Score Sheet Developed by Felton Institute, Intended for Use with SCID 5 CV First, M. B., Williams, J. B. W., Karg, R. S., & Spitzer, R. L. (2015). Structured clinical interview for DSM-5 disorders—Clinician version (SCID-5-CV).

Summary Score Sheet

Schizophrenia Spectrum & Other Psychotic Disorders

Current Past F20.9 F20.81 F25.0 F25.1 F22 F23

Lifetime

F06.2 F06.0 F . Substance & code from pg 6:

Current Past

F28 Other Specified: F29

Bipolar and Related Disorders Current Past

F31.11 F31.12 F31.13 F31.2

F31.73 F31.74

F31.31 F31.32 F31.4 F31.5

F31.75 F31.76

F31.0 F31.71 F31.72

F31.9

F31.81 F31.81 F31.81

F31.81 F31.81 F31.81 F31.81

F31.81 F31.81

Score Sheet Developed by Felton Institute, Intended for Use with SCID 5 CV First, M. B., Williams, J. B. W., Karg, R. S., & Spitzer, R. L. (2015). Structured clinical interview for DSM-5 disorders—Clinician version (SCID-5-CV).

Lifetime F06.33 F06.33 F06.34 F . Substance & code from pg 6:

Current Past

F31.89* *See manual for exception

Other Specified:

F31.9 Depressive Disorders

Current Past F32.0 F32.1 F32.2 F32.3

F32.4 F32.5

F33.0 F33.1 F33.2 F33.3

F33.41 F33.42

F34.1 Lifetime

F06.34 F06.31 F06.32 F . Substance & code from pg 6:

Current Past

F32.8 Other Specified: F32.9

Substance Use Disorders Past 12 Mo. Alcohol Use Disorder

F10.10 Mild F10.20 Moderate F10.20 Severe

Sedative, Hypnotic, or Anxiolytic Use Disorder Specific Drug Used:

F13.10 Mild F13.20 Moderate F13.20 Severe

Score Sheet Developed by Felton Institute, Intended for Use with SCID 5 CV First, M. B., Williams, J. B. W., Karg, R. S., & Spitzer, R. L. (2015). Structured clinical interview for DSM-5 disorders—Clinician version (SCID-5-CV).

Cannabis Use Disorder Specific Drug Used: F12.10 Mild F12.20 Moderate F12.20 Severe

Amphetamine-Type Substance Use Disorder Specific Drug Used:

F15.10 Mild F15.20 Moderate F15.20 Severe

Cocaine Use Disorder Specific Drug Used:

F14.10 Mild F14.20 Moderate F14.20 Severe

Other or Unspecified Stimulant Use Disorder Specific Drug Used:

F15.10 Mild F15.20 Moderate F15.20 Severe

Opioid Use Disorder Specific Drug Used:

F11.10 Mild F11.20 Moderate F11.20 Severe

Phencyclidine and Related Substance Use Disorder Specific Drug Used:

F16.10 Mild F16.20 Moderate F16.20 Severe

Other Hallucinogen Use Disorder Specific Drug Used:

F16.10 Mild F16.20 Moderate F16.20 Severe

Inhalant Use Disorder Specific Drug Used:

F18.10 Mild F18.20 Moderate F18.20 Severe

Other (or Unknown) Substance Use Disorder Specific Drug Used:

F19.10 Mild F19.20 Moderate F19.20 Severe

Score Sheet Developed by Felton Institute, Intended for Use with SCID 5 CV First, M. B., Williams, J. B. W., Karg, R. S., & Spitzer, R. L. (2015). Structured clinical interview for DSM-5 disorders—Clinician version (SCID-5-CV).

Other Disorders

Current Past F41.0 F40.00 F40.10 F41.1 F42 F43.10 F90.2 F90.0 F90.1 F43.21 F43.22 F43.23 F43.24 F43.25 F43.20

Lifetime

F06.4 F . Substance & code from pg 6: F06.8 F . Substance & code from pg 6:

Current Past

F . Other Specified: F . Other Specified:

Screened Disorders (Current)

N94.3 F40.218 F40.228 F40.230 F40.231 F40.232 F40.233 F40.248 F40.298 F93.0 F42 F45.22 F63.3 L98.1 F51.01 F51.11 F50.01 F50.02 F50.2 F50.8 F50.8

Score Sheet Developed by Felton Institute, Intended for Use with SCID 5 CV First, M. B., Williams, J. B. W., Karg, R. S., & Spitzer, R. L. (2015). Structured clinical interview for DSM-5 disorders—Clinician version (SCID-5-CV).

F45.1 F45.21 F63.81 F63.0

Use the following space for notes from the interview questions on pages 7-9 of the manual if needed

Score Sheet Developed by Felton Institute, Intended for Use with SCID 5 CV First, M. B., Williams, J. B. W., Karg, R. S., & Spitzer, R. L. (2015). Structured clinical interview for DSM-5 disorders—Clinician version (SCID-5-CV).

Treatment History

Age/Date Description Treatment and offset

Score Sheet Developed by Felton Institute, Intended for Use with SCID 5 CV First, M. B., Williams, J. B. W., Karg, R. S., & Spitzer, R. L. (2015). Structured clinical interview for DSM-5 disorders—Clinician version (SCID-5-CV).

A. Mood Episodes

A1 - + If both A1 and A2 are – continue to A15 (pg 13 of manual) A2 - +

A3 - + A4 - + A5 - + A6 - + A7 - + A8 - + A9 - +

A10 No Yes If NO continue to A15, if YES continue to A11 A11 - + If – continue to A15, if + continue to A12 A12

- + If YES Primary Current Major Depressive Episode, continue with A13 If NO Diagnose: Depressive Disorder Due to AMC or Substance Induced Depressive Disorder continue with A15

A13 / A14 / Continue with A29 (pg 17 of manual) A15 - +

If both A15 and A16 are rated as – continue with A29 (pg 17 of manual) A16 - + A17 - + A18 - + A19 - + A20 - + A21 - + A22 - + A23 - + A24 No Yes If YES continue to A25

If NO ask additional question in manual. If YES go back to A15 and assess symptoms for that episode. If NO continue with A29

Score Sheet Developed by Felton Institute, Intended for Use with SCID 5 CV First, M. B., Williams, J. B. W., Karg, R. S., & Spitzer, R. L. (2015). Structured clinical interview for DSM-5 disorders—Clinician version (SCID-5-CV).

A25 - + If + continue to A26

If – ask additional question in manual. If YES go back to A15 and assess symptoms for that episode. If NO continue with A29

A26 No Yes If YES Primary Past Major Depressive Episode Continue with A27 If NO Diagnose: Depressive Disorder Due to AMC or Substance Induced Depressive Disorder If UNKNOWN ask additional question in manual.

Unknown

If YES on additional question Go back to A15 and assess symptoms for that episode, if NO Continue with A29

A27 / A28 / Continue with A29 A29 - + If – Continue with A54 (pg 22 of manual) A30 - + If – Continue with A41 (pg 20 of manual) A31 - + A32 - + A33 - + A34 - + A35 - + A36 - + A37 - + A38 No Yes If NO Continue with A54, If YES Continue with A39 A39 - + If – Continue with A50 (pg 21 of manual) A40

No Yes

If YES Primary Current Manic Episode, Continue with B1 (pg 31 of manual) If NO Diagnose: Bipolar Disorder Due to AMC or Substance Induced Bipolar Disorder

A41 - + If – Continue with A54 (pg 22 of manual) A42 - + A43 - + A44 - + A45 - + A46 - +

Score Sheet Developed by Felton Institute, Intended for Use with SCID 5 CV First, M. B., Williams, J. B. W., Karg, R. S., & Spitzer, R. L. (2015). Structured clinical interview for DSM-5 disorders—Clinician version (SCID-5-CV).

A47 - + A48 - + A49 No Yes If NO Continue with A54 (pg 22 of manual) A50 - + If – Continue with A54 (pg 22 of manual) A51 - + If – Continue with A54 (pg 22 of manual)

A52 - + If + Continue with A53, If – Go back to A31, transcribe ratings from A42-A48 to A31-A37, and continue with A39

A53

No Yes

If YES Primary Current Hypomanic Episode, continue with A54 If NO Diagnose: Bipolar Disorder Due to AMC or Substance Induced Bipolar Disorder Continue with A54

A54 - + If – Continue with A78 (pg 29 of manual) A55 - + If + Continue with A66 (pg 26 of manual) A56 - + A57 - + A58 - + A59 - + A60 - + A61 - + A62 - + A63

No Yes

If YES Continue with A64 If NO ask additional question in manual. If YES go back to A54 (pg 22 of manual) and ask about that episode. If NO continue with A78 (pg 29 of manual)

A64

- +

If + Continue with A65 If – ask additional question in manual. If YES go back to A54 (pg 22 of manual) and ask about that episode. If NO continue with A78 (pg 29 of manual)

A65

No Yes

If YES Primary Past Manic Episode, continue with B1 (pg 31 of manual) If NO Diagnose: Bipolar Disorder Due to AMC or Substance Induced Bipolar Disorder ask additional question in manual. If YES go back to A54 (pg 22 of manual) and ask about that episode. If NO continue with A78 (pg 29 of manual)

Score Sheet Developed by Felton Institute, Intended for Use with SCID 5 CV First, M. B., Williams, J. B. W., Karg, R. S., & Spitzer, R. L. (2015). Structured clinical interview for DSM-5 disorders—Clinician version (SCID-5-CV).

A66 - + If – Continue with A78 (pg 29 of manual) A67 - + A68 - + A69 - + A70 - + A71 - + A72 - + A73 - +

No Yes

If YES Continue with A74 If NO ask additional question in manual. If YES go back to A66 (pg 26 of manual) and ask about that episode. If NO continue with A78 (pg 29 of manual)

A74

- +

If + Continue with A75 If – ask additional question in manual. If YES go back to A66 (pg 26 of manual) and ask about that episode. If NO continue with A78 (pg 29 of manual)

A75

- +

If + Continue with A76 If – ask additional question in manual. If YES go back to A66 (pg 26 of manual) and ask about that episode. If NO continue with A78 (pg 29 of manual)

A76

- +

If + Continue with A77 If – If severe enough to require hospitalization or severe enough to cause marked impairment, go back to A56 (pg 23 of manual), transcribe ratings from A67-A73 to A56-A62, and continue with A64 (pg 25 of manual)

A77

No Yes

If YES Primary Past Hypomanic Episode, continue with B1 (pg 31 of manual) If NO Diagnose: Bipolar Disorder Due to AMC or Substance Induced Bipolar Disorder ask additional question in manual. If YES go back to A66 (pg 26 of manual) and ask about that episode. If NO continue with A78 (pg 29 of manual)

If there has ever been a manic or hypomanic episode, skip to B1 (pg 31 of manual) A78 - + If – Continue with B1 (pg 31 of manual) A79 - +

Score Sheet Developed by Felton Institute, Intended for Use with SCID 5 CV First, M. B., Williams, J. B. W., Karg, R. S., & Spitzer, R. L. (2015). Structured clinical interview for DSM-5 disorders—Clinician version (SCID-5-CV).

B. Psychotic and Associated Symptoms

A80 - + A81 - + A82 - + A83 - + A84 - + A85 No Yes If NO Continue with B1 (pg 31 of manual) A86 - + If – Continue with B1 (pg 31 of manual) A87 - + If – Continue with B1 (pg 31 of manual) A88 - + If – Continue with B1 (pg 31 of manual) A89

- + If + Primary Continue with A90 If – Diagnose: Depressive Disorder Due to AMC or Substance Induced Depressive Disorder continue with B1 (pg 31 of manual)

A90

- + If – Continue with B1 (pg 31 of manual) If + Diagnose: Persistent Depressive Disorder (current), continue with B1 (pg 31 of manual)

Describe: B1 - + B2 - + B3 - + B4 - + B5 - + B6 - + B7 - + B8 - + B9 - +

B10 - + B11 - + B12 - +

Score Sheet Developed by Felton Institute, Intended for Use with SCID 5 CV First, M. B., Williams, J. B. W., Karg, R. S., & Spitzer, R. L. (2015). Structured clinical interview for DSM-5 disorders—Clinician version (SCID-5-CV).

C. Differential Diagnosis of Psychotic Disorders

B13 - + B14 - + B15 - + B16 - + B17 - + B18 - + B19 - + B20 - + B21 - + B22 - + B23 - + If + Possibly/Definitely Secondary then score as –

If + Primary B24

No Yes If + Possibly/Definitely Secondary then score as – If + Primary Continue to C1

C1 No Yes

If YES Go to C2 If NO Go to D1 (pg 45 of manual)

Criteria for Shizophrenia C2

No Yes If YES Go to C3 If NO Go to C13 (pg 40 of manual)

C3 No Yes

If YES Go to C4 If NO Go to C9 (pg 39 of manual)

C4 No Yes

If YES Go to C5 If NO Go to C7 (pg 39 of manual)

C5 No Yes

If YES Go to C6 If NO Go to C22 (pg 42 of manual)

C6

No Yes

If YES (not due to a GMC or substance/medication) Schizophrenia, go to C25 (pg 44 of manual) If NO Diagnose: Psychotic Disorder due to AMC or Substance Induced Psychotic Disorder, go back to C2 pg 37 if there are other psychotic

Score Sheet Developed by Felton Institute, Intended for Use with SCID 5 CV First, M. B., Williams, J. B. W., Karg, R. S., & Spitzer, R. L. (2015). Structured clinical interview for DSM-5 disorders—Clinician version (SCID-5-CV).

symptoms not due to a GMC or substance/medication. Otherwise go to D1 (pg 45 of manual)

Criteria for Schizophreniform Disorder C7

No Yes If YES Go to C8 If NO Go to C19 (pg 41 of manual)

C8

No Yes

If YES (not due to a GMC or substance/medication) Schizophreniform Disorder, go to C26 (pg 44 of manual) If NO Diagnose: Psychotic Disorder due to AMC or Substance Induced Psychotic Disorder, go back to C2 pg 37 if there are other psychotic symptoms not due to a GMC or substance/medication. Otherwise go to D1 (pg 45 of manual)

Criteria for Schizoaffective Disorder C9

No Yes If YES Go to C10 If NO Go to C22 (pg 42 of manual)

C10 No Yes

If YES Go to C11 If NO Go to C22 (pg 42 of manual)

C11 No Yes

If YES Go to C12 If NO Go to C22 (pg 42 of manual)

C12

No Yes

If YES (not due to a GMC or substance/medication) Schizoaffective Disorder, go to C27 (pg 44 of manual) If NO Diagnose: Psychotic Disorder due to AMC or Substance Induced Psychotic Disorder, go back to C2 pg 37 if there are other psychotic symptoms not due to a GMC or substance/medication. Otherwise go to D1 (pg 45 of manual)

Criteria for Delusional Disorder C13

No Yes If YES Go to C14 If NO Go to C19 (pg 41 of manual)

C14 No Yes

If YES Go to C15 If NO Go to C22 (pg 42 of manual)

C15 No Yes

If YES Go to C16 If NO Go to C22 (pg 42 of manual)

C16 No Yes If YES Go to C17

Score Sheet Developed by Felton Institute, Intended for Use with SCID 5 CV First, M. B., Williams, J. B. W., Karg, R. S., & Spitzer, R. L. (2015). Structured clinical interview for DSM-5 disorders—Clinician version (SCID-5-CV).

If NO Go to C22 (pg 42 of manual)

C17

No Yes

If YES (not due to a GMC or substance/medication) go to C18 If NO Diagnose: Psychotic Disorder due to AMC or Substance Induced Psychotic Disorder, go back to C2 pg 37 if there are other psychotic symptoms not due to a GMC or substance/medication. Otherwise go to D1 (pg 45 of manual)

C18 No Yes

If YES Delusional Disorder, go to C28 (pg 44 of manual) If NO Go to C22 (pg 42 of manual)

Criteria for Brief Psychotic Disorder C19

No Yes If YES Go to C20 If NO Go to C22 (pg 42 of manual)

C20 No Yes

If YES Go to C21 If NO Go to C22

C21

No Yes

If YES (not due to a GMC or substance/medication) Brief Psychotic Disorder, go to C29 (pg 44 of manual) If NO Diagnose: Psychotic Disorder due to AMC or Substance Induced Psychotic Disorder, go back to C2 pg 37 if there are other psychotic symptoms not due to a GMC or substance/medication. Otherwise go to D1 (pg 45 of manual)

Other Specified Psychotic Disorder C22

No Yes If YES Go to C23 If NO Go to D1 (pg 45 of manual)

C23 No Yes

If YES Go to C24 If NO Go to D1 (pg 45 of manual)

C24

No Yes

If YES (not due to a GMC or substance/medication) Other Specified Psychotic Disorder, go to C30 (pg 44 of manual) If NO Diagnose: Psychotic Disorder due to AMC or Substance Induced Psychotic Disorder, go back to C2 pg 37 if there are other psychotic symptoms not due to a GMC or substance/medication. Otherwise go to D1 (pg 45 of manual)

Chronology of Psychotic Disorders C25

No Yes YES Current Diagnose: Schizophrenia, go to D1 (pg 45 of manual)

Score Sheet Developed by Felton Institute, Intended for Use with SCID 5 CV First, M. B., Williams, J. B. W., Karg, R. S., & Spitzer, R. L. (2015). Structured clinical interview for DSM-5 disorders—Clinician version (SCID-5-CV).

D. Differential Diagnosis of Mood Disorders

NO Past Hx Diagnose: Schizophrenia, go to D1 (pg 45 of manual)

C26

No Yes

YES Current Diagnose: Schizophreniform Disorder, go to D1 (pg 45 of manual) NO Past Hx Diagnose: Schizophreniform Disorder, go to D1 (pg 45 of manual)

C27

No Yes

YES Current Diagnose: Schizoaffective Disorder (Bipolar Type if manic episode; Depressive Type if only major depressive episodes), go to D1 (pg 45 of manual) NO Past Hx Diagnose: Schizoaffective Disorder(Bipolar Type if manic episode; Depressive Type if only major depressive episodes), go to D1 (pg 45 of manual)

C28

No Yes

YES Current Diagnose: Delusional Disorder, go to D1 (pg 45 of manual) NO Past Hx Diagnose: Delusional Disorder, go to D1 (pg 45 of manual)

C29

No Yes

YES Current Diagnose: Brief Psychotic Disorder, go to D1 (pg 45 of manual) NO Past Hx Diagnose: Brief Psychotic Disorder, go to D1 (pg 45 of manual)

C30

No Yes

YES Current Diagnose: Other Specified (OR Unspecified) Schizophrenia Spectrum and Other Psychotic Disorder, go to D1 (pg 45 of manual) NO Past Hx Diagnose: Other Specified (OR Unspecified) Schizophrenia Spectrum and Other Psychotic Disorder, go to D1 (pg 45 of manual)

D1 See manual for instructions. Criteria for Bipolar I Disorder D2

No Yes If YES Go to D3 If NO Go to D4

D3

No Yes

If YES Bipolar I Disorder Indicate Type: 1-Manic 2-Major Depressive

Score Sheet Developed by Felton Institute, Intended for Use with SCID 5 CV First, M. B., Williams, J. B. W., Karg, R. S., & Spitzer, R. L. (2015). Structured clinical interview for DSM-5 disorders—Clinician version (SCID-5-CV).

3-Hypomanic 4-Unspecified

Continue with D17 If NO Go to D4

Criteria for Bipolar II Disorder D4

No Yes If YES Go to D5 If NO Go to D8

D5 No Yes

If YES Go to D6 If NO Go to D2

D6 No Yes

If YES Go to D7 If NO Go to D8

D7

No Yes

If YES Bipolar II Disorder Indicate Type: 1- Hypomanic 2-Major Depressive

Continue with D21 If NO Go to D8

Other Specified Bipolar Disorder (including Cyclothymic Disorder) D8

No Yes If YES Go to D9 If NO Go to D11

D9 No Yes

If YES Go to D10 If NO Go to D11

D10

No Yes

If YES Other Specified Bipolar Disorder Continue with D23 (pg 51 of manual) If NO Diagnose: Bipolar Disorder Due to AMC or Substance Induced Bipolar Disorder, go to E1 (pg 53 of manual)

Criteria for Major Depressive Disorder D11

No Yes If YES Go to D12 If NO Go to D14

D12 No Yes If YES Go to D13

Score Sheet Developed by Felton Institute, Intended for Use with SCID 5 CV First, M. B., Williams, J. B. W., Karg, R. S., & Spitzer, R. L. (2015). Structured clinical interview for DSM-5 disorders—Clinician version (SCID-5-CV).

If NO Go to D14 D13

No Yes

If YES Major Depressive Disorder Circle appropriate number: 1- Single Episode 2-Recurrent

Continue with D24 (pg 52 of manual) If NO A Bipolar Disorder should have been previously diagnosed, go back to D2 (pg 45 of manual)

Other Specified Depressive Disorder D14

No Yes If YES Go to D15 If NO Go to E1 (pg 53 of manual)

D15 No Yes

If YES Go to D16 If NO Go to E1 (pg 53 of manual)

D16

No Yes

If YES Other Specified Depressive Disorder Continue with D25 (pg 52 of manual) If NO Diagnose: Depressive Disorder Due to AMC or Substance/Medication Induced Depressive Disorder, go to E1 (pg 53 of manual)

Chronology of Bipolar Disorders D17

No Yes

YES Current Diagnose: Bipolar I Disorder (see manual for details) continue with E1 (pg 53 of manual) NO Past Hx Diagnose: Bipolar I Disorder (see manual for details) continue with E1 (pg 53 of manual)

D18

No Yes

YES Current Diagnose: Bipolar I Disorder (see manual for details) continue with E1 (pg 53 of manual) NO Past Hx Diagnose: Bipolar I Disorder (see manual for details) continue with E1 (pg 53 of manual)

D19

No Yes

YES Current Diagnose: Bipolar I Disorder, Current Episode Hypomanic, continue with E1 (pg 53 of manual) NO Past Hx Diagnose: Bipolar I Disorder (see manual for details) continue with E1 (pg 53 of manual)

D20

No Yes

YES Current Diagnose: Bipolar I Disorder, Current Episode Unspecified, continue with E1 (pg 53 of manual) NO Past Hx Diagnose: Bipolar I Disorder, Most Recent Episode

Score Sheet Developed by Felton Institute, Intended for Use with SCID 5 CV First, M. B., Williams, J. B. W., Karg, R. S., & Spitzer, R. L. (2015). Structured clinical interview for DSM-5 disorders—Clinician version (SCID-5-CV).

E. Substance Use Disorders

Alcohol Use Disorder (past 12 months)

Unspecified, continue with E1 (pg 53 of manual)

D21

No Yes

YES Current Diagnose: Bipolar II Disorder, Current Episode Hypomanic, continue with E1 (pg 53 of manual) NO Past Hx Diagnose: Bipolar II Disorder (see manual for details) continue with E1 (pg 53 of manual)

D22

No Yes

YES Current Diagnose: Bipolar II Disorder (see manual for details) continue with E1 (pg 53 of manual) NO Past Hx Diagnose: Bipolar II Disorder (see manual for details) continue with E1 (pg 53 of manual)

D23

No Yes

YES Current Diagnose: Other Specified (OR Unspecified) Bipolar and Related Disorder, continue with E1 (pg 53 of manual) NO Past Hx Diagnose: Other Specified (OR Unspecified) Bipolar and Related Disorder, continue with E1 (pg 53 of manual)

Chronology of Depressive Disorders D24

No Yes

YES Current Diagnose: Major Depressive Disorder (see manual for details) continue with E1 (pg 53 of manual) NO Past Hx Diagnose: Major Depressive Disorder (see manual for details) continue with E1 (pg 53 of manual)

D25

No Yes

YES Current Diagnose: Other Specified (OR Unspecified) Depressive Disorder, continue with E1 (pg 53 of manual) NO Past Hx Diagnose: Other Specified (OR Unspecified) Depressive Disorder, continue with E1 (pg 53 of manual)

E1 - + If did not drink at least 6 times in past 12 months skip to E14 (pg 56 of manual)

E2 - + E3 - + E4 - + E5 - + E6 - + E7 - +

Score Sheet Developed by Felton Institute, Intended for Use with SCID 5 CV First, M. B., Williams, J. B. W., Karg, R. S., & Spitzer, R. L. (2015). Structured clinical interview for DSM-5 disorders—Clinician version (SCID-5-CV).

E8 - + E9 - +

E10 - + E11 - + E12 - + E13

No Yes

If YES Go to E14 (pg 56 of manual) If NO Diagnose: Alcohol Use Disorder (Mild if 2-3 symptoms, Moderate if 4-5 symptoms, Severe if 6 or more Continue with E14 (pg 56 of manual)

Nonalcohol Substance Use Disorder (past 12 months)

If YES, specify below:

E14 Yes No E15 Yes No E16 Yes No E17 Yes No E18 Yes No E19 Yes No E20 Yes No E21 Yes No E22 Yes No

If any of items E15-E22 rated YES, continue with the ratings for E15a-E22a If all items E15-E22 rated NO, go to F1 (pg 63 of manual)

Enter Use Pattern below:

E15a Yes No E16a Yes No E17a Yes No E18a Yes No E19a Yes No E20a Yes No

Score Sheet Developed by Felton Institute, Intended for Use with SCID 5 CV First, M. B., Williams, J. B. W., Karg, R. S., & Spitzer, R. L. (2015). Structured clinical interview for DSM-5 disorders—Clinician version (SCID-5-CV).

Sedative, Hypnotic, or Anxiolytic Use Disorder Specific Drug Used: Mild Moderate Severe Cannabis Use Disorder Specific Drug Used: Mild Moderate Severe

E21a Yes No E22a Yes No

If any class of illegal or recreational drugs were used at least six times within the past 12 months or prescribed/OTC medications were abused over the past 12 months, go to E23 (pg 58 of manual) If no drug used at least six times and no evidence of prescription/OTC medication abuse, go to F1 (pg 63 of manual)

E23

E24 - + E25 - + E26 - + E27 - + E28 - + E29 - + E30 - + E31 - + E32 - + E33 - + E34 - + E35

No Yes

If YES Continue to E36 If NO If there is a threshold of use of other drug classes in past year (six or more times in 12 months or prescription abuse) return to E23 on page 58 of manual (see instructions for more detail.) If no drug class meets criteria continue with F1 (pg 63 of manual)

Score Sheet Developed by Felton Institute, Intended for Use with SCID 5 CV First, M. B., Williams, J. B. W., Karg, R. S., & Spitzer, R. L. (2015). Structured clinical interview for DSM-5 disorders—Clinician version (SCID-5-CV).

Stimulant Use Disorder Specific Drug Used: Mild Moderate Severe Opiod Use Disorder Specific Drug Used: Mild Moderate Severe Phencyclidine and Related Substance Use Disorder Specific Drug Used: Mild Moderate Severe Other Hallucinogen Use Disorder Specific Drug Used: Mild Moderate Severe Inhalant Use Disorder Specific Drug Used: Mild Moderate Severe Other or Unknown Substance Use Disorder Specific Drug Used: Mild Moderate Severe

F. Anxiety Disorders

F1 - + If – Go to F23 (pg 66 of manual) F2 - + F3 - + F4 - + F5 - + F6 - + F7 - + F8 - + F9 - +

Score Sheet Developed by Felton Institute, Intended for Use with SCID 5 CV First, M. B., Williams, J. B. W., Karg, R. S., & Spitzer, R. L. (2015). Structured clinical interview for DSM-5 disorders—Clinician version (SCID-5-CV).

F10 - + F11 - + F12 - + F13 - + F14 - + F15

No Yes

If YES Continue with F16 If NO ask additional question in manual. If YES go back to F2 (pg 63 of manual) and assess the symptoms for that attack. If NO Go to F23 (pg 66 of manual)

F16 - + If – Go to F23 (pg 66 of manual) F17 - + F18 - + F19 No Yes If NO Go to F23 (pg 66 of manual) F20

No Yes

If YES Primary Continue with F21 If NO Diagnose: Anxiety Disorder Due to AMC or Substance Induced Anxiety Disorder, go to F23 (pg 66 of manual)

F21 No Yes If NO Go to F23 (pg 66 of manual) F22

No Yes YES Current Diagnose: Panic Disorder, go to F23 NO Past Hx Diagnose: Panic Disorder, go to F23

F23 - + If – Go to F32 (pg 68 of manual) F24 - + If – Go to F32 (pg 68 of manual) F25 - + If – Go to F32 (pg 68 of manual) F26 - + If – Go to F32 (pg 68 of manual) F27 - + If – Go to F32 (pg 68 of manual) F28 - + If – Go to F32 (pg 68 of manual) F29 - + If – Go to F32 (pg 68 of manual) F30 - + If – Go to F32 (pg 68 of manual) F31

No Yes If YES Diagnose: Agoraphobia (current), go to F23 If NO Go to F32

F32 - + If – Go to F42 (pg 71 of manual) F33 - + If – Go to F42 (pg 71 of manual)

Score Sheet Developed by Felton Institute, Intended for Use with SCID 5 CV First, M. B., Williams, J. B. W., Karg, R. S., & Spitzer, R. L. (2015). Structured clinical interview for DSM-5 disorders—Clinician version (SCID-5-CV).

F34 - + If – Go to F42 (pg 71 of manual) F35 - + If – Go to F42 (pg 71 of manual) F36 - + If – Go to F42 (pg 71 of manual) F37 - + If – Go to F42 (pg 71 of manual) F38 - + If – Go to F42 (pg 71 of manual) F39

No Yes

If YES Primary Continue with F40 If NO Diagnose: Anxiety Disorder Due to AMC or Substance Induced Anxiety Disorder, go to F42

F40 No Yes If NO Go to F42 F41

- + If – Go to F42 If + Diagnose: Social Anxiety Disorder (current), go to F42

F42 - + If – Go to G1 (pg 73 of manual) F43 - + If – Go to G1 (pg 73 of manual) F44 - + If – Go to G1 (pg 73 of manual) F45 - + F46 - + F47 - + F48 - + F49 - + F50 - + F51 - + If – Go to G1 (pg 73 of manual) F52 - + If – Go to G1 (pg 73 of manual) F53

No Yes

If YES Primary Continue with F54 If NO Diagnose: Anxiety Disorder Due to AMC or Substance Induced Anxiety Disorder, go to G1

F54

No Yes

If YES Diagnose: Anxiety Disorder Due to AMC or Substance Induced Anxiety Disorder, go to G1 If NO Go to G1

Score Sheet Developed by Felton Institute, Intended for Use with SCID 5 CV First, M. B., Williams, J. B. W., Karg, R. S., & Spitzer, R. L. (2015). Structured clinical interview for DSM-5 disorders—Clinician version (SCID-5-CV).

G. Obsessive-Compulsive Disorder and Posttraumatic Stress Disorder

G1 - + If – Go to G3

G2 - +

If + Obsessions If – Go to G3

G3 - + If – Go to G5

G4 - +

If + Compulsions If – Go to G5

G5 No Yes If NO Go to G9 G6 - + If – Go to G9

G7

No Yes

If YES Primary Continue with G8 If NO Diagnose: OC and Related Disorder Due to AMC or Substance Induced OC and Related Disorder, go to G9

G8 No Yes

If YES Diagnose: Obsessive-Compulsive Disorder (current), go to G9 If NO Go to G9

G9 Ask questions in manual. If No events acknowledged continue with H1 (pg 86 of manual) If any events acknowledged continue below G10 –G12 and follow manual instructions

G10 Past Lifetime Event #1: Description: Type (include all that apply): Mode of exposure: Age at time of event: Single event or prolonged (circle one):

1 2

G11 Past Lifetime Event #2: Description:

Score Sheet Developed by Felton Institute, Intended for Use with SCID 5 CV First, M. B., Williams, J. B. W., Karg, R. S., & Spitzer, R. L. (2015). Structured clinical interview for DSM-5 disorders—Clinician version (SCID-5-CV).

Type (include all that apply): Mode of exposure: Age at time of event: Single event or prolonged (circle one):

1 2

G12 Past Lifetime Event #3: Description: Type (include all that apply): Mode of exposure: Age at time of event: Single event or prolonged (circle one):

1 2

G13 - + If – Go to H1 (pg 86 of manual) G14 - + If + Past Month: – +

G15 - + If + Past Month: – +

G16 - + If + Past Month: – +

G17 - + If + Past Month: – +

G18 - + If + Past Month: – +

G19

No Yes

If YES Criterion B met past month: No Yes If NO If other reported traumatic events, consider returning to G13 and reassessing. Otherwise go to H1 (pg 86 of manual)

G20 - + If + Past Month: – +

G21 - + If + Past Month: – +

G22 No Yes If YES Criterion C met past month: No Yes

Score Sheet Developed by Felton Institute, Intended for Use with SCID 5 CV First, M. B., Williams, J. B. W., Karg, R. S., & Spitzer, R. L. (2015). Structured clinical interview for DSM-5 disorders—Clinician version (SCID-5-CV).

If NO If other reported traumatic events, consider returning to G13 and reassessing. Otherwise go to H1 (pg 86 of manual)

G23 - + If + Past Month: – +

G24 - + If + Past Month: – +

G25 - + If + Past Month: – +

G26 - + If + Past Month: – +

G27 - + If + Past Month: – +

G28 - + If + Past Month: – +

G29 - + If + Past Month: – +

G30

No Yes

If YES Criterion D met past month: No Yes If NO If other reported traumatic events, consider returning to G13 and reassessing. Otherwise go to H1 (pg 86 of manual)

G31 - + If + Past Month: – +

G32 - + If + Past Month: – +

G33 - + If + Past Month: – +

G34 - + If + Past Month: – +

G35 - + If + Past Month: – +

G36 - + If + Past Month: – +

G37

No Yes

If YES Criterion E met past month: No Yes If NO If other reported traumatic events, consider returning to G13 and reassessing. Otherwise go to H1 (pg 86 of manual)

G38 - + If – If other reported traumatic events, consider returning to G13 and reassessing. Otherwise go to H1 (pg 86 of manual)

G39

- + If + Past Month: – + If – If other reported traumatic events, consider returning to G13 and reassessing. Otherwise go to H1 (pg 86 of manual)

G40 No Yes If NO If other reported traumatic events, consider returning to G13

and reassessing. Otherwise go to H1 (pg 86 of manual) G41

No Yes

YES Current Diagnose: Posttraumatic Stress Disorder (current), go to H1 NO Past Hx Diagnose: Posttraumatic Stress Disorder (current), go to H1

Score Sheet Developed by Felton Institute, Intended for Use with SCID 5 CV First, M. B., Williams, J. B. W., Karg, R. S., & Spitzer, R. L. (2015). Structured clinical interview for DSM-5 disorders—Clinician version (SCID-5-CV).

H. Adult Attention-Deficit/Hyperactivity Disorder

H1 If there is no evidence check here________ and go to I1 (pg 91 of manual) H2 - +

H3 - + H4 - +

H5 - + H6 - + H7 - +

H8 - +

H9 - + H10 - +

H11 No Yes If YES ADHD Criterion A1 is met H12 - +

H13 - + H14 - +

H15 - + H16 - + H17 - +

H18 - + H19 - + H20 - + H21 No Yes If YES ADHD Criterion A2 is met H22 No Yes If NO Go to I1 (pg 91 of manual) H23 - + If – Go to I1 (pg 91 of manual)

H24 - + If – Go to I1 (pg 91 of manual)

H25 - + If – Go to I1 (pg 91 of manual) H26

No Yes

If YES Diagnose: Attention Deficit/Hyperactivity Disorder (current) See instructions for details, then continue to I1 NO Go to I1

I. Screening for Other Current Disorders

I1 No Yes If YES Possible Premenstrual Dysphoric Disorder I2 No Yes If YES Possible Specific Phobia I3 No Yes If YES Possible Separation Anxiety Disorder

Score Sheet Developed by Felton Institute, Intended for Use with SCID 5 CV First, M. B., Williams, J. B. W., Karg, R. S., & Spitzer, R. L. (2015). Structured clinical interview for DSM-5 disorders—Clinician version (SCID-5-CV).

I4 No Yes If YES Possible Hoarding Disorder I5 No Yes If YES Possible Body Dysmorphic Disorder I6 No Yes If YES Possible Trichotillomania I7 No Yes If YES Possible Excoriation Disorder I8 No Yes If YES Possible Insomnia Disorder I9 No Yes If YES Possible Hypersomnolence Disorder I10 No Yes If YES Possible Anorexia Nervosa I11 No Yes If YES Possible Bulimia Nervosa or Binge-Eating Disorder I12 No Yes If YES Possible Avoidant/Restrictive Food Intake Disorder I13 No Yes If YES Possible Somatic Symptom Disorder I14 No Yes If YES Possible Illness Anxiety Disorder I15 No Yes If YES Possible Intermittent Explosive Disorder I16

No Yes If YES Possible Gambling Disorder Continue to J1

J. Adjustment Disorder

J1 - + If – End of SCID-5-CV

J2 - + If – End of SCID-5-CV

J3 No Yes If NO End of SCID-5-CV J4 No Yes If NO End of SCID-5-CV J5

- + If – End of SCID-5-CV If + Diagnose: Adjustment Disorder (current) See instructions for details.