Child Self Assessment – #4


Child Self-Assessment 

The Child Self-Assessment is made up of 7 questionnaires. Following each questionnaire, you can click submit for scoring results and links for the remaining questionnaires. Questionnaires may be completed in any order.

#1 ADHD  •  #2 Oppositional Defiant Disorder  •  #3 Conduct Disorder  •  #4 Separation Anxiety Disorder
#5 Overanxious Disorder  •  #6 Major Depressive Episode  •  #7 Dysthymia
 

Separation Anxiety Disorder (#4): Which of the following are considered to be a significant problem at the present time:

Unrealistic and persistent worry about possible harm to attachment figures
Unrealistic and persistent worry that a calamitous event will separate the child from attachment figure
Persistent school refusal
Persistent refusal to sleep alone
Persistent avoidance of being alone
Repeated nightmares regarding separation
Somatic complaints
Excessive distress in anticipation of separation from attachment figure
Excessive distress when separated from home or attachment figures





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