Separation Anxiety Assessment

Separation anxiety disorder is a condition where your child finds it difficult to cope with brief periods of separation from parents or other caregivers. 

Time to complete

3 minutes

Eligibility

Anyone who feels affected by separation anxiety disorder can take this assessment.

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Questions for Separation Anxiety Assessment

1.

Have you felt more secure at home when you are with people that are close to you?

The answer should be a single choice:
  1. Very often
  2. Fairly Often
  3. Occasionally
  4. Never
2.

Have you experienced difficulty in staying away from home for several hours at a time?

The answer should be a single choice:
  1. Very often
  2. Fairly Often
  3. Occasionally
  4. Never
3.

Have you been carrying around something in your purse or wallet that gives you a sense of security orcomfort?

The answer should be a single choice:
  1. Very often
  2. Fairly Often
  3. Occasionally
  4. Never
4.

Have you been worried about the intensity of your relationship with those people closest to you, e.g., that you are too strongly attached to?

The answer should be a single choice:
  1. Very often
  2. Fairly Often
  3. Occasionally
  4. Never
5.

Have you experienced extreme stress before leaving home to go on a long trip?

The answer should be a single choice:
  1. Very often
  2. Fairly Often
  3. Occasionally
  4. Never
6.

Have you experienced symptoms such as headaches, stomach-aches or nausea (or other) before leaving for work or other regular activity outside thehome?

The answer should be a single choice:
  1. Very often
  2. Fairly Often
  3. Occasionally
  4. Never
7.

Do you find that you talk a lot in order to keep people close to you?

The answer should be a single choice:
  1. Very often
  2. Fairly Often
  3. Occasionally
  4. Never
8.

Have you found that you get anxious if you do not speak to people that are close to you on the telephone regularly, e.g., daily?

The answer should be a single choice:
  1. Very often
  2. Fairly Often
  3. Occasionally
  4. Never
9.

Have you suffered from nightmares or dreams about being separated from someone close to you?

The answer should be a single choice:
  1. Very often
  2. Fairly Often
  3. Occasionally
  4. Never
10.

Have you experienced difficulty sleeping alone at night, e.g., is your sleep better if someone close to you is in the house?

The answer should be a single choice:
  1. Very often
  2. Fairly Often
  3. Occasionally
  4. Never
11.

Have you found that you sleep better if the lights are on in the house or in the bedroom?

The answer should be a single choice:
  1. Very often
  2. Fairly Often
  3. Occasionally
  4. Never
12.

Have you been worrying a lot about people close to you coming to serious harm, for example, meeting with a car accident or suffering from a fatal illness?

The answer should be a single choice:
  1. Very often
  2. Fairly Often
  3. Occasionally
  4. Never

Similar Ideas

  • Generalized Anxiety Disorder Questionnaire
  • Social Anxiety Scale
  • State-Trait Anxiety Inventory
  • Beck Anxiety Inventory
  • Fear Questionnaire

Here are some FAQs and additional information
on
Separation Anxiety Assessment

What is separation anxiety disorder?

Separation anxiety disorder is an anxiety disorder characterized by excessive anxiety and distress when an individual is separated from their home or loved ones. This can lead to significant impairment in social, occupational, or other important areas of functioning.

What are the symptoms of separation anxiety disorder?

The symptoms of separation anxiety disorder can vary depending on the severity of the disorder. In general, symptoms may include excessive anxiety and distress when separated from home or loved ones, avoidance of situations that involve separation, and physical symptoms such as headaches, stomachaches, and difficulty sleeping.

What causes separation anxiety disorder?

The exact cause of separation anxiety disorder is unknown, but it is believed to be a combination of genetic and environmental factors.

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