Screening for Depression

If you suspect that you might suffer from depression, answer the questions below, print out the results, and share them with me when you call about seeing me, or when you come for an appointment.  

**Over the last two weeks, how often have you been bothered by any of the following problems?**

Not at all        Several days       More than half the days           Nearly every day

1. Little interest or pleasure in doing things  

2. Feeling down, depressed, or hopeless  

3. Trouble falling or staying asleep, or sleeping too much         

4. Feeling tired or having little energy         

5. Poor appetite or overeating         

6. Feeling bad about yourself—or that you are a failure or have let yourself or your family down         

7. Trouble concentrating on things such as reading the newspaper or watching television         

8. Moving or speaking so slowly that other people could have noticed? Or the opposite—being so fidgety or restless that you have been moving around a lot more than usual        

9. Thoughts that you would be better off dead or of hurting yourself in some way       

If you clicked on any problems above, how difficult have they made it for you to do your work, take care of things at home, or get along with other people?  

 __Not difficult at all    ____Somewhat difficult       ___ Very difficult      ___ Extremely difficult  

Reference

Based on Patient Health Questionnaire-9 (PHQ-9) Developed by Drs. Robert L. Spitzer, Janet B.W. Williams, Kurt Kroenke, and colleagues, with an educational grant from Pfizer Inc.