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* Other Specified:
*See manual
for exception
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.

If YES on additional question Go back to A15 and assess symptoms for
Unknown
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 If YES Primary  Current Manic Episode, Continue with B1 (pg 31 of
manual)
No Yes
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 If YES  Primary  Current Hypomanic Episode, continue with A54
No Yes
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 If YES  Continue with A64

No Yes 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 If YES  Primary  Past Manic Episode, continue with B1 (pg 31 of
manual)

No Yes 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
- +
If YES  Continue with A74

No Yes 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 If YES  Primary  Past Hypomanic Episode, continue with B1 (pg 31 of
manual)

No Yes 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).

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)

B. Psychotic and Associated Symptoms

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).

B13
- +
B14
- +
B15
- +
B16
- +
B17
- +
B18
- +
B19
- +
B20
- +
B21
- +
B22
- +
B23 If +  Possibly/Definitely Secondary then score as –
- + If +  Primary
B24 If +  Possibly/Definitely Secondary then score as –
No Yes If +  Primary
Continue to C1

C. Differential Diagnosis of Psychotic Disorders

C1 If YES  Go to C2
No Yes
If NO  Go to D1 (pg 45 of manual)

Criteria for Shizophrenia

C2 If YES  Go to C3
No Yes
If NO  Go to C13 (pg 40 of manual)
C3 If YES  Go to C4
No Yes
If NO  Go to C9 (pg 39 of manual)
C4 If YES  Go to C5
No Yes
If NO  Go to C7 (pg 39 of manual)
C5 If YES  Go to C6
No Yes
If NO  Go to C22 (pg 42 of manual)
C6 If YES (not due to a GMC or substance/medication)  Schizophrenia, go
to C25 (pg 44 of manual)
No Yes
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 If YES  Go to C8
No Yes
If NO  Go to C19 (pg 41 of manual)
C8 If YES (not due to a GMC or substance/medication)  Schizophreniform
Disorder, go to C26 (pg 44 of manual)

No Yes 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 If YES  Go to C10
No Yes
If NO  Go to C22 (pg 42 of manual)
C10 If YES  Go to C11
No Yes
If NO  Go to C22 (pg 42 of manual)
C11 If YES  Go to C12
No Yes
If NO  Go to C22 (pg 42 of manual)
C12 If YES (not due to a GMC or substance/medication)  Schizoaffective
Disorder, go to C27 (pg 44 of manual)

No Yes 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 If YES  Go to C14
No Yes
If NO  Go to C19 (pg 41 of manual)
C14 If YES  Go to C15
No Yes
If NO  Go to C22 (pg 42 of manual)
C15 If YES  Go to C16
No Yes
If NO  Go to C22 (pg 42 of manual)
C16 If YES  Go to C17
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  Go to C22 (pg 42 of manual)

C17 If YES (not due to a GMC or substance/medication)  go to C18

If NO  Diagnose: Psychotic Disorder due to AMC or Substance Induced

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

Criteria for Brief Psychotic Disorder

C19 If YES  Go to C20
No Yes
If NO  Go to C22 (pg 42 of manual)
C20 If YES  Go to C21
No Yes
If NO  Go to C22
C21 If YES (not due to a GMC or substance/medication)  Brief Psychotic
Disorder, go to C29 (pg 44 of manual)

No Yes 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 If YES  Go to C23
No Yes
If NO  Go to D1 (pg 45 of manual)
C23 If YES  Go to C24
No Yes
If NO  Go to D1 (pg 45 of manual)
C24 If YES (not due to a GMC or substance/medication)  Other Specified
Psychotic Disorder, go to C30 (pg 44 of manual)

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

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

C26 YES  Current  Diagnose: Schizophreniform Disorder, go to D1 (pg 45
of manual)
No Yes
NO  Past Hx  Diagnose: Schizophreniform Disorder, go to D1 (pg 45
of manual)
C27 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 Yes
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 YES  Current  Diagnose: Delusional Disorder, go to D1 (pg 45 of
manual)
No Yes
NO  Past Hx  Diagnose: Delusional Disorder, go to D1 (pg 45 of
manual)
C29 YES  Current  Diagnose: Brief Psychotic Disorder, go to D1 (pg 45 of
manual)
No Yes
NO  Past Hx  Diagnose: Brief Psychotic Disorder, go to D1 (pg 45 of
manual)
C30 YES  Current  Diagnose: Other Specified (OR Unspecified)
Schizophrenia Spectrum and Other Psychotic Disorder, go to D1 (pg 45 of
manual)
No Yes
NO  Past Hx  Diagnose: Other Specified (OR Unspecified)
Schizophrenia Spectrum and Other Psychotic Disorder, go to D1 (pg 45 of
manual)

D. Differential Diagnosis of Mood Disorders

D1 See manual for instructions.

Criteria for Bipolar I Disorder

D2 If YES  Go to D3
No Yes
If NO  Go to D4
D3 If YES  Bipolar I Disorder
Indicate Type:
No Yes
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 If YES  Go to D5
No Yes
If NO  Go to D8
D5 If YES  Go to D6
No Yes
If NO  Go to D2
D6 If YES  Go to D7
No Yes
If NO  Go to D8
D7 If YES  Bipolar II Disorder
Indicate Type:
1- Hypomanic
2-Major Depressive
No Yes
Continue with D21

If NO  Go to D8

Other Specified Bipolar Disorder (including Cyclothymic Disorder)

D8 If YES  Go to D9
No Yes
If NO  Go to D11
D9 If YES  Go to D10
No Yes
If NO  Go to D11
D10 If YES  Other Specified Bipolar Disorder
Continue with D23 (pg 51 of manual)
No Yes
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 If YES  Go to D12
No Yes
If NO  Go to D14
D12 If YES  Go to D13
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  Go to D14
D13 If YES  Major Depressive Disorder
Circle appropriate number:
1- Single Episode
2-Recurrent
No Yes
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 If YES  Go to D15
No Yes
If NO  Go to E1 (pg 53 of manual)
D15 If YES  Go to D16
No Yes
If NO  Go to E1 (pg 53 of manual)
D16 If YES  Other Specified Depressive Disorder
Continue with D25 (pg 52 of manual)
No Yes
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 YES  Current  Diagnose: Bipolar I Disorder (see manual for details)
continue with E1 (pg 53 of manual)
No Yes
NO  Past Hx  Diagnose: Bipolar I Disorder (see manual for details)
continue with E1 (pg 53 of manual)
D18 YES  Current  Diagnose: Bipolar I Disorder (see manual for details)
continue with E1 (pg 53 of manual)
No Yes
NO  Past Hx  Diagnose: Bipolar I Disorder (see manual for details)
continue with E1 (pg 53 of manual)
D19 YES  Current  Diagnose: Bipolar I Disorder, Current Episode
Hypomanic, continue with E1 (pg 53 of manual)
No Yes
NO  Past Hx  Diagnose: Bipolar I Disorder (see manual for details)
continue with E1 (pg 53 of manual)
D20 YES  Current  Diagnose: Bipolar I Disorder, Current Episode
Unspecified, continue with E1 (pg 53 of manual)
No Yes
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).

Unspecified, continue with E1 (pg 53 of manual)

D21 YES  Current  Diagnose: Bipolar II Disorder, Current Episode
Hypomanic, continue with E1 (pg 53 of manual)
No Yes
NO  Past Hx  Diagnose: Bipolar II Disorder (see manual for details)
continue with E1 (pg 53 of manual)
D22 YES  Current  Diagnose: Bipolar II Disorder (see manual for details)
continue with E1 (pg 53 of manual)
No Yes
NO  Past Hx  Diagnose: Bipolar II Disorder (see manual for details)
continue with E1 (pg 53 of manual)
D23 YES  Current  Diagnose: Other Specified (OR Unspecified) Bipolar
and Related Disorder, continue with E1 (pg 53 of manual)
No Yes
NO  Past Hx  Diagnose: Other Specified (OR Unspecified) Bipolar
and Related Disorder, continue with E1 (pg 53 of manual)

Chronology of Depressive Disorders

D24 YES  Current  Diagnose: Major Depressive Disorder (see manual for
details) continue with E1 (pg 53 of manual)
No Yes
NO  Past Hx  Diagnose: Major Depressive Disorder (see manual for
details) continue with E1 (pg 53 of manual)
D25 YES  Current  Diagnose: Other Specified (OR Unspecified) Depressive
Disorder, continue with E1 (pg 53 of manual)
No Yes
NO  Past Hx  Diagnose: Other Specified (OR Unspecified) Depressive
Disorder, continue with E1 (pg 53 of manual)

E. Substance Use Disorders

Alcohol Use Disorder (past 12 months)

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 If YES  Go to E14 (pg 56 of manual)

No Yes 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).

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 If YES  Continue to E36

If NO  If there is a threshold of use of other drug classes in past year

No Yes
(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)

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

Mild
Moderate
Severe

Cannabis Use Disorder Specific Drug Used:

Mild
Moderate
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).

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 If YES  Continue with F16

No Yes 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 If YES  Primary  Continue with F21
No Yes
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 YES  Current  Diagnose: Panic Disorder, go to F23
No Yes
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 If YES  Diagnose: Agoraphobia (current), go to F23
No Yes
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 If YES Primary  Continue with F40
No Yes
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 If YES Primary  Continue with F54
No Yes
If NO  Diagnose: Anxiety Disorder Due to AMC or Substance Induced
Anxiety Disorder, go to G1
F54 If YES  Diagnose: Anxiety Disorder Due to AMC or Substance Induced
Anxiety Disorder, go to G1
No Yes
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 If YES Primary  Continue with G8
No Yes
If NO  Diagnose: OC and Related Disorder Due to AMC or Substance
Induced OC and Related Disorder, go to G9
G8 If YES  Diagnose: Obsessive-Compulsive Disorder (current), go to G9
No Yes
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 If YES Criterion B met past month: No Yes
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 If YES Criterion D met past month: No Yes
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 If YES Criterion E met past month: No Yes
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 If NO  If other reported traumatic events, consider returning to G13
No Yes
and reassessing. Otherwise go to H1 (pg 86 of manual)
G41 YES  Current  Diagnose: Posttraumatic Stress Disorder (current), go
to H1
No Yes
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 If YES  Diagnose: Attention Deficit/Hyperactivity Disorder (current)
See instructions for details, then continue to I1
No Yes
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 If YES  Possible Gambling Disorder
No Yes
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.