Agoraphobia Symptom Checklist

This directive is designed for assessing clients who present with patterns of situational avoidance and significant anxiety when outside of familiar settings. It is particularly useful when a client’s narrative indicates a complex interaction between environmental fears, social withdrawal, and a marked dependency on others for security. The tool helps organize an evaluation of symptoms that extend beyond panic into areas of diminished self-concept and functional impairment in daily life.

The worksheet provides a structured method for a systematic review of the client’s experience, helping to clarify the scope and severity of symptoms. Its primary function is to help differentiate the specific features of agoraphobia from other anxiety disorders, such as social anxiety or generalized anxiety. This creates a concrete foundation for developing specific treatment goals and for tracking changes in symptom presentation over the course of care.