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You remember this is a patient scored tool, and it takes about five minutes or less to complete you know for all of us time is a precious commodity, so this is great news that it doesn't take up a lot of our time this is something a patient can fill out prior to being seen by their clinician in fact they can fill it out in the waiting room the at 7 really is a very quick and simple instrument to administer and score, and it's very patient friendly so let me give you an idea of the scoring patients are asked about their anxiety over the last two weeks by answering seven questions and then rating the associated impairment patients rate their answers by signing scores of 0 1 2 and 3 answers include not at all several days more than half the days and nearly every day GAD seven total scores range from 0 to 21 scores of 5 10 and 15 represent cut points for mild moderate and severe anxiety a score of 10 or more is the recommended cut point when screening for an anxiety disorder, and we'll alert the clinician that further evaluation is required I think it's fair to say that a score of 10 or more is a probable diagnosis of GA d it was validated in about 2700 primary care patients there are a number of different scales and screeners for anxiety including the Beck anxiety inventory and the Hamilton anxiety scale now as long as you're using some sort of screening tool that's validated and normed keep up the good work each of these has its own set of pluses and minuses for me, I'm going to stick with the GAD 7 because like I said earlier it's easier for patients to understand and complete, and it is simple to score if you haven't used it I invite you to visit Sandra's corner at site Congress com to learn more about the GAD 7 and other screening tools
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