Over the last 2 weeks, how often have you been bothered by the following problems?
Little interest or pleasure in doing things
Feeling down, depressed or hopeless
Trouble falling asleep, staying asleep, or sleeping too much
Feeling tired or having little energy
Poor appetite or overeating
Feeling bad about yourself - or that you're a failure or have let yourself or your family down
Trouble concentrating on things, such as reading the newspaper or watching television
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
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
Your score is:
12
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PHQ-9 Scoring
Total scores of 5, 10, 15, and 20 represent cutpoints for mild, moderate, moderately severe and severe depression, respectively.
| Score | Depression severity | Proposed Treatment Actions |
|---|---|---|
| 0-4 | None-minimal | None |
| 5-9 | Mild | Watchful waiting; repeat PHQ-9 at follow-up |
| 10-14 | Moderate | Treatment plan, considering counseling, follow-up and/or pharmacotherapy |
| 15-19 | Moderate Severe | Active treatment with pharmacotherapy and/or psychotherapy |
| 20-27 | Severe | Immediate initiation of pharmacotherapy and, if severe impairment or poor response to therapy, expedited referral to a mental health specialist for psychotherapy and/or collaborative management |
Advice
Final diagnosis should be made with clinical interview and mental status examination including assessment of patient's level of distress and functional impairment.