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GAD-7 Anxiety Assessment

Complete the GAD-7 (Generalized Anxiety Disorder 7-item scale), the most widely used screening tool for anxiety. Scores: 0-4 minimal, 5-9 mild, 10-14 moderate, 15-21 severe anxiety. Sensitivity 89%, specificity 82%.

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Score โ‰ฅ10 warrants clinical evaluation 89% sensitivity at cutoff 10 Also screens panic, social anxiety, PTSD

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Why: Anxiety screening helps identify who may need evaluation. GAD-7 is used in primary care, mental health, and research worldwide.

How: Each question scored 0-3 based on symptom frequency over 2 weeks. Total score determines severity.

Score โ‰ฅ10 warrants clinical evaluation89% sensitivity at cutoff 10

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Calculate Your GAD-7 ScoreEnter your responses below

๐Ÿ“‹ Quick Examples โ€” Click to Load

GAD-7 Questions

Over the last 2 weeks, how often have you been bothered by the following?

Please answer all 7 questions. Missing: 7.

For informational purposes only โ€” not medical advice. Consult a healthcare professional before acting on results.

๐Ÿฅ Health Facts

๐Ÿ“‹

GAD-7: 7 questions, 2 minutes, 0-21 score

โ€” Arch Intern Med 2006

The GAD-7 is a validated 7-item self-report questionnaire for screening generalized anxiety disorder. Each question is scored 0-3 based on symptom frequency over the past 2 weeks. Total score 0-21. At cutoff 10: 89% sensitivity, 82% specificity. Also screens panic, social anxiety, PTSD.

7
Questions
89%
Sensitivity
0-21
Score Range
โ‰ฅ10
Evaluation Cutoff

Key Takeaways

  • โ€ข GAD-7 is a screening tool, not a diagnostic instrument
  • โ€ข Score โ‰ฅ10 warrants clinical evaluation
  • โ€ข CBT is first-line treatment; medication when indicated
  • โ€ข Domain analysis (worry, somatic, irritability, fear) informs treatment focus

Did You Know?

๐Ÿ”ฌ GAD-7 developed by Spitzer, Kroenke, Williams & Lรถwe (2006)
๐Ÿ“‹ 2-minute administration in primary care
๐Ÿง  Also detects panic disorder, social anxiety, PTSD
๐Ÿ“Š Domain subscores: Worry (Q1-3), Somatic (Q4-5), Irritability (Q6), Fear (Q7)
โฑ๏ธ Retest every 2-4 weeks during treatment
๐ŸŒ Used worldwide in clinical practice and research

How Does GAD-7 Work?

Response Scale

0 = Not at all, 1 = Several days, 2 = More than half the days, 3 = Nearly every day (past 2 weeks).

Severity Levels

0-4 Minimal, 5-9 Mild, 10-14 Moderate, 15-21 Severe.

Domain Subscores

Worry (Q1-3), Somatic (Q4-5), Irritability (Q6), Fear (Q7) help identify symptom clusters.

Expert Tips

Practice relaxation techniques (breathing, mindfulness) for mild anxiety
Score โ‰ฅ10: Schedule evaluation with healthcare provider or mental health professional
CBT is first-line; consider medication for moderate-severe
Retest every 2-4 weeks during treatment to track progress

Severity Comparison

ScoreLevelAction
0-4MinimalRoutine monitoring
5-9MildSelf-help, watch for worsening
10-14ModerateClinical evaluation recommended
15-21SevereTreatment strongly indicated

Frequently Asked Questions

What is the GAD-7?

The GAD-7 is a validated 7-item self-report questionnaire for screening and measuring generalized anxiety disorder severity. Range 0-21. Sensitivity 89%, specificity 82% at cutoff 10.

What do GAD-7 scores mean?

0-4: Minimal. 5-9: Mild. 10-14: Moderate (evaluation recommended). 15-21: Severe (treatment indicated).

Is GAD-7 a diagnosis?

No. GAD-7 is a screening tool. A positive screen requires comprehensive clinical evaluation for diagnosis.

How accurate is GAD-7?

At cutoff of 10: 89% sensitivity and 82% specificity for GAD. Also detects panic, social anxiety, PTSD.

When to use GAD-7?

Initial screening in primary care, treatment monitoring (every 2-4 weeks), and clinical research.

What treatments help GAD?

CBT is first-line. Medication (SSRIs/SNRIs) when indicated. Often combination therapy for moderate-severe.

Key Statistics

89%
Sensitivity at cutoff 10
82%
Specificity
2 min
Admin time
7
Items

Official Data Sources

โš ๏ธ Disclaimer: This calculator is for educational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider. If you are in crisis, call the 988 Suicide & Crisis Lifeline (call or text 988) โ€” available 24/7.

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