN STIMU
ABIS LANTS
CANN STIMU
ABIS LANTS
3
EXCLUDE FROM STUDY

ONLY IF DETOX REQUIRED
1
1
1
1
POLY OTHER
3
Page 88
SCID-I
Panic
(Jan 1995 FINAL)
Anxiety Disorders F.1
F. ANXIETY DISORDERS
SCREEN Q#4
YES
NO
PANIC DISORDER
PANIC DISORDER CRITERIA
IF SCREENING QUESTION #4 ANSWERED NO, SKIP TO *AWOPD,* F.7.
GO TO
*AWOPD*
F.7
IF QUESTION #4 ANSWERED YES:

Youve said that you have had a
panic attack, when you suddenly felt
frightened, or anxious, or suddenly
developed a lot of physical
symptoms
IF SCREENER NOT USED: Have
you ever had a panic attack, when
you suddenly felt frightened, or
anxious, or suddenly developed a lot
of physical symptoms?
A. (1) recurrent unexpected panic

attacks
GO TO
*AWOPD*
F.7
IF YES: Have these attacks ever

come on completely out of the
blue in situations where you
didnt expect to be nervous or
uncomfortable?
IF UNCLEAR: How many of
these kinds of attacks have
you had? (At least two?)
(2) at least one of the attacks
has been followed by a month
(or more) of one of the
following:
After any of these attacks
Did you worry that there might be

something terribly wrong with you, like
you were having a heart attack or were
going crazy? (How long did you worry?)
(At least a month?)
(b) worry about the

implications of the attack or
its consequences (e.g.,
losing control, having a
heart attack, going crazy);
IF NO: Did you worry a lot about

having another one? (How long did
you worry?) (At least a month?)
(a) persistent concern

about having additional
attacks;
IF NO: Did you do anything

differently because of the attacks
(like avoiding certain places or not
going out alone)? (What about
avoiding certain activities like
exercise?) (What about things like
always making sure youre near a
bathroom or exit?)
(c) a significant change in

behavior related to the
attacks;
1 = absent or false
2 = subthreshold
GO TO
*AWOPD*
F.7
Page 89
SCID-I
Panic
(Jan 1995 FINAL)
NOW CHECK TO SEE IF CRITERIA

ARE MET FOR A PANIC ATTACK:
When was the last bad one? What
was the first thing you noticed? Then
what?
IF UNKNOWN: Did the symptoms come
on all of a sudden?
The panic attack symptoms

developed abruptly and reached
a peak within ten minutes.
IF YES: How long did it take from

when it began to when it got really
bad? (Less than ten minutes?)
GO TO
*AWOPD*
F.7
During that attack

did your heart race, pound, or skip?
(1) palpitations, pounding heart,

or accelerated heart rate
did you sweat?
(2) sweating
did you tremble or shake?
(3) trembling or shaking
were you short of breath? (Have

trouble catching your breath?)
(4) sensations of shortness of

breath or smothering
did you feel as if you were choking?
(5) feeling of choking
did you have chest pain or pressure?
(6) chest pain or discomfort
did you have nausea or upset

stomach or the feeling that you were
going to have diarrhea?
(7) nausea or abdominal distress
did you feel dizzy, unsteady, or like

you might faint?
(8) feeling dizzy, unsteady,

lightheaded or faint
did things around you seem unreal or

did you feel detached from things
around you or detached from part of
your body?
(9) derealization (feelings of

unreality) or depersonalization
(being detached from oneself)
were you afraid you were going crazy

or might lose control?
(10) fear of losing control or going

crazy
were you afraid that you might die?
(11) fear of dying
1 = absent or false
2 = subthreshold
Page 90
SCID-I
Panic
(Jan 1995 FINAL)
did you have tingling or numbness in

parts of your body?
(12) paresthesias (numbness or

tingling sensations)
did you have flushes (hot flashes) or

chills?
(13) chills or hot flushes
AT LEAST FOUR ITEMS

CODED 3
GO TO
*AWOPD*
F.7
Just before you began having panic
attacks, were you taking any drugs,
caffeine, diet pills, or other
medicines?
(How much coffee, tea, or
caffeinated soda do you drink a
day?)
Just before the attacks, were you
physically ill?
C. Not due to the direct physiological effects of a substance (e.g., a

drug of abuse, medication) or to a
general medical condition
IF A GENERAL MEDICAL
WITH PANIC ATTACKS, GO TO
*GMC/SUBSTANCE,* AND
OF 1 OR 3.
GO TO
*AWOPD*
F.7
PRIMARY
ANXIETY
DISORDER
Etiological general medical

conditions include: hyperthyroidism, hyperparathyroidism,
pheochromocytoma, vestibular
dysfunction, seizure disorders, and
cardiac conditions (e.g.,
arrhythmias, supraventricular
tachycardia).
intoxication with central nervous
stimulants (e.g., cocaine, amphetamines, caffeine) or cannabis or
withdrawal from central nervous
system depressants (e.g., alcohol,
barbiturates) or from cocaine.
1 = absent or false
2 = subthreshold
DUE TO
SUBSTANCE
USE OR
GMC
D. The panic attacks are not better

accounted for by another mental
disorder, such as ObsessiveCompulsive Disorder (e.g., fear of
contamination), Posttraumatic
Stress Disorder (e.g., in response
to stimuli associated with a severe
stressor), Separation Anxiety
Disorder or Social Phobia (e.g.,
occurring on exposure to feared
social situations).
CONTINUE
?
GO TO
*AWOPD*
F.7
3
PANIC
DISORDER
Page 91
SCID-I
Panic
(Jan 1995 FINAL)
PANIC DISORDER WITH AGORAPHOBIA

IF NOT OBVIOUS FROM OVERVIEW:
Are there situations that make you
nervous because you are afraid that
you might have a panic attack?
Tell me about that.
IF CANNOT GIVE SPECIFICS:
What about
..being uncomfortable if youre more
than a certain distance from home?
..being in a crowded place like a
busy store, movie theatre, or
restaurant?
..standing in a line?
..being on a bridge?
..using public transportation like a
bus, train, or subway or driving a
car?
Do you avoid these situations?
IF NO: When you are in one of these
situations, do you feel very
uncomfortable or like you might have a
panic attack?
B. The presence of Agoraphobia:

(1) Anxiety about being in
places or situations from
which escape might be
difficult (or embarrassing) or
in which help may not be
available in the event of
having an unexpected or
situationally predisposed
panic attack. Agoraphobic
fears typically involve
characteristic clusters of
situations that include being
outside the home alone; being
in a crowd or standing in a
line; being on a bridge; and
traveling in a bus, train, or
automobile.
(2) Agoraphobic situations are

avoided (e.g., travel is
restricted), or else endured
with marked distress or with
anxiety about having a panic
attack or panic-like
symptoms, or require the
presence of a companion.
(Can you go into one of these

situations only if you are with
someone you know?)
PANIC
DISORDER
WITHOUT
AGORAPHOBIA
GO TO
*CHRONOLOGY*
F.6
PANIC
DISORDER
WITHOUT
AGORAPHOBIA
GO TO
*CHRONOLOGY*
F.6
1 = absent or false
2 = subthreshold
Page 92
SCID-I
Panic
(Jan 1995 FINAL)
(3) The anxiety or phobic

avoidance is not better
accounted for by another
mental disorder, such as
Social Phobia (e.g.,
avoidance limited to social
situations because of fear of
embarrassment), Specific
Phobia (e.g., avoidance
limited to a single situation
like elevators), ObsessiveCompulsive Disorder (e.g.,
avoidance of dirt in someone
with an obsession about
Stress Disorder (e.g.,
avoidance of stimuli
associated with a severe
stressor), or Separation
Anxiety Disorder (e.g.,
avoidance of leaving home or
family).
PANIC
DISORDER
WITHOUT
AGORAPHOBIA
GO TO
*CHRONOLOGY*
F.6
NOTE: CONSIDER SPECIFIC

PHOBIA IF FEAR IS LIMITED TO
ONE OR ONLY A FEW SPECIFIC
SITUATIONS OR SOCIAL
PHOBIA IF FEAR IS LIMITED TO
SOCIAL SITUATIONS.
B(1), B(2), B(3) ALL CODED 3
PANIC
DISORDER
WITHOUT
AGORAPHOBIA
1 = absent or false
2 = subthreshold
3
PANIC
DISORDER
WITH
AGORAPHOBIA
Page 93
SCID-I
Panic
(Jan 1995 FINAL)
*PANIC DISORDER CHRONOLOGY*

how many panic attacks have you had?
Has met symptomatic criteria for

Panic Disorder during past month,
i.e., recurrent unexpected panic
attacks or agoraphobic avoidance
INDICATE CURRENT SEVERITY:

1 - Mild: Few, if any, symptoms in excess of those required to make the diagnosis are
present, and symptoms result in no more than minor impairment in social or
occupational functioning.
2 - Moderate : Symptoms or functional impairment between mild and severe are
present.
3 - Severe: Many symptoms in excess of those required to make the diagnosis, or
several symptoms that are particularly severe, are present, or the symptoms result in
marked impairment in social or occupational functioning.
CONTINUE WITH *AGE AT ONSET,* BELOW.
IF CURRENT CRITERIA NOT FULLY MET (OR NOT AT ALL):

4 - In Partial Remission: The full criteria for the disorder were previously met but currently
only some of the symptoms or signs of the disorder remain.
5 - In Full Remission: There are no longer any symptoms or signs of the disorder but it is
still clinically relevant to note the disorder for example, in an individual with previous
episodes of Panic Disorder who has been symptom free on antidepressants for the
past three years.
6 - Prior History: There is a history of the criteria having been met for the disorder but the
individual is considered to have recovered from it.
When did you last have (ANY SX OF
PANIC DISORDER)?
Number of months prior to

interview when last had a
symptom of Panic Disorder
*AGE AT ONSET*
IF UNKNOWN: How old were you
when you first started having panic
attacks?
Age at onset of Panic Disorder

GO TO *SOCIAL
PHOBIA*
F.11
1 = absent or false
2 = subthreshold
Page 94
SCID-I
*AGORAPHOBIA WITHOUT HISTORY OF

PANIC DISORDER (AWOPD)*
AWOPD
(Jan 1995 FINAL)
AGORAPHOBIA WITHOUT HISTORY OF

PANIC DISORDER (AWOPD) CRITERIA
SCREEN Q#5
YES
NO
IF: EVER MET CRITERIA FOR PANIC DISORDER, CHECK HERE ____ AND
SKIP TO *SOCIAL PHOBIA,* F.11.
IF NO: GO TO
*SOCIAL PHOBIA*
F.11
IF SCREENING QUESTION #5 ANSWERED NO,

SKIP TO *SOCIAL PHOBIA,* F.11.
Youve said that you have been
afraid of going out of the house
alone, being in crowds, standing
in a line, or traveling on buses or
trains
IF SCREENER NOT USED: Were
you ever afraid of going out of the
house alone, being alone, being in a
crowd, standing in a line, or traveling
on buses or trains?
What were you afraid would happen?
A. The presence of Agoraphobia:
(1) anxiety about being in places

or situations from which escape
might be difficult (or embarrassing) or in which help may not be
available in the event of having
panic-like symptoms (e.g.,
dizziness or diarrhea).
Agoraphobic fears typically
involve characteristic clusters of
situations that include being
outside the home alone; being in
a crowd or standing in line; being
on a bridge; and traveling in a
bus, train, or car.
GO TO
*SOCIAL
PHOBIA*
F.11
INDICATE FEARED SYMPTOM:

having a limited symptom attack (a
panic-like attack with less than four
symptoms)
becoming dizzy or falling
depersonalization or derealization
loss of bladder or bowel control
vomiting
fear of cardiac distress
other (Specify:
1 = absent or false
2 = subthreshold
)
Page 95
SCID-I
Do you avoid these situations?

IF NO: When you are in one of these
situations, do you feel very
uncomfortable or like you might have
a panic attack?
AWOPD
(Jan 1995 FINAL)
(2) Agoraphobic situations are

avoided (e.g., travel is
restricted), or else endured with
marked distress or with anxiety
about having panic-like
symptoms, or require the
presence of a companion.
(3) The anxiety or phobic

avoidance is not better
mental disorder, such as Social
Phobia (e.g., avoidance limited
to social situations because of
fear of embarrassment),
Specific Phobia (e.g.,
avoidance limited to single
situations like elevators),
Obsessive-Compulsive
Disorder (e.g., avoidance of dirt
in someone with an obsession
about contamination),
Posttraumatic Stress Disorder
(e.g., avoidance of stimuli
associated with a severe
stressor), or Separation Anxiety
Disorder (e.g., avoidance of
leaving home or relatives).
GO TO
*SOCIAL
PHOBIA*
F.11
(Can you go into one of these

situations only if you are with
someone you know?)
1
GO TO
*SOCIAL
PHOBIA*
F.11
NOTE: CONSIDER SPECIFIC

PHOBIA IF FEAR IS LIMITED
TO ONE OR ONLY A FEW
SPECIFIC SITUATIONS, OR
SOCIAL PHOBIA IF FEAR IS
LIMITED TO SOCIAL
SITUATIONS.
A(1), A(2), A(3) ALL CODED 3
GO TO
*SOCIAL
PHOBIA*
F.11
1 = absent or false
2 = subthreshold
Page 96
SCID-I
Just before you began having these

fears, were you taking any drugs,
medicines?
day?)
Just before the fears began, were you
physically ill?
AWOPD
(Jan 1995 FINAL)
C. Not due to the direct physiological effects of a substance (e.g., a

drug of abuse, medication) or to a
general medical condition
WITH THE ANXIETY, GO TO
OF 1 OR 3.

?
GO TO
*SOCIAL
PHOBIA*
F.11
PRIMARY
ANXIETY
DISORDER

conditions include: hyper- and
hypothyroidism, hypoglycemia,
hyperparathyroidism,
pheochromocytoma, congestive
heart failure, arrhythmias,
pulmonary embolism, chronic
obstructive pulmonary disease,
pneumonia, hyperventilation, B-12
deficiency, porphyria, CNS
neoplasms, vestibular dysfunction,
encephalitis.
stimulants (e.g., cocaine, amphetamines, caffeine) or cannabis,
hallucinogens, PCP, or alcohol, or
sedatives, hypnotics) or from
cocaine.
1 = absent or false
2 = subthreshold
DUE TO
SUBSTANCE
USE OR GMC
D. If an associated general
medical condition is present, the
fear described in criterion A is
clearly in excess of that usually
associated with the condition.
CONTINUE
?
GO TO
*SOCIAL
PHOBIA*
F.11
3
AWOPD
Page 97
SCID-I
AWOPD
(Jan 1995 FINAL)
*AGORAPHOBIA WITHOUT PANIC CHRONOLOGY*

have you avoided (PHOBIC
SITUATIONS)?
Has met criteria for Agoraphobia

Without History of Panic Disorder
during past month

present.

episodes of AWOPD who has been symptom free on an antianxiety agent for the past
three years.
AGORAPHOBIA)?

symptom of Agoraphobia
Without Panic Disorder
*AGE AT ONSET*
when you first started having (SXS
OF AGORAPHOBIA)?
Age at onset of Agoraphobia

Without Panic Disorder (CODE -3
IF UNKNOWN)
1 = absent or false
2 = subthreshold
Page 98
SCID-I
Social Phobia
*SOCIAL PHOBIA*
(Jan 1995 FINAL)
SCREEN Q#6
YES
NO
SOCIAL PHOBIA CRITERIA

SKIP TO *SPECIFIC PHOBIA,* F.16.
IF NO: GO TO
*SPECIFIC PHOBIA*
F.16

Youve said that there are things
that you were afraid to do in front of
other people, like speaking, eating,
or writing
IF SCREENER NOT USED: Was
there anything that you have been
afraid to do or felt uncomfortable
doing in front of other people, like
speaking, eating or writing?
Tell me about it.
What were you afraid would happen
when _________________________?
IF PUBLIC SPEAKING ONLY:
(Do you think that you are more
uncomfortable than most people are in
that situation?)
A. A marked and persistent fear

of one or more social or
performance situations in which
the person is exposed to
unfamiliar people or to possible
scrutiny by others. The
individual fears that he or she
will act in a way (or show
anxiety symptoms) that will be
humiliating or embarrassing.
GO TO
*SPECIFIC
PHOBIA*
F.16
PHOBIC SITUATIONS: Check:

public speaking
eating in front of others
writing in front of others
generalized (most social
situations)
other (Specify:
Note: In adolescents, there must be

evidence of capacity for social
relationships with familiar people and
the anxiety must occur in peer settings,
not just in interactions with adults.
Have you always felt anxious when
you (CONFRONTED PHOBIC
STIMULUS)?
B. Exposure to the feared social

situation almost invariably
provokes anxiety, which may
take the form of a situationally
bound or situationally
predisposed panic attack.
Note: In children, the anxiety may
be expressed by crying, tantrums,
freezing, or withdrawal from the
social situation.
1 = absent or false
2 = subthreshold
GO TO
*SPECIFIC
PHOBIA*
F.16
Page 99
SCID-I
Social Phobia
(Jan 1995 FINAL)
Did you think that you were more

afraid of (PHOBIC ACTIVITY) than
you should have been (or than made
sense)?
C. The person recognizes that

the fear is excessive or
unreasonable. Note: In children,
this feature may be absent.
IF NOT OBVIOUS: Did you go out of

your way to avoid _______________?
D. The feared social or

performance situations are
avoided, or else endured with
intense anxiety or distress.
E. The avoidance, anxious

anticipation, or distress in the
feared social or performance
situation(s) interferes
significantly with the persons
normal routine, occupational
(academic) functioning, or with
social activities or relationships
with others, or there is marked
distress about having the
phobia.
F. In individuals under age 18

years, the duration is at least 6
months.
IF NO: How hard is it for you

to ________________________?
IF UNCLEAR WHETHER FEAR WAS

CLINICALLY SIGNIFICANT: How
much did ________________
interfere with your life?
IF DOES NOT INTERFERE WITH
LIFE: How much has the fact that
you have this fear bothered you?
IF UNDER AGE 18: (For how long

have you had these fears?)
GO TO
*SPECIFIC
PHOBIA*
F.16
1
GO TO *
SPECIFIC
PHOBIA*
F.16
1
GO TO
*SPECIFIC
PHOBIA*
F.16
GO TO *
SPECIFIC
PHOBIA*
F.16
1 = absent or false
2 = subthreshold
Page 100
SCID-I
Just before you began having these

fears, were you taking any drugs,
medicines?
day?
Just before the attacks, were you
physically ill?
Social Phobia
(Jan 1995 FINAL)
G. The fear or avoidance is not

due to the direct physiological
effects of a substance (e.g., a drug
of abuse, a medication) or a
general medical condition.
OF 1 OR 3.

?
GO TO
*SPECIFIC
PHOBIA*
F.16
PRIMARY
ANXIETY
DISORDER

cocaine.
1 = absent or false
2 = subthreshold
DUE TO
SUBSTANCE
USE OR GMC

encephalitis.
and is not better accounted for

by another mental disorder (e.g.,
Panic Disorder Without
Agoraphobia, Separation Anxiety
Disorder, Body Dysmorphic
Disorder, a Pervasive
Developmental Disorder, or
Schizoid Personality Disorder).
CONTINUE
?
GO TO
*SPECIFIC
PHOBIA*
F.16
Page 101
SCID-I
IF NOT ALREADY CLEAR:

RETURN TO THIS ITEM AFTER
COMPLETING INTERVIEW.
Social Phobia
(Jan 1995 FINAL)
H. If a general medical condition or ?

1
2
other mental disorder is present,
the fear in A is unrelated to it, e.g.,
the fear is not of stuttering,
GO TO
trembling (in Parkinsons disease), *ANXIETY
or exhibiting abnormal eating
DISORDER
behavior (in Anorexia Nervosa or
NOS*
Bulimia Nervosa).
F.33
SOCIAL PHOBIA CRITERIA A, B,

C, D, E, F, G, AND H ARE
CODED 3
1
GO TO
*SPECIFIC
PHOBIA*
F.16
1 = absent or false
2 = subthreshold
SOCIAL
PHOBIA
Page 102
SCID-I
Social Phobia
(Jan 1995 FINAL)
*SOCIAL PHOBIA CHRONOLOGY*

have you been bothered by (SOCIAL
PHOBIA SITUATION)?
Criteria have been met for Social

Phobia during past month

present.

episodes of Social Phobia who has been symptom free on an antianxiety agent for the
past three years.
SOCIAL PHOBIA)?

symptom of Social Phobia
*AGE AT ONSET*
OF SOCIAL PHOBIA)?
Age at onset of Social Phobia

GO TO
*SPECIFIC
PHOBIA*
F.16
1 = absent or false
2 = subthreshold
Page 103
SCID-I
Specific Phobia (Jan 1995 FINAL)
*SPECIFIC PHOBIA*
SCREEN Q#7
YES
NO
SPECIFIC PHOBIA CRITERIA

SKIP TO *OBSESSIVE COMPULSIVE DISORDER,* F.20.
IF NO: GO TO
*OBSESSIVE
COMPULSIVE
DISORDER*
F.20

Youve said that there are other things
that youve been especially afraid of,
like flying, seeing blood, getting a shot,
heights, closed places, or certain kinds
of animals or insects
IF SCREENER NOT USED: Are
there any other things that you have
been especially afraid of, like flying,
seeing blood, getting a shot, heights,
closed places, or certain kinds of
animals or insects?
Tell me about that.
A. Marked and persistent fear

that is excessive or
unreasonable, cued by the
presence or anticipation of a
specific object or situation (e.g.,
flying, heights, animals,
receiving an injection, seeing
blood).
GO TO
*OBSESSIVE
COMPULSIVE
DISORDER*
F.20
What were you afraid would happen

when (CONFRONTED WITH PHOBIC
STIMULUS)?
Did you always feel frightened when
you (CONFRONTED PHOBIC
STIMULUS)?
Did you think that you were more afraid

of (PHOBIC STIMULUS) than you
should have been (or than made
sense)?
B. Exposure to the phobic

stimulus almost invariably
provokes an immediate anxiety
response, which may take the
form of a situationally bound or
situationally predisposed panic
attack. Note: In children, the
anxiety may be expressed by
crying, tantrums, freezing, or
clinging.
C. The person recognizes that
the fear is excessive or
unreasonable. Note: In children,
this feature may be absent.
1 = absent or false
2 = subthreshold
GO TO
*OBSESSIVE
COMPULSIVE
DISORDER*
F.20
GO TO
*OBSESSIVE
COMPULSIVE
DISORDER*
F.20
Page 104
SCID-I
Did you go out of your way to avoid

(PHOBIC STIMULUS)?
D. The phobic situation(s) is

avoided, or else endured with
intense anxiety or distress.
(Are there things you didnt do

because of this fear, that you would
otherwise have done?)
(Is there anything youve 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?
GO TO
*OBSESSIVE
COMPULSIVE
DISORDER*
F.20
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?
E. The avoidance, anxious

anticipation, or distress in the
feared situation interferes
significantly with the persons
normal routine, occupational
(academic) functioning, 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.
GO TO
*OBSESSIVE
COMPULSIVE
DISORDER*
F.20
GO TO
*OBSESSIVE
COMPULSIVE
DISORDER*
F.20
1 = absent or false
2 = subthreshold
Page 105
SCID-I
IF NOT ALREADY CLEAR:

RETURN TO THIS ITEM AFTER
COMPLETING SECTION ON PTSD
AND OBSESSIVE-COMPULSIVE
DISORDERS.
G. The anxiety, panic attacks,

or phobic avoidance associated
with the specific object or
situation are not better
mental disorder, such as
Obsessive-Compulsive
Disorder (e.g., fear of
Stress Disorder (e.g.,
avoidance of stimuli associated
with a severe stressor),
Separation Anxiety Disorder
(e.g., avoidance of school),
Social Phobia (e.g., avoidance
of social situations because of
fear of embarrassment), Panic
Disorder with Agoraphobia, or
Agoraphobia Without History of
Panic Disorder.
GO TO
*OBSESSIVE
COMPULSIVE
DISORDER*
F.20
SPECIFIC PHOBIA CRITERIA

1
A, B, C, D, E, F, AND G ARE
CODED 3
GO TO *OBSESSIVE
COMPULSIVE
DISORDERS*
F.20
3
SPECIFIC
PHOBIA
INDICATE TYPE:
(Check all that apply)
Animal Type (includes insects)
Natural Environment Type (includes storms,
heights, water)
Blood-Injection-Injury Type (includes seeing
blood or injury or receiving an injection or other
invasive procedure)
Situational Type (includes public
transportation, tunnels, bridges, elevators,
flying, driving, or enclosed places)
Other Type (e.g., fear of situations that might
lead to choking, vomiting, or contracting an
illness)
Specify:
1 = absent or false
2 = subthreshold
Page 106
SCID-I
*SPECIFIC PHOBIA CHRONOLOGY*

have you been bothered by (SPECIFIC
PHOBIA)?
Has met criteria for Specific

Phobia during past month

present.

episodes of Specific Phobia who has been symptom free on an antianxiety agent for
the past three years.
SPECIFIC PHOBIA)?

symptom of Specific Phobia
*AGE AT ONSET*
OF SPECIFIC PHOBIA)?
Age at onset of Specific Phobia

GO TO
*OBSESSIVE
COMPULSIVE
DISORDER*
F.20
1 = absent or false
2 = subthreshold
Page 107
SCID-I
*OBSESSIVE COMPULSIVE DISORDER*
OCD
(Jan 1995 FINAL)
SCREEN Q#8
YES
NO
OBSESSIVE COMPULSIVE DISORDER

CRITERIA

SKIP TO *COMPULSIONS,* F.21.
IF NO: GO TO
*COMPULSIONS*
F.21

Youve said that you have had
thoughts that didnt make any
sense and kept coming back to
you even when you tried not to
have them
IF SCREENER NOT USED: Now I
would like to ask you if you have ever
been bothered by thoughts that didnt
make any sense and kept coming
back to you even when you tried not
to have them?
(What were they?)
A. Either obsessions or
compulsions:
Obsessions as defined by (1), (2),
(3), and (4):
(1) recurrent and persistent
thoughts, impulses, or images that
are experienced, at some time
during the disturbance, as intrusive
and inappropriate, and cause
marked anxiety or distress
(2) the thoughts, impulses, or

images are not simply excessive
worries about real-life problems
When you had these thoughts, did you

try hard to get them out of your head?
(What would you try to do?)
(3) the person attempts to ignore

or suppress such thoughts or to
neutralize them with some other
thought or action
IF UNCLEAR: Where did you think these

thoughts were coming from?
(4) the person recognizes that the

obsessional thoughts, impulses, or
images are a product of his or her
own mind (not imposed from
without as in thought insertion)
IF SUBJECT NOT SURE WHAT

IS MEANT: Thoughts like
hurting someone even though you
really didnt want to or being
contaminated by germs or dirt?
NO OBSESSIONS
OBSESSIONS
DESCRIBE CONTENT OF OBSESSION(S):

1 = absent or false
2 = subthreshold
Page 108
SCID-I
OCD
(Jan 1995 FINAL)
*COMPULSIONS*
SCREEN Q#9
YES
NO

SKIP TO *CHECK FOR OBSESSIONS/COMPULSIONS,* F.22.
IF QUESTION #9 ANSWERED YES: Youve
said that there were things that you had to do
over and over again and couldnt resist doing,
like washing your hands again and again,
counting up to a certain number or checking
something several times to make sure that
youd done it right
IF SCREENER NOT USED: Was
there ever anything that you had to
do over and over again and couldnt
resist doing, like washing your hands
again and again, counting up to a
certain number, or checking
something several times to make
sure that youd done it right?
(What did you have to do?)
IF UNCLEAR: Why did you have to do

(COMPULSIVE ACT)? What would
happen if you didnt do it?
IF UNCLEAR: How many times would
you do (COMPULSIVE ACT)? How
much time a day would you spend doing
it?
IF NO: GO TO
*CHECK FOR
OBSESSIONS/
COMPULSIONS*
F.22
Compulsions as defined by (1) and

(2):
(1) repetitive behaviors (e.g.,
handwashing, ordering, checking)
or mental acts (e.g., praying,
counting, repeating words silently)
that the person feels driven to
perform in response to an
obsession, or according to rules
that must be applied rigidly
(2) the behaviors or mental acts

are aimed at preventing or
reducing distress or preventing
some dreaded event or situation;
however, these behaviors or
mental acts either are not
connected in a realistic way with
what they are designed to
neutralize or prevent, or are clearly
excessive
COMPULSIONS
DESCRIBE CONTENT OF COMPULSION(S):

GO TO *CHECK FOR OBSESSIONS/
COMPULSIONS,* F.22 (TOP OF NEXT PAGE)
1 = absent or false
2 = subthreshold
Page 109
SCID-I
OCD
(Jan 1995 FINAL)
*CHECK FOR OBSESSIONS/COMPULSIONS*

IF: EITHER OBSESSIONS, COMPULSIONS, OR BOTH, CONTINUE BELOW.
IF: NEITHER OBSESSIONS NOR COMPULSIONS, CHECK HERE ____ AND GO TO *GAD,* F.24.
Have you (thought about [OBSESSIVE
THOUGHTS]/done [COMPULSIVE
ACTS]) more than you should have (or
than made sense)?
IF NO: How about when you first
started having this problem?
B. At some point during the course

of the disorder, the person has
recognized that the obsessions or
compulsions are excessive or
unreasonable. Note: This does not
apply to children.
Go TO
*GAD*
F.24
Check here ____ if With Poor Insight:

i.e., for most of the time during the
current episode, the person does
not recognize that the obsessions
and compulsions are excessive or
unreasonable.
What effect did this (OBSESSION OR
COMPULSION) have on your life? (Did
[OBSESSION OR COMPULSION]
bother you a lot?)
(How much time do you spend on
[OBSESSION OR COMPULSION]?)
IF NOT ALREADY CLEAR: RETURN

TO THIS ITEM AFTER COMPLETING
INTERVIEW.
C. The obsessions or compulsions

cause marked distress, are timeconsuming (take more than an
hour a day), or significantly
interfere with the persons normal
routine, occupational functioning,
or usual social activities or
relationships.
D. If another Axis I disorder is
present, the content of the
obsessions or compulsions is not
restricted to it (e.g., preoccupation
with food in the presence of an
Eating Disorder; hair pulling in the
presence of Trichotillomania;
concern with appearance in the
presence of Body Dysmorphic
Disorder; preoccupation with drugs
in the presence of Substance Use
Disorder; preoccupation with
having a serious illness in the
presence of Hypochondriasis; or
guilty ruminations in the presence
of Major Depressive Disorder).
1 = absent or false
2 = subthreshold
Go TO
*GAD*
F.24
Go TO
*GAD*
F.24
Page 110
SCID-I
Just before you began having

(OBSESSIONS OR COMPULSIONS),
were you taking any drugs or
medicines?
Just before the (OBSESSIONS OR
COMPULSIONS) started, were you
physically ill? (What did the doctor say?)
OCD
(Jan 1995 FINAL)
E. Not due to the direct

medical condition
WITH THE OBSESSIONS OR
COMPULSIONS, GO TO
OF 1 OR 3.

?
DUE TO
SUBSTANCE
USE OR GMC
GO TO *GAD*
F.24
PRIMARY
ANXIETY
DISORDER

conditions include: certain CNS
neoplasms.
stimulants (e.g., cocaine,
amphetamines).
OBSESSIVE COMPULSIVE
DISORDER CRITERIA A, B, C, D,
AND E ARE CODED 3
CONTINUE
1
GO TO
*GAD*
F.24
1 = absent or false
2 = subthreshold
3
EXCLUDE
FROM
STUDY IF
PRINCIPAL
DIAGNOSIS
Page 111
SCID-I
*GENERALIZED ANXIETY DISORDER*

CURRENT ONLY
GAD
(Jan 1995 FINAL)
GENERALIZED ANXIETY DISORDER

CRITERIA
SCREEN Q#10
YES
NO
IF: IN RESIDUAL PHASE OF SCHIZOPHRENIA,

CHECK HERE ____ AND GO TO *ANXIETY DISORDER NOS,* F.33.
IF NO: GO TO
*ANXIETY
DISORDER NOS*
F.33
IF SCREENING QUESTION #10 ANSWERED NO, SKIP TO

*ANXIETY DISORDER NOS,* F.33.
Youve said that in the last six
months, youve been particularly
nervous or anxious
IF SCREENER NOT USED: In the
last six months, have you been
particularly nervous or anxious?
Do you also worry a lot about bad things
that might happen?
IF YES: What do you worry about?
(How much do you worry about
[EVENTS OR ACTIVITIES]?)
A. Excessive anxiety and worry

(apprehensive expectation),
occurring more days than not for at
least six months, about a number
of events or activities (such as
work or school performance)
GO TO
*ANXIETY
DISORDER
NOS*
F.33
During the last six months, would

you say that you have been
worrying (more days than not)?
When youre worrying this way, do
you find that its hard to stop
yourself?
B. The person finds it difficult to

control the worry
GO TO
*ANXIETY
DISORDER
NOS*
F.33
When did this anxiety start?
COMPARE ANSWER WITH ONSET OF
MOOD OR PSYCHOTIC DISORDER.
F(2). Does not occur exclusively

during the course of a Mood
Disorder, Psychotic Disorder, or a
Pervasive Developmental Disorder
1 = absent or false
2 = subthreshold
GO TO
*ANXIETY
DISORDER
NOS*
F.33
Page 112
SCID-I
Now I am going to ask you some

questions about symptoms that often
go along with being nervous.
Thinking about those periods in the
past six months when youre feeling
nervous or anxious
do you often feel physically
restless cant sit still?
GAD
(Jan 1995 FINAL)
C. The anxiety and worry are

associated with at least three of
the following six symptoms (with at
least some symptoms present for
more days than not for the past six
months):
(1) restlessness or feeling
keyed up or on edge
do you often tire easily?
(2) being easily fatigued
do you have trouble concentrating

or does your mind go blank?
(3) difficulty concentrating or

mind going blank
are you often irritable?
(4) irritability
are your muscles often tense?
(5) muscle tension
do you often have trouble falling or

staying asleep?
(6) sleep disturbance (difficulty

falling or staying asleep, or
restless unsatisfying sleep)
do you often feel keyed up or on

edge?
AT LEAST THREE C SXS ARE

CODED 3
GO TO
*ANXIETY
DISORDER
NOS*
F.33
1 = absent or false
2 = subthreshold
Page 113
SCID-I
CODE BASED ON PREVIOUS

INFORMATION.
(Jan 1995 FINAL)
D. The focus of the anxiety and

worry is not confined to the
features of another Axis I Disorder,
e.g., being embarrassed in public
(as in Social Phobia), being
contaminated (as in ObsessiveCompulsive Disorder), being away
from home or close relatives (as in
Separation Anxiety Disorder,
gaining weight (as in Anorexia
Nervosa), or having a serious
illness (as in Hypochondriasis),
and is not part of Posttraumatic
Stress Disorder.
IF UNCLEAR: What effect has the

anxiety, worry, or (PHYSICAL
SYMPTOMS) had on your life? (Has
it made it hard for you to do your
work or be with your friends?)
GAD
E. The anxiety, worry, or physical

symptoms cause clinically
significant distress or impairment
in social, occupational, or other
1 = absent or false
2 = subthreshold
GO TO
*ANXIETY
DISORDER
NOS*
F.33
GO TO
*ANXIETY
DISORDER
NOS*
F.33
Page 114
SCID-I
Just before you began having this

anxiety, were you taking any drugs,
medicines?
day?)
Just before these problems began, were
you physically ill?
GAD
(Jan 1995 FINAL)
F. Not due to the direct

medical condition.
*GMC/SUBSTANCE,* F.29, AND
OF 1 OR 3.
encephalitis.
cocaine.
GENERALIZED ANXIETY
CRITERIA A, B, C, D, E, AND F
ARE CODED 3

?
DUE TO
SUBSTANCE
USE OR GMC
GO TO
*ANXIETY
DISORDER
NOS*
F.33
PRIMARY
ANXIETY
DISORDER
CONTINUE
1
GO TO
*ANXIETY
DISORDER
NOS*
F.33
1 = absent or false
2 = subthreshold
3
GENERALIZED
ANXIETY
DISORDER
Page 115
SCID-I
GAD
(Jan 1995 FINAL)
*CHRONOLOGY OF GENERALIZED ANXIETY DISORDER*

present.
3 - Severe: Many symptoms in excess of those required to make the diagnosis, or several
symptoms that are particularly severe, are present, or the symptoms result in marked
impairment in social or occupational functioning.
*AGE AT ONSET*
OF GAD)?
Age at onset of Generalized

Anxiety Disorder (CODE -3 IF
UNKNOWN)
GO TO
NEXT MODULE
1 = absent or false
2 = subthreshold
Page 116
SCID-I
Version 2.0 (for DSM-IV) Substance/GMC
(Jan 1995 FINAL)
*GMC/SUBSTANCE AS ETIOLOGY FOR ANXIETY SYMPTOMS*

ANXIETY DISORDER DUE TO A
ANXIETY DISORDER DUE TO A GENERAL

MEDICAL CONDITION CRITERIA
IF SYMPTOMS NOT TEMPORALLY ASSOCIATED WITH A GENERAL MEDICAL CONDITION,

CHECK HERE ____ AND GO TO *SUBSTANCE-INDUCED ANXIETY DISORDER,* F.31.
ALREADY OBTAINED
A. Prominent anxiety, panic

attacks, obsessions or
compulsions predominate.
Did the (ANXIETY SYMPTOMS)

start or get much worse only after
(GMC) began?
B/C. There is no evidence from the

laboratory findings that the
disturbance is the direct
physiological consequence of a
general medical condition and the
disturbance is not better accounted
for by another mental disorder
(e.g., Adjustment Disorder With
Anxiety), in response to the stress
of having a general medical
condition.
IF GMC HAS RESOLVED: Did the

(ANXIETY SYMPTOMS) get better
once the (GMC) got better?
GO TO
*SUBSTANCEINDUCED*
F.31
THE FOLLOWING FACTORS SHOULD BE

CONSIDERED AND SUPPORT THE
CONCLUSION THAT THE GMC IS ETIOLOGIC
TO THE ANXIETY SYMPTOMS.
1) THERE IS EVIDENCE FROM THE
LITERATURE OF A WELL-ESTABLISHED
ASSOCIATION BETWEEN THE GMC AND
ANXIETY SYMPTOMS.
2) THERE IS A CLOSE TEMPORAL
RELATIONSHIP BETWEEN THE COURSE OF
THE ANXIETY SYMPTOMS AND THE COURSE
OF THE GENERAL MEDICAL CONDITION.
3) THE ANXIETY SYMPTOMS ARE
CHARACTERIZED BY UNUSUAL PRESENTING
FEATURES (E.G., LATE AGE AT ONSET).
4) THE ABSENCE OF ALTERNATIVE
EXPLANATIONS (E.G., ANXIETY SYMPTOMS
AS A PSYCHOLOGICAL REACTION TO THE
GMC).
1 = absent or false
2 = subthreshold
Page 117
SCID-I
Version 2.0 (for DSM-IV) Substance/GMC
IF UNCLEAR: How much did

(ANXIETY SYMPTOMS) interfere
with your life?
(Jan 1995 FINAL)
D. The symptoms cause clinically

(Has it made it hard for you to do your

work or be with your friends?)
E. The disturbance does not occur

Delirium.
GO TO
*SUBSTANCEINDUCED*
F.31
1
3
ANXIETY
DISORDER
DUE TO A
GMC
DELIRIUM
DUE TO A
GMC

1 With Generalized Anxiety
2 With Panic Attacks
3 With Obsessive-Compulsive
Symptoms
1 = absent or false
2 = subthreshold
Page 118
SCID-I
(DSM-IV) Version 2.0 Substance-Induced
*SUBSTANCE-INDUCED ANXIETY
DISORDER*
(Jan 1995 FINAL)
SUBSTANCE-INDUCED
ANXIETY DISORDER CRITERIA
IF SYMPTOMS NOT TEMPORALLY ASSOCIATED WITH SUBSTANCE USE,

CHECK HERE ____ AND RETURN TO DISORDER BEING EVALUATED.
EPISODE BEING EVALUATED:

Panic
AWOPD
Social Phobia
OCD
GAD
Anxiety NOS
Mixed Anxiety Dep

ALREADY OBTAINED.
A. Prominent anxiety, panic attacks,

obsessions or compulsions
predominate
IF NOT KNOWN: When did the

(ANXIETY SYMPTOMS) begin?
Were you already using
(SUBSTANCE) or had you just
stopped or cut down your use?
B. There is evidence from the history,

physical examination, or laboratory
findings that either: (1) the symptoms
in A developed during, or within a
month of, substance intoxication or
withdrawal, or (2) medication use is
etiologically related to the
disturbance.
ASK ANY OF THE FOLLOWING

QUESTIONS AS NEEDED TO RULE
OUT A NON-SUBSTANCEINDUCED ETIOLOGY:
C. The disturbance is NOT better

accounted for by an Anxiety Disorder
that is not substance-induced.
Guidelines for Primary Anxiety:
Evidence that the symptoms are
better accounted for by a primary
(i.e., non-substance-induced) Anxiety
Disorder may include any (or all) of
the following:
IF UNKNOWN: Which came first, the

(SUBSTANCE USE) or the (ANXIETY
SYMPTOMS)?
1) the anxiety symptoms precede

the onset of the Substance Abuse
or Dependence
IF UNKNOWN: Have you had a

period of time when you stopped
using (SUBSTANCE)?
2) the anxiety symptoms persist

for a substantial period of time
(e.g., about a month) after the
cessation of acute withdrawal or
severe intoxication
IF YES: After you stopped using

(SUBSTANCE) did the (ANXIETY
SYMPTOMS) get better or did
they continue?
1 = absent or false
2 = subthreshold
NOT
SUBSTANCEINDUCED
RETURN TO
DISORDER
BEING
EVALUATED
?
NOT
SUBSTANCEINDUCED
RETURN TO
DISORDER
BEING
EVALUATED
Page 119
SCID-I
(DSM-IV) Version 2.0 Substance-Induced
(Jan 1995 FINAL)
IF UNKNOWN: How much

(SUBSTANCE) were you using when
you began to have (ANXIETY
SYMPTOMS)?
3) the anxiety symptoms are

substantially in excess of what
would be expected given the
character, duration, or amount of
the substance used
IF UNKNOWN: Have you had any

other episodes of (ANXIETY
SYMPTOMS)?
4) there is evidence suggesting

the existence of an independent
non-substance-induced Anxiety
Disorder (e.g., a history of
recurrent non-substance-related
panic attacks)
IF YES: How many? Were you

using (SUBSTANCES) at those
times?
IF UNKNOWN: How much did
(ANXIETY SYMPTOMS) interfere
with your life?
D. The symptoms cause clinically

(Has it made it hard for you to do

your work or be with your
friends?)
E. The disturbance does not occur
Delirium.
RETURN TO
DISORDER
BEING
EVALUATED
1
SUBSTANCEINDUCED
ANXIETY
DISORDER
SUBSTANCEINDUCED
DELIRIUM

1 With Generalized Anxiety
2 With Panic Attacks
3 With Obsessive-Compulsive
symptoms
4 With Phobic Symptoms
Indicate context of development of anxiety
symptoms:
1 With Onset During Intoxication
2 With Onset During Withdrawal
RETURN TO DISORDER
BEING EVALUATED
1 = absent or false
2 = subthreshold
Page 120
SCID-I
Anxiety NOS
*ANXIETY DISORDER NOS*
(Jan 1995 FINAL)
ANXIETY DISORDER NOT OTHERWISE

SPECIFIED CRITERIA
Clinically significant anxiety or
phobic avoidance that does not
meet criteria for any specific
Anxiety Disorder, Adjustment
Disorder With Anxiety, or
Adjustment Disorder with Mixed
Anxiety and Depressed Mood. (See
Module I to rule out Adjustment
Disorder.)
Just before you began having this

anxiety, were you taking any drugs,
stimulants, or medicines?
day?)
Just before these problems began, were
you physically ill? (What did the doctor
say?)
Not due to the direct physiological

effects of a substance (e.g., a drug
of abuse, medication) or to a
general medical condition.
OF 1 OR 3.
encephalitis.
cocaine.
1 = absent or false
2 = subthreshold
GO TO
NEXT
MODULE
DUE TO
SUBSTANCE
USE OR GMC
GO TO
NEXT
MODULE
PRIMARY
ANXIETY
DISORDER
ANXIETY
DISORDER
NOS
INDICATE
TYPE ON
NEXT
PAGE
Page 121
SCID-I
Anxiety NOS
(Jan 1995 FINAL)
TYPES OF ANXIETY DISORDER NOS
Clinically significant social phobic symptoms

related to the social impact of having a
general medical condition or mental disorder
(e.g., Parkinsons disease, dermatologic
conditions, Stuttering, Anorexia Nervosa,
Body Dysmorphic Disorder).
Situations in which the clinician has

concluded that an Anxiety Disorder is present
but is unable to determine whether it is
primary, due to a general medical condition,
or substance-induced.
Mixed anxiety-depressive disorder: clinically

significant symptoms of anxiety and
depression but the criteria are not met for a
specific Mood or Anxiety Disorder.
Other:
1 = absent or false
2 = subthreshold
Page 122
SCID-I
Somatization
(Jan 1995 FINAL)
Somatoform G.1
G. SOMATOFORM DISORDERS
Over the last several years, what has
your physical health been like?
How often have you had to go to a
doctor because you werent feeling well?
(What for?)
IF YES: Was the doctor always able
to find out what was wrong, or were
there times when the doctor said
there was nothing wrong but you
were still convinced that something
was wrong?
Do you worry much about your physical
health? Does your doctor think you
worry too much?
Some people are very bothered by the
way they look. Is this a problem for you?
IF YES: Tell me about it.
IF NOTHING SUGGESTS THE
POSSIBILITY OF A CURRENT
SOMATOFORM DISORDER, CHECK
HERE ____ AND GO TO NEXT MODULE.
IF SUBJECT HAS ACKNOWLEDGED ONLY
BEING BOTHERED BY THE WAY HE OR
SHE LOOKS, CHECK HERE ____ AND SKIP
TO *BODY DYSMORPHIC DISORDER,* G.12.
SOMATIZATION DISORDER
(CURRENT ONLY)
SOMATIZATION CRITERIA
Have you been sick a lot over the

years?
A. A history of many physical

?
1
2
complaints beginning before age 30
years, that occur over a period of
several years
GO TO
*PAIN
DISORDER*
G.7
IF YES: How old were you when

you first started to have a lot of
physical problems or illnesses?
Age at onset (CODE -3 IF

UNKNOWN)
1 = absent or false
2 = subthreshold
Page 123
SCID-I
Somatization
(Jan 1995 FINAL)
Somatoform G.2
FOR EACH SYMPTOM REPORTED

(BELOW) CODE 3 ONLY IF SYMPTOM IS
SOMATOFORM. ASK ANY OF THE
QUESTIONS BELOW AS NEEDED:
Both (1) and (2) must be present:
Did you see a doctor about it?
(1) the symptom results in treatment being
sought or causes impairment in social,
occupational, or other important areas of
functioning
IF YES: What was the diagnosis?

(What did the doctor say was causing it?)
(Was anything abnormal found on tests
or X-rays?)
(2) either (a) or (b):

IF THERE IS A MEDICAL
CONDITION THAT COULD
ACCOUNT FOR THE SYMPTOMS:
How much has (SYMPTOM)
bothered you? (How much has it
interfered with your life?)
(a) after appropriate investigation, the

symptom cannot be fully explained by a
known general medical condition or the
direct effects of a substance (e.g., a
drug of abuse, medication)
IF NO: Did it interfere with your life a lot?

(Did it make it hard for you to do your
work or be with friends?)
(b) when there is a related general

medical condition, the physical
complaints or resulting social or
occupational impairment are in excess
of what would be expected from the
laboratory findings
(Were you taking any medication, drugs, or

alcohol around the time you were having
[SYMPTOM]?)
(3) the symptom is not intentionally feigned

or produced (as in Factitious Disorder or
Malingering)
Now I am going to ask you about
specific physical symptoms you may
have had in the past few years.
B. Each of the following criteria must

have been met, with individual
symptoms occurring at any time during
the course of the disturbance:
Have you ever
(4) One pseudoneurological

symptom: a history of at least
one symptom or deficit
suggesting a neurological
condition not limited to pain
(SUCH AS
had trouble walking?
impaired coordination or
balance
been paralyzed or had periods of

weakness when you couldnt lift or move
things that you could normally?
paralysis or localized
weakness
had trouble swallowing or felt a lump

in your throat?
difficulty swallowing or lump

in throat
1 = absent or false
2 = subthreshold
Page 124
SCID-I
Somatization
(Jan 1995 FINAL)
Somatoform G.3
lost your voice for more than a

few minutes?
aphonia
been completely unable to urinate

for a whole day (other than after
childbirth or surgery)?
urinary retention
felt numbness or pins and

needles in parts of your body?
loss of touch or pain

sensation
had double vision?
double vision
been completely blind for more

than a few seconds?
blindness
been completely deaf for more

than a few seconds?
deafness
had a seizure or convulsion?
seizures
had a period of amnesia, that is, a

period of several hours or days that
you later couldnt remember at all?
amnesia
had a time when you blacked

out?
loss of consciousness other

than fainting
IF YES: Was this because you

fainted?
B (4) ONE PSEUDONEUROLOGIC SYMPTOM
CODED 3
GO TO
*PAIN
DISORDER*
G.7
Have you ever had
CONTINUE
(1) Four pain symptoms: a

history of pain related to at least
four different sites or functions
(SUCH AS
a lot of trouble with headaches?
head
a lot of trouble with abdominal or

stomach pain?
abdomen
a lot of trouble with back pain?
back
1 = absent or false
2 = subthreshold
Page 125
SCID-I
Somatization
(Jan 1995 FINAL)
Somatoform G.4
pain in your joints?
joints
pain in your arms or legs other

than in the joints?
extremities
chest pain?
chest
FOR WOMEN: Other than during

your first year of menstruation, have
you had very painful periods?
during menstruation
Has having sex often been

physically painful for you?
during sexual intercourse
Have you ever had pain during

urination?
during urination
IF YES: More than most women?
pain anywhere else

(other than headaches)?
B (1) FOUR PAIN SYMPTOMS
CODED 3
GO TO
*PAIN
DISORDER*
G.7
CONTINUE
Have you had a lot of trouble with
(2) Two gastrointestinal

symptoms: a history of at least
two gastrointestinal symptoms
other than pain (SUCH AS
nausea feeling sick to your

stomach but not actually vomiting?
nausea
excessive gas or bloating of your

stomach or abdomen?
bloating
vomiting (when you werent

pregnant)?
vomiting other than during

pregnancy
1 = absent or false
2 = subthreshold
Page 126
SCID-I
Somatization
(Jan 1995 FINAL)
Somatoform G.5
loose bowels or diarrhea?
diarrhea
Have there been any foods that you

couldnt eat because they made you
sick? What are they?
intolerance of several
different foods
B (2) TWO GASTROINTESTINAL SXS CODED 3
GO TO
*PAIN
DISORDER*
G.7
CONTINUE
Now Im going to ask you some

questions about sex.
(3) One sexual symptom: a

history of at least one sexual or
reproductive symptom other
than pain (SUCH AS
Would you say that your sex life has

been important to you or could you
have gotten along as well without it?
sexual indifference
FOR MEN: Have you often had any

sexual problem, like not being able
to get an erection?
erectile or ejaculatory
dysfunction
FOR WOMEN: Other than during

your first year of menstruation (or
during menopause), have you had
irregular periods?
irregular menses
excessive menstrual
bleeding
vomiting throughout
pregnancy

What about an unusual amount of
bleeding during your periods?
IF HAS GIVEN BIRTH: Did you vomit
throughout any pregnancy?
B (3) ONE SEXUAL SYMPTOM

CODED 3
GO TO
*PAIN
DISORDER*
G.7
1 = absent or false
2 = subthreshold
CONTINUE
Page 127
SCID-I
Somatization
(Jan 1995 FINAL)
SOMATIZATION DISORDER
CRITERIA A, B(1), B(2), B(3), AND
B(4) ARE CODED 3
Somatoform G.6
SOMATIZATION
DISORDER
CONTINUE WITH
NEXT PAGE
1 = absent or false
2 = subthreshold
Page 128
SCID-I
Pain
(Jan 1995 FINAL)
Somatoform G.7
*PAIN DISORDER*
(CURRENT ONLY)
PAIN DISORDER CRITERIA
IF NOT ALREADY KNOWN: Have

you been to see a doctor because
of physical pain?
A. Pain in one or more anatomical

?
1
2
sites is the predominant focus of
the clinical presentation and is of
sufficient severity to warrant clinical
GO TO
attention.
*UNDIFFERENTIATED*
G.8
(How much does the pain interfere

with your life?) (Has it made it hard
to do your work, or be with friends?)
B. The pain causes clinically

What was going on in your life when

this pain began?
(Have the doctors told you that your
pain is more than you should be
having?)
C. Psychological factors are judged

to have an important role in the
onset, severity, exacerbation, or
maintenance of the pain.
GO TO
*UNDIFFERENTIATED*
G.8
?
GO TO
*UNDIFFERENTIATED*
G.8
D. The pain is not better accounted ?

1
2
for by a Mood, Anxiety, or
Psychotic Disorder and does not
meet criteria for Dyspareunia (i.e.,
GO TO
pain during sexual intercourse).
*UNDIFFERENTIATED*
G.8
CRITERIA A, B, C, AND D ARE

CODED 3
1
CONTINUE
ON NEXT
PAGE
If UNKNOWN: How old were you

OF PAIN)?
PAIN
DISORDER
Age at onset of Pain Disorder

CONTINUE ON
NEXT PAGE
1 = absent or false
2 = subthreshold
Page 129
SCID-I
Undifferentiated (Jan 1995 FINAL)
*UNDIFFERENTIATED SOMATOFORM
DISORDER* (CURRENT ONLY)
Somatoform G.8
UNDIFFERENTIATED SOMATOFORM
DISO RDER CRITERIA
IF: SOMATIZATION DISORDER (G.6),

OR PAIN DISORDER (G.7),
CHECK HERE ____ AND SKIP TO *HYPOCHONDRIASIS,* G.10.
INFORMATION OBTAINED FROM
OVERVIEW OF PRESENT
ILLNESS AND SCREENING
QUESTIONS AT THE BEGINNING
OF THIS MODULE WILL USUALLY
BE SUFFICIENT TO CODE THESE
ITEMS. ASK ADDITIONAL
QUESTIONS IF NECESSARY.
A. One or more physical

complaints, e.g., fatigue, loss of
appetite, gastrointestinal or urinary
complaints
FOR EACH SYMPTOM REPORTED,

DETERMINE THAT THE CRITERION
IS MET BY SUCH QUESTIONS AS:
B. Either (1) or (2):
Did you tell a doctor about

(SYMPTOM)?
What was the diagnosis? (What did
the doctor say was causing it?)
DESCRIBE:
GO TO
*HYPOCHONDRIASIS*
G.10
(1) after appropriate investigation, the symptoms cannot be

explained by a known general
medical condition or the direct
effects of a substance (e.g.,
drugs of abuse, medication)
(2) when there is a related

general medical condition,
the physical complaints or
resulting social or
occupational impairment is
in excess of what would be
expected from the history,
physical examination, or
laboratory findings
\ /
/ \
Was anything abnormal found on

tests or x-rays?
Were you taking any medications,
drugs, or alcohol around the time you
were having (SYMPTOM)?
IF A RELATED GENERAL MEDICAL
CONDITION: How much trouble have
(PHYSICAL SYMPTOMS) caused you?
1 = absent or false
2 = subthreshold
IF NEITHER
ITEM (1) NOR
(2) IS CODED
3, GO TO
*HYPOCHON
DRIASIS*
G.10
Page 130
SCID-I
Undifferentiated (Jan 1995 FINAL)
IF NOT ALREADY KNOWN: How

much have (PHYSICAL SYMPTOMS)
interfered with your life? (Has it made
it hard for you to do your work or be
with friends?)
C. The symptoms cause clinically

important areas of functioning
(When did all this begin?)
D. Duration of the disturbance is at

least six months
Somatoform G.9
GO TO
*HYPOCHONDRIASIS*
G.10
?
GO TO
*HYPOCHONDRIASIS*
G.10
UNKNOWN)
NOTE: HYPOCHONDRIASIS IS
DIAGNOSED STARTING ON G.10. IF
THE ANSWERS TO THE SCREENING
QUESTIONS AT THE BEGINNING OF
THIS MODULE SUGGEST THE
PRESENCE OF HYPOCHONDRIASIS,
GO TO G.10 NOW AND RETURN
HERE AFTERWARD.
E. The disturbance is not better

disorder (e.g., another Somatoform
Disorder, Sexual Dysfunction,
Mood Disorder, Anxiety Disorder,
Sleep Disorder, or Psychotic
Disorder).
F. The symptom(s) are not
intentionally produced or feigned
(as in Factitious Disorder or
Malingering)
UNDIFFERENTIATED
SOMATOFORM DISORDER
CRITERIA A, B, C, D, E, AND F
ARE CODED 3
GO TO
*HYPOCHONDRIASIS*
G.10
?
GO TO
HYPO CHONDRIASIS
G.10
1
GO TO
HYPO CHONDRIASIS
G.10
3
UNDIFFERENTIATED
SOMATO FORM
DISORDER
GO TO NEXT MODULE
1 = absent or false
2 = subthreshold
Page 131
SCID-I
Version 2.0 (for DSM-IV) Hypochondriasis (Jan 1995 FINAL)
HYPOCHONDRIASIS
(CURRENT ONLY)
HYPOCHONDRIASIS CRITERIA
Do you worry a lot that you have a

serious disease that the doctors
have not been able to diagnose?
A. Preoccupation with fears of

having, or the idea that one has, a
serious disease, based on the
persons misinterpretation of bodily
symptoms.
What makes you think so? (What do

you think you have?)
DESCRIBE:
What have your doctors told you?
B. The preoccupation persists

despite appropriate medical
evaluation and reassurance
Somatoform G.10
GO TO
*BODY
DYSMORPHIC
DISORDER*
G.12
?
GO TO
*BODY
DYSMORPHIC
DISORDER*
G.12
IF A AND B ARE BOTH CODED

3, CODE 3 FOR THIS ITEM.
C. The belief in A is not of

?
1
2
delusional intensity (as in
Delusional Disorder, Somatic Type)
and is not restricted to a
GO TO
circumscribed concern about
*BODY
appearance (as in Body
DYSDysmorphic Disorder)
MORPHIC
DISORDER*
G.12
D. The preoccupation causes

functioning
1 = absent or false
2 = subthreshold
GO TO
*BODY
DYSMORPHIC
DISORDER*
G.12
Page 132
SCID-I
Version 2.0 (for DSM-IV) Hypochondriasis (Jan 1995 FINAL)
(When did all this begin?)
E. Duration of the disturbance is at

least six months
Somatoform G.11
GO TO
*BODY
DYSMORPHIC
DISORDER*
G.12
UNKNOWN)
F. The preoccupation is not better
accounted for by Generalized
Anxiety Disorder, Obsessive
Compulsive Disorder, Panic
Disorder, a Major Depressive
Episode, Separation Anxiety, or
another Somatoform Disorder
HYPOCHONDRIASIS CRITERIA
A, B, C, D, E, AND F ARE
CODED 3
NOTE: RECODE CRITERION E
IN UNDIFFERENTIATED
SOMATOFORM DISORDER (G.9)
IF NECESSARY
1 = absent or false
2 = subthreshold
GO TO
*BODY
DYSMORPHIC
DISORDER*
G.12
1
HYPOCHONDRIASIS
CONTINUE ON
NEXT PAGE
Page 133
SCID-I
*BODY DYSMORPHIC DISORDER*

(CURRENT ONLY)
BDD
(Jan 1995 FINAL)
Somatoform G.12
BODY DYSMORPHIC DISORDER

CRITERIA
IF DID NOT ACKNOWLEDGE CONCERNS ABOUT APPEARANCE ON G.1,

CHECK HERE ____ AND SKIP TO NEXT MODULE.
Youve said that you have been
bothered by (DEFECT IN
APPEARANCE). How often do you
think about it?
A. Preoccupation with an imagined

defect in appearance. If a slight
physical anomaly is present, the
persons concern is markedly
excessive.
(Think about a typical day. In all,

about how much do you think about
[DEFECT]? For example, at least an
hour a day?)
NOTE: CODE 3 ONLY IF

CLEARLY IMAGINED OR
EXAGGERATED
IF UNCLEAR: How much does this

bother you? What effect has this
had on your life? (Has it made it
hard for you to do your work or be
with friends?)
B. The preoccupation causes

functioning
C. The preoccupation is not better

disorder (e.g., dissatisfaction with
body shape and size in Anorexia
Nervosa).
CRITERIA A, B, AND C ARE

CODED 3
GO TO
NEXT
MODULE
GO TO
NEXT
MODULE
?
GO TO
NEXT
MODULE
1
GO TO
NEXT
MODULE
If UNKNOWN: How old were you

OF BDD)?
BODY DYSMORPHIC
DISORDER
Age at onset of Body

Dysmorphic Disorder
GO TO
NEXT MODULE
1 = absent or false
2 = subthreshold
Page 134
SCID-I
Version 2.0 (for DSM-IV) Anorexia Nervosa
(Jan 1995 FINAL)
Eating Disorders H.1
H. EATING DISORDERS
*ANOREXIA NERVOSA*
SCREEN Q#11
YES
NO
ANOREXIA NERVOSA CRITERIA
IF SCREENING QUESTION #11 ANSWERED NO, SKIP TO *BULIMIA

NERVOSA,* H.3.
IF NO: GO TO
*BULIMIA
NERVOSA*
H.3

Youve said that there was a time
when you weighed much less than
other people thought you ought to
weigh
IF SCREENER NOT USED: Now I
would like to ask you some
questions about your eating habits
and your weight. Have you ever had
a time when you weighed much less
than other people thought you ought
to weigh?
IF YES: Why was that? How much
did you weigh? How old were you
then? How tall were you?
At that time, were you very afraid
that you could become fat?
?
1
2
A. Refusal to maintain body weight
at or above a minimally normal
weight for age and height (e.g.,
GO TO
weight loss leading to maintenance *BULIMIA
of body weight less than 85% of
NERVOSA*
that expected; or failure to make
H.3
expected weight gain during period
of growth, leading to body weight
less than 85% of that expected)
B. Intense fear of gaining weight or

becoming fat, even though
underweight
GO TO
*BULIMIA
NERVOSA*
H.3
At your lowest weight, did you still
feel too fat or that part of your body
was too fat?
IF NO: Did you need to be very
thin in order to feel good about
yourself?
C. Disturbance in the way in which

ones body weight or shape is
experienced; undue influence of
body weight or shape on selfevaluation; or denial of the
seriousness of the current low
body weight
GO TO
*BULIMIA
NERVOSA*
H.3
IF NO AND LOW WEIGHT IS

MEDICALLY SERIOUS: When you
were that thin, did anybody tell you it
could be dangerous to your health to
be that thin? (What did you think?)
1 = absent or false
2 = subthreshold
Page 135
SCID-I
Version 2.0 (for DSM-IV) Anorexia Nervosa
FOR FEMALES: Before this time,

were you having your periods? Did
they stop? (For how long?)
(Jan 1995 FINAL)
D. In postmenarchal females,
amenorrhea, i.e., the absence
of at least three consecutive
menstrual cycles. (A woman is
still considered to have
amenorrhea if her periods occur
only following hormone, e.g.,
estrogen, administration.)
ANOREXIA NERVOSA CRITERIA
A, B, C, AND D ARE CODED 3
GO TO
*BULIMIA
NERVOSA*
H.3
1
GO TO
*BULIMIA
NERVOSA*
H.3
(Do you have eating binges in which

you eat a lot of food in a short
period of time and feel that your
eating is out of control?) (How
often?)
IF NO: What kinds of things
have you done to keep weight
off? (Ever made yourself vomit
or take laxatives, enemas, or
water pills?) (How often?)
SUBTYPE CURRENT EPISODE:

During the current episode of
Anorexia Nervosa, the person
has regularly engaged in bingeeating or purging behavior (i.e.,
self-induced vomiting or misuse
of laxatives, diuretics, or
enemas)
1 = absent or false
2 = subthreshold
RESTRICTING
TYPE
3
EXCLUDE
IF
PRINCIPAL
DIAGNOSIS
3
BINGEEATING/
PURGING
TYPE
Page 136
SCID-I
*BULIMIA NERVOSA*
Bulimia Nervosa
(Jan 1995 FINAL)
SCREEN Q#12
YES
NO
BULIMIA NERVOSA CRITERIA

Youve said that youve often had
times when your eating was out of
control. Tell me about those times.
A. Recurrent episodes of binge
IF SCREENER NOT USED: Have
eating. An episode is characterized
you often had times when your
by BOTH of the following:
eating was out of control? Tell me
about those times.
(1) a sense of lack of control
overeating during the episode
(e.g., a feeling that one cannot
stop eating or control what or
how much one is eating)
IF UNCLEAR: During these times,
do you often eat within any two-hour
period what most people would
regard as an unusual amount of
food? Tell me about that.
(2) eating, in a discrete period

of time (e.g., within any twohour period), an amount of
food that is definitely larger
than most people would eat
during a similar period of time
and under similar
circumstances.
Did you do anything to counteract

the effects of eating that much?
(Like making yourself vomit, taking
laxatives, enemas, water pills, strict
dieting or fasting, or exercising a
lot?)
B. Recurrent inappropriate
compensatory behavior in order to
prevent weight gain, such as: selfinduced vomiting; misuse of
laxatives, diuretics, enemas, or
other medications; fasting; or
excessive exercise
How often were you eating that

much (AND COMPENSATORY
BEHAVIOR)? (At least twice a week
for at least three months?)
C. The binge eating and

inappropriate compensatory
behaviors both occur, on average,
at least twice a week for three
months
1 = absent or false
2 = subthreshold
Page 137
SCID-I
Were your body shape and weight

among the most important things
that affected how you felt about
yourself?
Bulimia Nervosa
(Jan 1995 FINAL)
D. Self-evaluation is unduly
influenced by body shape and
weight
E. The disturbance does not

occur exclusively during
episodes of Anorexia Nervosa
BULIMIA NERVOSA CRITERIA

A, B, C, D, AND E ARE
CODED 3
EXCLUDE
IF
PRINCIPAL
DIAGNOSIS
SPECIFY TYPE:
During the current episode of
Bulimia Nervosa, the person
has regularly engaged in selfinduced vomiting or the misuse
of laxatives, diuretics, or
enemas
1 = absent or false
2 = subthreshold
1
NONPURGING
TYPE
3
PURGING
TYPE
Page 138
Sedatives-hypnotics-anxiolytics: (downers)
Quaalude (ludes), Seconal (reds), Valium, Xanax, Librium,
barbiturates, Miltown, Ativan, Dalmane, Halcion, Restoril
Cannabis:
marijuana, hashish (hash), THC, pot, grass, weed, reefer
Stimulants: (uppers)
Amphetamine, speed, crystal meth, dexadrine, Ritalin,
diet pills, ice
Opioids:
heroin, morphine, opium, Methadone, Darvon, codeine,
Percodan, Demerol, Dilaudid
Cocaine:
snorting, IV, freebase, crack, speedball
Hallucinogens: (psychodelics)
LSD (acid), mescaline, peyote, psilocybin, STP, mushrooms, Extasy, MDMA
PCP:
angel dust
Other:
Steroids, glue, ethyl chloride, paint,
inhalants, nitrous oxide (laughing gas),
amyl or butyl nitrate (poppers),
Special K, nonprescription sleep or
diet pills
1 = absent or false
2 = subthreshold
Page 139

SCID - Full Interview

Hochgeladen von

Dokumentinformationen

Originalbeschreibung:

Copyright

Verfügbare Formate

Dieses Dokument teilen

Dokument teilen oder einbetten

Freigabeoptionen

Stufen Sie dieses Dokument als nützlich ein?

Sind diese Inhalte unangemessen?

Copyright:

Verfügbare Formate

SCID - Full Interview

Hochgeladen von

Copyright:

Verfügbare Formate

STRUCTURED CLINICAL INTERVIEW FOR DSM-IV AXIS I DISORDERS

Patient Edition (January 1995 FINAL)

Mo. Day Year

Edited and checked by:

The development of the SCID was supported in part by

SCID-I/P Version 2.0 (for DSM-IV)

(Jan 1995 FINAL)

Summary Score Sheet i

SCID-I/P SUMMARY SCORE SHEET

Meets Symptomatic Dx. Crit.

SCID-I/P Version 2.0 (for DSM-IV)

(Jan 1995 FINAL)

Summary Score Sheet ii

Subthresh- Thresh old

MOOD DISORDERS (continued)

Type of current episode:

Note: Patients with both current major depressive

SCID-I/P Version 2.0 (for DSM-IV)

(Jan 1995 FINAL)

Meets Symptomatic Dx. Crit.

Summary Score Sheet iii

SCID-I/P Version 2.0 (for DSM-IV)

(Jan 1995 FINAL)

Meets Symptomatic Dx. Crit.

Summary Score Sheet iv

SCID-I/P Version 2.0 (for DSM-IV)

(Jan 1995 FINAL)

Meets Symptomatic Dx. Crit.

Summary Score Sheet v

ANXIETY DISORDERS (continued)

Anxiety Disorder Due To

With Panic Attacks

With Panic Attacks

Anxiety Disorder NOS

SCID-I/P Version 2.0 (for DSM-IV)

(Jan 1995 FINAL)

Meets Symptomatic Dx. Crit.

Summary Score Sheet vi

SCID-I/P Version 2.0 (for DSM-IV)

(Jan 1995 FINAL)

Summary Score Sheet vii

INTERVIEWERS DIAGNOSES, IF DIFFERENT FROM SCID DIAGNOSES:

DSM-IV Axis IV: Psychosocial and Environmental Problems

SCID-I/P Version 2.0 (for DSM-IV)

(Jan 1995 FINAL)

Summary Score Sheet viii

DSM-IV Axis V: Global Assessment of Functioning (GAF) Scale

Superior functioning in a wide range of activities, lifes problems never seem to

SCID-I/P Version 2.0 (for DSM-IV)

(Jan 1995 FINAL)

Whats your date of birth?

___ ___ ___

Are you married?

1 married or living with

IF NO: Were you ever?

What kind of work do you do?

SCID-I/P Version 2.0 (for DSM-IV)

(Jan 1995 FINAL)

Are you working now?

CURRENT TREATMENT STATUS (PAST MONTH):

When did you come to the

SCID-I/P Version 2.0 (for DSM-IV)

(Jan 1995 FINAL)

_ _ ___

B/C. Psychotic Screening

PAST MANIC EPISODE