Clinical Screening · GAD-7 + Panic + SPIN

Anxiety Test — 21 Questions Across 3 Anxiety Types

The most detailed free anxiety screen on the web. Modelled on the validated GAD-7, panic-disorder, and SPIN frameworks. Per-dimension breakdown so you know which type of anxiety dominates — and what treatment protocol fits.

Questions

21 items

Frameworks

GAD-7 + SPIN

Time

4–6 min

Privacy

100% local

Screening disclaimer: Self-reflection tool, not a clinical diagnosis. If you're in crisis or having thoughts of self-harm: 988 (US Lifeline), 116 123(UK Samaritans), or your country's crisis line.
Question 1 of 210% complete · Over the past 2 weeks

I have been feeling nervous, anxious, or on edge.

Anxiety by the numbers

Data from NIMH, WHO, and Kessler et al. epidemiological studies.

19%

US adults — any anxiety disorder, past year

NIMH

31%

Lifetime prevalence — any anxiety disorder

Kessler et al.

12-20

CBT sessions to meaningful improvement

Hofmann meta-analysis

60-80%

Respond to first-line treatment

Bandelow et al.

Methodology & sources

Methodology & sources

Based on
GAD-7 (Generalized Anxiety Disorder 7-item scale) + items adapted from the Panic Disorder Severity Scale (PDSS) and the SPIN (Social Phobia Inventory).
Developed by
GAD-7 by Spitzer, Kroenke, Williams & Löwe (2006). PDSS by Shear et al. (1997). SPIN by Connor et al. (2000).
Validated in
The GAD-7 is one of the most widely used anxiety screens worldwide, validated across multiple languages and populations with strong psychometric properties. The SPIN and PDSS are similarly well-validated for their respective disorders.
Our adaptation
21 items across 3 dimensions (7 each). Adapted for online self-reflection — items are not verbatim from any single instrument. Scoring bands are designed for self-interpretation rather than formal clinical cut-offs.

The 3 main adult anxiety disorders

Most adults with significant anxiety have symptoms across more than one type. The dominant type matters most for treatment direction.

01

Generalized Anxiety Disorder (GAD)

Persistent, hard-to-control worry across multiple domains

The most common adult anxiety presentation. Defined by excessive worry on more days than not for at least six months, accompanied by three or more of: restlessness, fatigue, difficulty concentrating, irritability, muscle tension, sleep disturbance. Worry typically jumps from one topic to another — work, health, family, money, world events — and is difficult to consciously control. Lifetime prevalence about 6%.

Recognisable signals

Worry across many topicsCan't 'turn it off'Persistent muscle tension
02

Panic Disorder

Recurrent unexpected panic attacks + anticipatory fear

Defined by recurrent unexpected panic attacks — discrete episodes of intense fear that peak within minutes and include strong physical symptoms (racing heart, shortness of breath, chest pain, dizziness, fear of dying or losing control). Often paired with persistent worry about further attacks and behavioural changes to avoid them. Frequently misidentified as cardiac events. Lifetime prevalence about 4%.

Recognisable signals

Sudden intense fear episodesStrong physical symptomsAvoidance of attack locations
03

Social Anxiety Disorder

Fear of judgment in social or performance situations

Intense fear of social or performance situations in which the person may be exposed to scrutiny. Includes anticipatory anxiety (worrying for days or weeks before an event), avoidance of feared situations, and post-event rumination (replaying social interactions looking for things done wrong). Often misidentified as 'just shyness'. Lifetime prevalence about 12% — the most common anxiety disorder.

Recognisable signals

Pre-event worry for daysPost-event ruminationAvoidance of social opportunities

What clinical anxiety looks like in real life

Three composite vignettes drawn from common anxiety presentations. Names and details are illustrative.

😰

The 3 AM worry loop

Rachel wakes at 3 AM. Within seconds the mind is running: did she send that email correctly, is her mother's cough serious, will the mortgage rate change, did she lock the back door. None of it is solvable at 3 AM. None of it lets her sleep. By morning she's exhausted and the worry has shifted to whether she'll perform at work.

💓

The 'heart attack' that wasn't

David is 34 and healthy. In the supermarket queue his heart starts racing. He can't breathe. He's sure he's dying. The ER does a full workup, finds nothing. It's his fourth ER visit this year. The diagnosis no doctor has yet named: panic disorder with agoraphobic features.

🗣️

The interview she rehearsed for a month

Lia rehearsed the interview for four weeks. Scripts for every possible question. She still left feeling she'd embarrassed herself. She replayed every moment for three days. She didn't get the job — she's sure it was because of how she came across. She doesn't apply for the next opportunity.

How anxiety is treated

Anxiety is one of the most genuinely treatable categories in mental health.

First-line treatments

  • ✓ CBT (12–20 sessions, strongest evidence)
  • ✓ Exposure therapy for panic / phobias
  • ✓ SSRIs / SNRIs for moderate-severe
  • ✓ Acceptance & Commitment Therapy (ACT)

Lifestyle amplifiers

  • ✓ Regular cardiovascular exercise
  • ✓ Sleep regularity
  • ✓ Caffeine + alcohol reduction
  • ✓ Mindfulness-based stress reduction

Use benzodiazepines (Xanax, Ativan) sparingly

Benzos provide rapid short-term relief but carry significant dependency and tolerance risks. They're generally avoided as long-term treatment in favour of SSRIs + CBT. If you're prescribed a benzo, ask your prescriber about the long-term plan.

Further reading & resources

Curated starting points if you want to go deeper than this page.

Website

Anxiety & Depression Association of America (ADAA)

The leading US non-profit for anxiety education and treatment referrals. Searchable directory of CBT-trained therapists.

Book

The Anxiety and Phobia Workbook

Edmund J. Bourne

The most-recommended self-help workbook for anxiety. Practical, evidence-based, CBT-grounded. Used by many therapists as a structured client resource.

Book

When Panic Attacks

David D. Burns

From the developer of CBT-based 'Feeling Good' approach. The most accessible introduction to thought-based anxiety work.

Research

The GAD-7 (original paper)

Spitzer, Kroenke, Williams, & Löwe, 2006

The brief 7-item validated GAD screening instrument this test is partly modelled on.

Tool

988 Suicide & Crisis Lifeline (US)

Free 24/7 crisis support by call or text. International equivalents listed in the crisis box below.

!

If you're in crisis

  • US: 988 (Suicide & Crisis Lifeline)
  • UK: 116 123 (Samaritans, free 24/7)
  • Canada: 988 (Suicide Crisis Helpline)
  • Australia: 13 11 14 (Lifeline)
  • International: IASP directory of crisis centres

Frequently asked questions

What is the GAD-7?+

The Generalized Anxiety Disorder 7-item scale (GAD-7) is a brief self-report screening tool developed by Robert Spitzer, Kurt Kroenke, Janet Williams, and Bernd Löwe in 2006. It was designed as a quick, validated way to screen for and measure the severity of generalized anxiety disorder in primary care, and has become one of the most widely used anxiety screening tools worldwide. The GAD-7 asks how often, over the past two weeks, the person has been bothered by seven core symptoms of GAD. Scores range from 0 to 21, with established cut-points of 5 (mild), 10 (moderate), and 15 (severe). Although designed for GAD, the GAD-7 has been shown to be a reasonable screen for panic, social anxiety, and PTSD as well.

What's the difference between normal worry and an anxiety disorder?+

Normal worry is a useful adaptive response — it focuses attention on real problems and naturally resolves once the situation is addressed. Anxiety becomes a disorder when worry, fear, or physical symptoms (a) are out of proportion to the actual threat, (b) persist for months rather than resolving when the situation does, (c) feel impossible to control, and (d) significantly affect work, relationships, sleep, or quality of life. The DSM-5 sets specific thresholds — for example, GAD requires excessive worry on more days than not for at least six months, accompanied by three or more specific physical or cognitive symptoms. About 19% of US adults meet criteria for any anxiety disorder in any given year, making anxiety the most common mental-health condition by a significant margin.

What are the main types of anxiety disorders?+

The DSM-5 recognises several distinct anxiety disorders. Generalized Anxiety Disorder (GAD) is dominated by persistent, hard-to-control worry across multiple life domains. Panic Disorder is defined by recurrent unexpected panic attacks — discrete episodes of intense fear with strong physical symptoms — often paired with anticipatory anxiety. Social Anxiety Disorder is fear of judgment in social or performance situations. Specific Phobias are intense fears of specific objects or situations. Agoraphobia is fear of being in places where escape might be difficult — often co-occurring with panic disorder. PTSD and OCD were re-classified out of the anxiety disorders chapter in DSM-5 but share significant overlap. This screening covers the three most common adult presentations — generalized, panic, and social.

How is anxiety treated?+

Anxiety disorders are one of the most genuinely treatable categories in mental health. Cognitive-Behavioural Therapy (CBT) has the strongest evidence base across all anxiety disorders and typically produces meaningful improvement within 12-20 sessions. Specific protocols are matched to specific anxiety types — exposure therapy for phobias and panic, social-skills + exposure for social anxiety, worry-control techniques for GAD. Acceptance and Commitment Therapy (ACT) is another well-supported approach. Medication — typically SSRIs or SNRIs — is highly effective and is often added for moderate-to-severe anxiety. Combined CBT + medication produces the fastest improvement for most people.

Can anxiety cause physical symptoms?+

Yes — and the physical symptoms of anxiety are often what brings people to medical care, sometimes long before the anxiety itself is recognised. The fight-or-flight system produces racing heart, shortness of breath, chest tightness, dizziness, tingling, muscle tension, headaches, GI symptoms, sleep disruption, and chronic fatigue. Many people with anxiety disorders cycle through cardiology, ENT, gastroenterology, and neurology appointments before the underlying pattern is identified. Panic attacks in particular produce symptoms that closely mimic cardiac events, which is why panic disorder is one of the most common reasons for unnecessary emergency-room visits.

Is social anxiety just shyness?+

No. Shyness is a normal personality trait. Social Anxiety Disorder involves intense fear of judgment in social or performance situations that is out of proportion to actual risk, accompanied by anticipatory anxiety for days or weeks beforehand, often paired with significant post-event rumination, and leads to avoidance of situations the person actually wants to participate in — including job opportunities, relationships, education, and ordinary social events. CBT with explicit social-exposure components is highly effective, often producing substantial improvement within a few months.

What's the difference between this test and the standard GAD-7?+

The standard GAD-7 is a 7-item screen focused specifically on generalized anxiety symptoms. This Mindshape anxiety screen uses 21 items across three dimensions — generalized anxiety (7 items modelled on GAD-7), panic and physical symptoms (7 items), and social anxiety (7 items) — to give a per-dimension picture rather than a single overall score. The dimension breakdown is often more clinically useful because the three anxiety types respond to different treatment protocols.

How long does the anxiety test take?+

The Mindshape anxiety test takes most people 4-6 minutes to complete. It is 21 items on a 4-point scale (over the past 2 weeks). Results appear instantly with a per-dimension breakdown across the three main adult anxiety disorders.