Clientassessment

Answer each question with one of the following:

        0=Not at all      1=Somewhat     2=Moderately     3=A lot

when completed add your score and let your therapist know at the next appointment

1. Sadness: Have you been feeling sad or down in the dumps ?________

2. Discouragement: Does the future look hopeless ?________

3. Low self-esteem: Do you feel worthless or think of yourself as failure ?________

4. Inferiority: Do you feel inadequate or inferior to others ? ________

5. Guilt: Do you get self-critical and blame yourself for everything ?________

6. Indecisiveness: Do you have trouble making up your mind about things ?_________

7. Irritability and frustration: Have you been feeling resentful and angry a good deal of the
             time ? _________

8. Loss of interest in life: Have you lost interest in your career, your hobbies, your family,
              or your friends ? ________

9. Loss of motivation: Do you feel overwhelmed and have to push yourself hard to do
              things ? _________

10. Poor self-image: Do you think you're looking old or unattractive ? __________

11. Appetite changes: Have you lost your appetite ? Or do youu overeat or binge compulsively ?_____

12. Sleep changes: Do you suffer from insomnia and find it hard to get a good night's sleep?
               Or are you excessively tired and sleeping too much ? _________

13. Loss of libido: Have you lost your interest in sex ? _________

14. Hypochondriasis: Do you worry a great deal about your health ? _________

15. Suicidal impuleses*: Do you have thoughts that life is not worth living or think that you might be
               better off dead ? _________

* Anyone with suicidal urges should seek immediate consultation with a qualified mental health
professional.

Your Score for depression ________