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Symptoms-Treatment Questionnaire 2.

Question:
Here is the revised questionnaire, ready for the second review cycle.

Please take some time to look it over. If you have any comments or suggestions, please share them with me. It is not too late to add things, so let me know if we've missed anything important. Also feel free to suggest any alternative wording.




Answer:
If you have ever experienced an anxiety or panic disorder, please fill out this questionnaire. Even if you consider yourself recovered, please fill out this questionnaire as best as you can remember your experiences. Answers do not have to be precise, simply an approximate guess will due. Do not to focus on your worst or last attack, but consider your attacks in general as you answer these questions

These changes might be considered "life events" by Richard Holmes and Thomas Rahe. They are the creators of the "Life Events Survey" or "Social Readjustment Scale." It is used to predict a person's risk of developing a physical disease as a result of cumulative life stress. I've seen many variations of this scale with numerous different names. Basically, it is a list of life events (around 50) with each event assigned a point value (up to 100). If any of these events have happened to you in a specified period (i.e. past 2 years), you circle the points. At the end, you add up the points and compare them to the scale and find out how your stress rates.

What is interesting to me is that not all of the life events are negative experiences. Marriage, Christmas, and graduation from school are all life events--sometimes positive (hopefully) and sometimes negative. The point is that changes in your life add to stress, and stress, as many of us know, can trigger for panic disorder just as it can trigger other physical deseases. This does not mean that changes are bad! It just means that if you're going to make any major changes (or even if there's holiday coming), you should take extra care of yourself.

I'm also interested in the idea that making certain changes could help one's recovery. Because change does add stress thereby worsening the PD for a while, it is probably difficult for people with PD to leave harmful (either mentally or physically) situations--such as a bad relationship. In such circumstances, it's so difficult to see ahead to a better time. Therefore, I think it's a wonderful idea to include this topic on the questionnaire. If people see that others have made these changes and became healthier because if it, then they might be inspired to make changes in their own lives.

In any case, perhaps the life events on the "Life Events Scale" would give you some ideas on what to add to the questionnaire. As I said, there are around 50 events (and certainly many more included on the traditional scale), but they could be narrowed down into categories.



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