San Diego CBT For Anxiety | La Jolla Test Anxiety | Del Mar Exam Anxiety | Solana Beach Performance Anxiety

Please complete all sections of the form below to receive an automated screening for a variety of anxiety conditions. Mark the symptoms you experience.

I have panic attacks that come out of the blue and are not about a specific fear (such as of spiders or flying in airplanes).
I have had at least four such panic attacks in the past 30 days.

During my worst panic I had three or more of the following symptoms:
feelings of choking
dizziness or unsteadiness
rapid heartbeat or palpitations
trembling or shaking
sweating (not because of room temperature)
flushing or chills
numbness or tingling in hands, arms, face, legs
nausea or stomach distress
feelings of being out of my body or detached from my surroundings
chest pain or tightness
fears of dying
fears of doing something embarrassing or going crazy

Panic attacks cause me to avoid certain places such as elevators, flying in airplanes, driving on freeways, being in crowded places where getting out might be difficult.

I have high levels of anxiety or avoid situations where people might judge or evaluate me in a social setting such as one or more of the following:
parties, wedding receptions, and other social events
eating in front of others
writing my name while someone is watching me
sitting in or having to talk at a meeting at work, school, or other gathering
giving a talk or making a presentation to people
situations where I might say something that others will think is stupid

I have a lot of uncontrollable anxiety and excessive worry that has lasted at least six months and about two or more problems such as my health, money, the safety of my family, or about my job.
I have at least three of the following symptoms when I'm worried or anxious:
muscle tension
restlessness
fatigue or lethargy
feeling all keyed up
difficulty concentrating or my mind going blank
hard to fall asleep or stay asleep
irritable

I do not have panic attacks but I do have strong fear of one or more of the following and that fear has caused me to avoid the feared object or situation, or endure it with great diffculty:
insects or animals such as bees, bats, cats, dogs, mice, rats, snakes, spiders
elevators
airplanes or flying
thunder or lightening
doctors or dentists
needles
blood
water
disease or illness
darkness or closed in spaces
other

I have recurring and unwanted thoughts such as hurting someone, being contaminated by dirt, germs, or some toxic substance, or of some catastrophe occurring. Furthermore, I realize that these thoughts are irrational and not likely to occur, however, I still can't stop the thoughts and they occur frequently enough to interfere with my enjoyment of life in some way.
I have repetitive actions or behaviors such as counting, washing my hands, checking doors, locks, or appliances that are done to relieve anxiety or worry about irrational fears that come to my mind. These behaviors occur frequently enough to interfere with my enjoyment of life in some way.

I have significant anxiety, worry, and intrusive thoughts, nightmares, or flashbacks to an event in my life where I either witnessed or was in a position where serious harm occurred to me or where serious harm or death occurred to someone else. My symptoms are severe enough to interfere with my enjoyment of life or relationships in some way.

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