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1. Please fill out this brief measure of disability and impairment.
Sheehan Disability Scale (SDS)
1. In the LAST WEEK, my symptoms have disrupted my work / school work? (scale 0-10)
In the LAST WEEK, I have not worked / studied at all for reasons UNRELATED to my symptoms.
2. In the LAST WEEK, my symptoms have disrupted my social life / leisure activities? (scale 0-10)
3. In the LAST WEEK, my symptoms have disrupted my family life / home responsibilities? (scale 0-10)
4. In the last 7 days, my symptoms made me miss work / left me unable to carry out my responsibilities?
5. In the last 7 days, I felt so impaired by my symptoms that when working my productivity was reduced?
2. Please select and fill out the following that apply to you today.
I am here for DEPRESSION.
In the last 2 weeks, how often have you felt the following?
Mood: low mood, depressed, or hopeless?
Anergy / little to no energy?
Poor self-esteem, negative ego-centrism, hopelessness?
Concentration trouble: reading news? watching TV?
Appetite: poor appetite / overeating?
Little interest or pleasure in doing things?
Insomnia or Hypersomnia?
Thoughts of death or hurting yourself?
Feeling in slow motion, or restless?
Impairment: how difficult has this made things?
SCORE SUM (clinician only)
I am here for ANXIETY.
In the last 2 weeks, how often have you felt the following?
1. Feeling nervous, anxious, or on edge?
2. Not being able to stop or control worrying?
3. Worrying too much about different things?
4. Trouble relaxing?
5. Being so restless that it's hard to sit still?
6. Becoming easily annoyed or irritable?
7. Feeling afraid as if something awful might happen?
SCORE SUM (clinician only)
I am here for KETAMINE INFUSION.
Ketamine Rapid Action Dissociative Scale (K-RADS)
Regarding THE LAST 48 hours, check the box that best represents the amount of time you felt the following way:
1. I have little interest or pleasure in doing things that I would normally enjoy.
2. I’ve felt down, depressed, or abnormally irritable.
3. I have trouble falling or staying asleep, or I’ve been sleeping too much.
4. I’ve felt abnormally tired or like I’ve had little energy
5. I’ve felt bad about myself, like I am a failure or have let myself or my family down
6. I have trouble concentrating on things like reading a newspaper or watching TV
7. I’ve felt so fidgety / restless that I’ve been moving around much more than usual
8. I have thoughts that I would be better off dead, or of hurting myself in some way
9. I’ve found myself avoiding people, places, or things that are uncomfortable or remind me of troublesome memories/events
10. I’ve felt my anxiety physically such as rapid heartbeat, sweating, or tremulousness
11. I restrict eating, exercise heavily, compensate in other ways (i.e. laxatives or purge) to maintain body image/lose weight
12. I have recurrent unwanted thoughts, urges, or impulses
13. I find myself engaging in repetitive / checking behaviors to relieve my anxieties
Regarding THE LAST 48 hours, check the box that best represents the amount of pain you felt:
14. On a scale from 0 to 10 rate the LEAST pain you’ve experienced in the last 48 hours
15. On a scale from 0 to 10 rate the MOST pain you’ve experienced in the last 48 hours
16. On a scale from 0 to 10 rate the AVERAGE pain you’ve experienced in the last 48 hours
17. On a scale from 0 to 10 rate the CURRENT pain you’re experiencing at this moment
Regarding THE LAST 48 hours, check the box that best represents how limited you’ve been by the symptoms and pain rated above
18. The symptoms and/or pain have disrupted my work/school work
19. The symptoms and/or pain have disrupted my social life / leisure activities:
20. The symptoms and/or pain have disrupted my family life / home responsibilities:
Post-Infusion Dissociative Assessment
During the active phase of the infusion, check the box that best represents how you felt:
21. Time / events seemed to move in slow motion
22. Things / events seemed unreal, as if I was in a dream
23. I felt like I was looking at things from outside of my own body
24. I felt like my my sense of my own body changed, as if I was larger or smaller than normal
25. People appeared motionless, dead, or mechanical
26. Objects looked different than I expected, as if distorted
27. Colors appeared much lighter or more vivid than normal
28. I felt confused about who I am
29. I felt like I spaced out or lost track of what was going on
30. I felt like sounds nearly disappeared or were much stronger than I would’ve expected
Scoring Worksheet, Recommendations
1. Mental Health Score
Add questions 1-13 and report the sum here (maximum possible 39):
Depressive Subscore (1-8) (maximum possible 24):
Anxiety Subscore (2,3,4,6,7) (maximum possible 15):
Panic Subscore (9,10) (maximum possible 6):
PTSD Subscore (1-10) (maximum possible 30):
OCD Subscore (12-13) (maximum possible 6):
Eating Disorder (11) (maximum possible 3):
2. Pain Score
Add questions 14-17 and report the sum here (maximum possible 40):
3. Dysfunction Score
Add questions 18-20 and report the sum here (maximum possible 30):
4. Dissociation Score
Add questions 21-30 and report the sum here (maximum possible 40):
Last Infusion #:
Last K-RADS MH Score:
Last K-RADS Pain Score:
Last K-RADS Sum Score:
Last Dysfunction Score:
Last Dissociation Score:
This Infusion #:
New K-RADS MH Score:
New K-RADS Pain Score:
New K-RADS Sum Score:
New Dysfunction Score:
New Dissociation Score:
Reference Guides
Recommended Algorithms
Designs and Domains
TMS Treatment
1) Do you have epilepsy?
If yes, please specify
2) Have you ever had a convulsion or a seizure?
If yes, please specify
3) Does someone in your family have epilepsy?
If yes, how are you related to this person?
4) Have you ever lost consciousness without any known reason?
If yes, please describe when and how this occurred
5) Have you ever had a severe head trauma?
If yes, please specify
6) Have you ever had a stroke?
If yes, please specify
7) Have you ever undergone surgery to your head?
If yes, please specify
8) Do you have any of the following implants in your body?:
(metal) Plates and/or screws
Vascular clips
Artificial Heart valve
Metallic splinters/shrapnel/etc.
Pacemaker
Insulin pump
Internal hearing aid (cochlear implant)
Any other implant not mentioned above
If you answered “yes” to any of the questions above, please specify:
9) Do you have any deviations of the spinal cord, bone marrow, 
or ventricular system (spaces in the brain filled w/ liquid)?
If yes, please specify:
10) Do you have any hearing disabilities or ringing in your ears?
If yes, please specify
11) Have you ever (at present or in the past) suffered from a brain-related, neurological illness?
If yes, please specify:
12) Do you suffer from frequent severe headaches?
If yes, please describe how often, and on which occasions:
13) Are you currently under any form of medical treatment?
If yes, please specify
14) Are you currently taking antibiotics (a medication that helps alleviate bacterial infections)?
If yes, please specify:
15) Do you ever take antihistamines (anti-allergy medication)?
If yes, how often and when was the last time you took them?
16) Are you taking any other medications not mentioned above?
If yes, please list:
17) Do you have a chronic illness/disorder?
If yes, please specify
18) Have you ever (at present or in the past) had a psychiatric-based illness/disorder?
If yes, please specify
19) Does someone in your family have a psychiatric-based illness/disorder?
If yes, please specify
How are you related to this person?
20) Have you used any recreational drugs during the past year (such as marijuana, ecstasy, cocaine, etc.)
If yes, please specify:
21) Have you ever suffered from substance dependence or abuse?
If yes, please specify
22) Do you averagely consume more than 3 alcoholic units a day?
23) Do you have sleeping problems?
If yes, please specify
24) Are you pregnant, or is there a chance that you might be?
25) Have you ever undergone an MRI for clinical purposes?
If yes, did any problems occur during scanning?
If yes, please specify
26) Have you ever undergone TMS?
If yes, have you ever had an adverse reaction to TMS?
If yes, please specify

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Published: Aug. 5, 2019, 8:51 a.m.
Provider: Dr. History Physical
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