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PATIENT HEALTH QUESTIONNAIRE (PHQ-9)
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Over the last 2 weeks, how often have you been bothered by
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1. Little interest or pleasure doing things
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2. Feeling down / depressed / hopeless
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3. Trouble falling or staying asleep, or sleeping too much
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4. Feeling tired and having little energy
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5. Poor appetite or over eating
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6. Feeling bad about yourself/feeling a failure/feeling you have let people down:
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7. Trouble concentrating on things, such as reading the newspaper/watching television
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8. Moving/Speaking so slow that other people could have noticed/the opposite
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9. Thoughts that you would be better off dead or of hurting yourself in someway
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PHQ-9 Total Score
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GAD-7
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Generalized Anxiety Disorder Questionnaire (GAD-7)
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Over the last 2 weeks, how often have you been bothered by the following problems?
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1. Feeling nervous, anxious or on edge
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2. Not being able to stop or control worrying
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3. Worrying too much about different things
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4. Trouble relaxing
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5. Being so restless that it is hard to sit still
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6. Becoming easily annoyed or irritable
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7. Feeling afraid as if something awful might happen
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GAD-7 Total Score
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Mood Disorder Questionnaire (MDQ)
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1. Has there EVER been a period of time when:
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You felt so hyper that other people thought you weren't your normal self you got into trouble?
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You were so irritable that you shouted at people or started fights or arguments?
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You felt much more self-confident than usual?
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You got much less sleep than usual and found you didn’t really miss it?
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You were much more talkative or spoke much faster than usual?
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Thoughts raced through your head or you couldn’t slow your mind down?
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You were so easily distracted, you had trouble concentrating or staying on track?
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You had much more energy than usual?
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You were much more active or did many more things than usual?
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You were much more social or outgoing than usual?
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You telephoned friends in the middle of the night?
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You were much more interested in sex than usual?
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You did things that were unusual for you that were excessive, foolish, or risky?
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Spending money got you or your family into trouble?
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Total "Yes" Answers
• • •
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2. If you checked YES to more than one, did they happened during the same time?
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3.How problematic are the symptoms (unable to work; money or legal troubles; getting into fights)
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4. Have any of your blood relatives been diagnosed with manic-depressive/bipolar disorder
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5. Has a health professional ever told you that you have manic-depressive/bipolar disorder?
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MDQ Score
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Yale Brown Obsessive-Compulsive Scale (YBOCS)
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Obsessions are frequent, unwelcome, and intrusive thoughts.
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1. How much time do you spend on obsessive thoughts?
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2. How much do your obsessive thoughts interfere with your personal, social, or work life?
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3. How much do your obsessive thoughts distress you?
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4. How hard do you try to resist your obsessions?
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5. How much control do you have over your obsessive thoughts?
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Compulsions are repetitive behaviors/mental acts that you have a strong urge to repeat that are
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aimed at reducing your anxiety or preventing some dreaded event
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6. How much time do you spend performing compulsive behaviors?
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7. How much do your compulsive behaviors interfere with your personal, social, or work life?
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8. How anxious would you feel if you were prevented from performing your compulsive behaviors?
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9. How hard do you try to resist your compulsive behaviors?
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10. How much control do you have over your compulsive behaviors?
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YBOCs Total Score
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