Pre-Screen

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Thank you for your interest in our anxiety research study at NYU Langone Health.

The purpose of this research study is to understand to how cannabidiol (CBD) works for patients with social anxiety disorder (SAD). Specifically, we want to understand the
behavioral and neurological changes that that contribute to reduction in SAD symptoms with CBD treatment compared to placebo. SAD is a mental health disorder with specific core features, such as worry and anxiety about being judged, negatively evaluated, or rejected in social or performance situations.

Participation in this study requires 6 study visits over the period of approximately one month.
Participants will receive compensation for their time.

If you are interested in learning more, please complete the survey below to help us determine if you may be eligible.

Note: By proceeding with the survey, you are giving consent to complete the pre-screening questionnaire. If you are eligible, all of your information will be kept confidential and only accessed by the study team. If you are not eligible, your information will not be retained by the study team.

Age

* must provide value

If you are female, are you pregnant, or breast-feeding, or planning to become pregnant?

* must provide value

Yes, I am pregnant, breast-feeding, or planning to become pregnant

Maybe

I am not female

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Do you have a serious medical condition that may cause you to be in the hospital soon?

* must provide value

Yes

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Do you have any history of head trauma or concussions in which you lost consciousness, had a seizure, or had symptoms that have continued to persist?

* must provide value

Yes

Prefer not to answer

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Have you ever received a diagnosis of (check all that apply):

* must provide value

Liver Failure

Renal Failure

Generalized Anxiety Disorder

Panic Disorder

Social Anxiety Disorder

Agoraphobia

Schizophrenia

Schizoaffective Disorder

Obsessive Compulsive Disorder (select only if present in the past 12 months)

Bipolar Disorder

An eating disorder (select only if present in the past 12 months)

Alcohol Use Disorder (select only if present in the past 6 months)

A substance use disorder (select only if present in the past 6 months)

None of the above

Prefer not to answer

Is there anything that would prevent you from undergoing a MRI (check all that apply):

Metal implants

Surgical clips

Probability of metal fragments

Braces

Other reasons MRI contraindicated

Please specify:

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Please select the categories of any psychiatric medication you are currently taking.

I am not taking any psychiatric medication

Antidepressants (e.g., Lexapro, Prozac, Zoloft)

Antipsychotics (e.g., Abilify, Seroquel, Risperdal)

Anti-anxiety medications or benzodiazepines (e.g., Xanax, Klonopin, Valium, Ativan)

Stimulants (e.g., Adderall, Vyvanse, Ritalin)

Mood stabilizers (e.g., lithium)

I'm not sure

Other

Please specify any other psychiatric medications you are taking.

What is your dominant hand (hand you write with)?

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Left

Right

Ambidextrous (both)

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Are you willing to be randomized to take either Cannabidiol (CBD) or a placebo medication?

* must provide value

Yes

Possibly

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You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.