Questionnaire to see if you are depressed
SAMHSA’s National Helpline | SAMHSA
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SAMHSA’s National Helpline is a free, confidential, 24/7, 365-day-a-year treatment referral and information service (in English and Spanish) for individuals and families facing mental and/or substance use disorders.
Also visit the online treatment locator.
SAMHSA’s National Helpline, 1-800-662-HELP (4357) (also known as the Treatment Referral Routing Service), or TTY: 1-800-487-4889 is a confidential, free, 24-hour-a-day, 365-day-a-year, information service, in English and Spanish, for individuals and family members facing mental and/or substance use disorders. This service provides referrals to local treatment facilities, support groups, and community-based organizations.
Also visit the online treatment locator, or send your zip code via text message: 435748 (HELP4U) to find help near you. Read more about the HELP4U text messaging service.
The service is open 24/7, 365 days a year.
English and Spanish are available if you select the option to speak with a national representative. Currently, the 435748 (HELP4U) text messaging service is only available in English.
In 2020, the Helpline received 833,598 calls. This is a 27 percent increase from 2019, when the Helpline received a total of 656,953 calls for the year.
The referral service is free of charge. If you have no insurance or are underinsured, we will refer you to your state office, which is responsible for state-funded treatment programs. In addition, we can often refer you to facilities that charge on a sliding fee scale or accept Medicare or Medicaid. If you have health insurance, you are encouraged to contact your insurer for a list of participating health care providers and facilities.
The service is confidential. We will not ask you for any personal information. We may ask for your zip code or other pertinent geographic information in order to track calls being routed to other offices or to accurately identify the local resources appropriate to your needs.
No, we do not provide counseling. Trained information specialists answer calls, transfer callers to state services or other appropriate intake centers in their states, and connect them with local assistance and support.
What Is Substance Abuse Treatment? A Booklet for Families
Created for family members of people with alcohol abuse or drug abuse problems. Answers questions about substance abuse, its symptoms, different types of treatment, and recovery. Addresses concerns of children of parents with substance use/abuse problems.
It's Not Your Fault (NACoA) (PDF | 12 KB)
Assures teens with parents who abuse alcohol or drugs that, "It's not your fault!" and that they are not alone. Encourages teens to seek emotional support from other adults, school counselors, and youth support groups such as Alateen, and provides a resource list.
After an Attempt: A Guide for Taking Care of Your Family Member After Treatment in the Emergency Department
Aids family members in coping with the aftermath of a relative's suicide attempt. Describes the emergency department treatment process, lists questions to ask about follow-up treatment, and describes how to reduce risk and ensure safety at home.
Family Therapy Can Help: For People in Recovery From Mental Illness or Addiction
Explores the role of family therapy in recovery from mental illness or substance abuse. Explains how family therapy sessions are run and who conducts them, describes a typical session, and provides information on its effectiveness in recovery.
For additional resources, please visit the SAMHSA Store.
Last Updated: 08/30/2022
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Test. Are you depressed or just in a bad mood?
If you came here just for the test, then you will find it below. But first, let's talk a little about what depression is.
At all times, there have been illnesses with beautiful names, which were not only prestigious to get sick - rather, it was fashionable to say that you have them, or to replace real illnesses with them. It was worth saying “monstrous influenza” instead of “terrible snot” - and those around you immediately imbued with respect for you and your fine organization.
Today, depression has become such a disease that everyone talks about, often without understanding the original meaning of the name. It is customary to write off everything on it: impotence, wrecked jobs and unwillingness to go to the evening of the reunion of graduates. At the same time, few people know that depression is a very specific ailment caused by such complex biochemical changes in the nervous system that an ordinary person cannot cause them even for money. It is actually quite difficult to catch depression, and what is considered to be it is, as a rule, a depressive personality accentuation, a bad mood, or even ordinary hatred of people.
Do you want to know the whole truth about whether you have depression? You have two scenarios to choose from: either you go to a psychoanalyst, and he gives you a clinical test that diagnoses depression with a 100% guarantee; or you are taking the same clinical test that we took as a keepsake when we ourselves went to be tested.
Yes, and keep in mind that the causes of depression are usually very specific: long-term mental stress, overwork, chronic brain injury, severe and long-term diseases of internal organs, surgical operations, lack of blood supply to the brain and congenital neurochemical disorders. If you don’t have and never had any of the above, it means that you probably don’t need any tests here. Just stop faking depression and it will pass!
What depression is like
According to the international classification of diseases "ICD-10", depression is not even one disease, but seven different ones. In the sense that it is divided into groups.
Due to the occurrence of
Neurotic D. due to internal conflict.
Reactive D., which is a reaction to mental trauma.
Endogenous D., which is generally easy to treat because it has neurochemical causes.
By the nature of the flow
Of course, these types can be combined. For example, major depression can be both classic and reactive. But that's not all. For MAXIM readers only! Having caught a hidden depression, you get two more varieties of the disease as a gift!
Jokes aside. Latent depression can be somatized (this is when, in addition to a bad mood, you are tormented by some kind of bodily ailment like stomach disease or dystonia) or masked. In this case, you will have all the symptoms of another disease - for example, appendicitis. However, an autopsy will show you didn't have it.
What ailments does depression like to disguise itself as? Of course, all the fault and the truth may be an expired mold on the cheese. However, depression often uses these symptoms to set doctors on the wrong track.
The condition of the stomach worsens in the morning, and by the afternoon you start picking the contents of the plate again with a sad look, feeling relieved. Patients are admitted to hospitals with suspected acute appendicitis and cholecystitis, but the intervention of surgeons does not bring relief.
A person cannot say exactly where it hurts. More often the pain appears to him in the form of iron hoops squeezing the skull, or something that crawls inside the head. The condition, as in the case of the abdomen, worsens in the morning, and by the evening passes. Such patients are diagnosed with "migraine" or "vegetovascular dystonia", and then they drink useless painkillers for years.
3. Facial pain
Cunning depression mimics trigeminal neuralgia (it runs from the ear to the eyebrow and lower jaw) and inflammation of the temporomandibular joint. Desperate patients ask dentists to extract perfectly healthy teeth, which sometimes, by the way, brings temporary relief. The mask of depression also causes a surprisingly vivid sensation of roughness and hairiness of the tongue.
Imitation of interruptions in the work of the heart, burning or cold behind the sternum. The results of the cardiogram do not correspond to the patient's complaints, but out of pity, the doctors prescribe heart medications for him. They reduce pain, but do not remove it completely.
You think you have sciatica, joint diseases and neuralgia. But the doctors, after looking at your x-ray, twist their fingers to the temple. At the same time, your joints hurt not where they should, but a few centimeters higher.
Depression without sleep disorders is like Fedor Konyukhov without legs. Moreover, sometimes insomnia may be the only symptom of masked depression. In this case, you will wake up unrested, have breakfast with an aversion to food, and then come to work already tired and immediately fall for a cigarette or a cup of coffee. Peaks of activity are possible, but usually they occur at 10-12 in the morning, and at that time you are still sleeping, because in the evening, despite being tired, you could not fall asleep and tossed and turned all night. And so every day.
By the way, read: How to understand your dream: the meaning of the five most frequent dreams from the point of view of psychologists.
You understand that sharks don't live in soup, and aliens don't want to kill you. But this does not help to overcome baseless fear. However, exotic phobias of depression are rare. More often it causes fear of death from cessation of breathing, panic attacks. The phobia usually gets worse at night and in the morning.
8. Sexual disorders
Erectile dysfunction? Accelerated or, conversely, delayed ejaculation? Do not rush to bequeath your penis to science. Maybe it's the depression again. By the way, the famous "demon in the ribs" (and in scientific terms, the desire for ever stronger sexual stimuli) is also a sign of depression, and usually the earliest.
9. Drug addiction and alcoholism
Indulgence in bad habits brings short-term relief. Hangovers or withdrawals are accompanied by terribly violent symptoms taken from the previous eight points.
Clinical Depression Test
Manual. There are 44 groups of statements before you. In each of them, choose one answer that best describes how you feel. Remember, your task is not to win, but to find out the truth. Answer sincerely. To make it easier for you to do this, we didn’t even obsessively “make fun” of the answers, as we usually do.
I am no more depressed (sad) than usual.
I'm probably more depressed (sad) than usual
Yes, I am more depressed (sad) than usual.
I am much more depressed (sad) than usual.
How to deal with depression
This part will be of interest primarily to people who have scored serious amounts in the test. If you do not have depression, according to the results, you can read this block with detached gloating. So, an independent way out of a sad state can take months and even years, and even then, provided that you protect yourself from stress - preferably with a monastery wall or a grove of palm trees.
It's easier to see a doctor, because depression is treatable. In fact, it is a failure in metabolism. Doctors will treat you not only with pills, but also with heart-to-heart conversations (the most unpleasant part). Without the simultaneous elimination of physiological and psychological factors, a person cannot be cured.
Your best friend for the next six months should be a psychotherapist. Experienced mental trauma, mental stress, quarrels with others and internal conflicts, severe worries about one's own health - all this can underlie depression. Treatment with only powerful pills (without psychotherapy), of course, helps, but after the drug is discontinued, the disease may visit you again.
By the way, read: Am I normal? 31 questions about yourself that you would be embarrassed to ask a psychologist.
What will they give you? Alas, in some cases, drugs are indispensable: a neglected disease destroys the brain so much that the balance of neurotransmitters does not restore itself.
The foundation of any course of treatment. Side effects and doses may vary, but the purpose of the drugs is the same - to eliminate the biochemical basis of depression.
Vitamins and biostimulants
And these useful pills will help you supply your brain cells with energy and other useful little things. Actually, these are not some secret substances, but the same vitamins that healthy people drink to increase stress resistance and immunity.
By themselves, these powerful drugs do not cure depression. But they struggle with its symptoms (and sometimes even succeed in this): longing, fear, bodily manifestations. Antidepressants do not give an immediate effect, therefore, to make it more fun for you to wait for it, the doctor will probably prescribe “trunks” for you.
In fact, these are ordinary sedatives, but they are so strong that they can calm even an elephant that has just lost all its relatives, both tusks and a share in the business. Antipsychotics reduce arousal and eliminate fears, bring the patient out of a mental impasse and reduce the bodily manifestations of masked depression.
However, neuroleptics may not be the case. Doctors usually start the course with a cocktail of antidepressants and biostimulants. And only if it didn’t work, two other components are added.
Why it might not help
Pills are almost useless unless the therapist addresses the personal causes of depression—for example, by getting you to quit.
You have untreated thyroid disease, diabetes, hypertension, and other conditions that cause depression.
You interrupted the course too soon, delighted with the improvement. If you stop taking antidepressants before a stable effect appears, depression will develop again.
Sometimes the disease returns a year or two after the completion of the course, because you stopped seeing a doctor and taking preventive antidepressants. And they give you another test. ..
Sheehan Anxiety Scale
If the first test is negative, go to the second. The Sheehan test will help you find out if you even have anxiety, a condition that precedes depression. If here you do not score enough points, then, alas, you are a mentally healthy person who now only needs to come up with new excuses for his impotence and innate laziness.
Did you bother you over the past week ...
This questionnaire consists of 21 items, each of which contains several options for statements. Please carefully read all the answer options for each item and choose the one that best describes how you feel within the last two weeks, including today . Press (click) on the selected statement. Make sure you don't miss any item.
I don't feel sad
Most of the time I get bored
I feel sad all the time
I'm so unhappy feeling so longing that I'm afraid I won't be able to bear it
I don't feel like I deserve punishment
I feel that I can be punished
I deserve punishment
I feel like I'm deservedly punished
I don't expect bad things from the future
I expect more trouble from the future than usual
I don't expect things to work out well for me in the future
I feel that my future is hopeless and changes can only be for the worse.
I don't feel like a failure
I could have made fewer failures in the past
Looking back I see many failures
I feel like a total failure
I treat myself the same as always
I lost my confidence
I'm disappointed in myself
I treat myself with disgust
I get the most out of things that have always made me happy.
I'm not happy with what used to make me happy
I get very little pleasure from the things I used to enjoy.
I can't enjoy the things that used to make me happy
I criticize and blame myself no more than usual
I am more critical of myself than usual.
I criticize myself for all my mistakes
I blame myself for everything bad that happens
I don't feel particularly guilty
I feel guilty for a lot of things I've done
Most of the time I feel guilty
I feel guilty all the time
I don't have suicidal thoughts
I have suicidal thoughts but I won't act on them
I would like to commit suicide
I would kill myself if possible
I am not more restless or agitated than usual
I feel more anxious and aroused than usual
I feel so restless and agitated that it is hard for me to sit still
I feel so restless and excited that I have to move or do something all the time
I cry no more than usual
I cry more than usual
I cry every day for every little thing
I want to cry but I can't
I have not lost interest in other people and activities
I have less interest in other people and activities than usual
I have largely lost interest in other people and activities
It's hard to get me interested
I'm no more irritable than usual
I am more irritable than usual
I am much more irritable than usual
I get irritated all the time
I make decisions as easily as ever
I have difficulty making decisions
I find it much more difficult than usual to make decisions
Making any decision is a problem for me
My appetite hasn't changed
My appetite is somewhat reduced compared to usual.
My appetite is slightly higher than usual
My appetite is significantly reduced compared to before.
My appetite is much higher than before
I have no appetite at all
I am constantly hungry
I don't feel worthless
I don't feel as valuable and useful as ever.