The DAWBA clinical rater's manual
Practice cases relevant to generalised anxiety
For each case:
- Click onto the case number to move to the rating screens for that case.
- Use the information from the rating screens to answer the questions.
- Check your answers by reading what we say in the text box in Note.
- You can also look at the DSM and ICD screens
to see our clinical diagnoses.
If you haven't yet learnt to navigate your way round the rating screens, we strongly recommend
you click here to work your way through the introductory tutorial
before starting on the practice cases listed below.
- Examine the ICD-10 criteria for generalized anxiety and obsessive-compulsive
disorder. Why does this child receive a computer-generated DSM-IV diagnosis for these two disorders but not an ICD-10 diagnosis?
- Does the information from the open-ended comments affect your decision as a
clinical rater on whether to allocate a diagnosis?
- Explore why this child fulfils criteria for a diagnosis of PTSD according to
ICD-10 and not DSM-IV. Given the clinical picture revealed by the reports and the
open-ended comments, should this child be considered to have PTSD according to DSM-IV
after all?
- Do you accept the three other anxiety diagnoses generated by the computer?
- Do you agree with the diagnosis of depressive disorder?
- Is a diagnosis of generalized anxiety disorder consistent with
the history?
- If not, what might be a more appropriate diagnosis?
- Why does the computer diagnose PTSD on ICD-10 but not DSM-IV?
- What are the diagnostic criteria for generalized anxiety disorder,
and where is this child in relation to the threshold for diagnosis?
- In what way do the open-ended comments help with the clinical diagnosis?
- Do you agree with the computer diagnosis of depression?
- Why does the computer fail to allocate a diagnosis of generalized
anxiety?
- Why does the computer diagnose separation anxiety according to
DSM-IV but not ICD-10? Do you accept this?
- What do you think about the diagnosis of a conduct disorder?
- What features in the open-ended comments go against this child having a
diagnosis of a major depressive disorder?
- Do you think she should be given the diagnosis?
- What conclusion can you make about this child's panic symptoms?
- Do you think her anxiety symptoms are truly generalized?
- What would you do with the computer-allocated diagnosis of OCD?
Last modified : 11/07/14