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Mood History and Assessment
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PHQ9 Depression Screen
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in the past two weeks:
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Little Interest or Pleasure?
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Feeling down, depressed or hopeless?
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PHQ2 Score: <3
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PHQ2 Score: 3+
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Trouble Sleeping?
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Feeling tired or having little energy?
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Poor appetite or overeating?
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Feeling bad about oneself?
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Trouble Concentrating?
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Slow, fidgety, or restless?
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Wanting to die or self harm?
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Difficulty of these problems?
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PHQ9 Scoring
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Comments
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Positive Depression Screen
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Negative Depression Screen
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GAD 7 Screen
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in the past two weeks:
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Feeling nervous, anxious, or on edge?
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Not being able to stop or control worrying?
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Worrying too much about different things?
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Trouble relaxing?
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Being so restless that it's hard to sit still
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Becoming easily annoyed or irritable
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Feeling afraid as if something awful might happen
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Difficulty of these problems?
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GAD7 Scoring
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Comments
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Positive Anxiety Screen
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Negative Anxiety Screen
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MDQ
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Has there ever been a period of time when:
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Felt so good or so hyper that other people thought you were not your normal self or you were so hyper that you got into trouble?
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So irritable that you shouted at people or started fights or arguments?
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Felt much more self-confident than usual?
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Got much less sleep than usual and found you didn’t really miss it?
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Much more talkative or spoke faster than usual?
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Thoughts raced through your head or you couldn’t slow your mind down?
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So easily distracted by things around you that you had trouble concentrating or staying on track?
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... you had much more energy than usual?
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Much more active or did many more things than usual?
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Much more social or outgoing than usual‚ for example‚ you telephoned friends in the middle of the night?
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Much more interested in sex than usual?
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Did things that were unusual for you or that other people might have thought were excessive‚ foolish‚ or risky?
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Spent money got you or your family in trouble?
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2. If you checked YES to more than one of the above, have several of these ever happened during the same period of time?
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3. How much of a problem did any of these cause you — like being able to work; having family, money, or legal issues or fights?
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MDQ Scoring 7 or more in #1, Yes in #2, moderate-severe in #3
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Positive for further evaluation?
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Positive MDQ Screen
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Negative MDQ Screen
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