Depression and Anxiety Services

Anxiety and Depression are Two Sides of the Same Coin

How to Tell if I Have Depression

Depression is the feeling that everything is hopeless, useless and there’s no energy to even make an effort. Depression symptoms include an inability to concentrate, feelings of fatigue, disinterest and the only thing you love to do anymore is stay in bed. Sometimes we know what the cause is, for example postpartum depression. Other times it’s purely a chemical imbalance in our brain. Should I take medication for depression? First we need to know exactly how severe the symptoms are. Here’s a clinical depression test called The Beck Depression Inventory that you can take before scheduling an appointment to help us understand just how severe your depression really is. Be sure to have the results available for our first session together.

This depression test can be self-scored. The scoring scale is a the end of the questionnaire.
0 I do not feel sad.
1 I feel sad.
2 I am sad all the time and I can’t snap out of it.
3 I am so sad and unhappy that I can’t stand it.
0 I am not particularly discouraged about the future.
1 I feel discouraged about the future.
2 I feel I have nothing to look forward to.
3 I feel the future is hopeless and that things cannot be done.
0 I do not feel like a failure.
1 I feel I have failed more than the average person.
2 As I look back on my life, all I can see is a lot of failures.
3 I feel I am a complete failure as a person.
0 I get as much satisfaction out of things as I used to .
1 I don’t enjoy things the way I used to .
2 I don’t get real satisfaction out of anything anymore.
3 I am dissatisfied or bored with everything.
0 I don’t feel particularly guilty.
1 I feel guilty a good part of the time.
2 I feel quite guilty most of the time.
3 I feel guilty all of the time.
0 I don’t feel I am being punished.
1 I feel I may be punished.
2 I expect to be punished.
3 I feel I am being punished.
0 I don’t feel disappointed in myself.
1 I am disappointed in myself.
2 I am disgusted with myself.
3 I hate myself.
0 I don’t feel I am any worse than anybody else.
1 I am critical of myself for my weakness or mistakes.
2 I blame myself all the time for my faults.
3 I blame myself for everything bad that happens.
0 I don’t have any thoughts of killing myself.
1 I have thoughts of killing myself, but I would not carry them out.
2 I would like to kill myself.
3 I would kill myself if I had the chance.
0 I don’t cry any more than usual.
1 I cry more now tha I used to .
2 I cry all the time now.
3 I used to be able to cry , but now I can’t cry even though I want to.
0 I am no more irritated by things that I ever was.
1 I am slightly more irritated now than usual.
2 I am quite annoyed or irritated a good deal of the time.
3 I feel irritated all the time.
0 I have not lost interest in other people.
1 I am less interested in other people than I used to be.
2 I have lost most of my interest in other people.
3 I have lost all of my interest in other people.
0 I make decisions about as well as I ever could.
1 I put off making decisions more than I used to.
2 I have greater difficulty in making decisions more than I used to.
3 I can’t make decisions at all anymore.
0 I don’t feel that I look any worse than I used to.
1 I am worried that I am looking old or unattractive.
2 I feel there are permanent changes in my appearance that make me look unattractive.
3 I believe that I look ugly.
0 I can work about as well as before.
1 It takes an extra effort to get started at doing something.
2 I have to push myself very hard to do anything.
3 I can’t do any work at all.
0 I can sleep as well as usual.
1 I don’t sleep as well as I used to.
2 I wake up 1-2 hours earlier than usual and find it hard to get back to sleep.
3 I wake up several hours earlier than I used to and cannot get back to sleep.
0 I don’t get more tired than usual.
1 I get tired more easily than I used to.
2 I get tired from doing almost anything.
3 I am too tired to do anything.
0 My appetite is no worse than usual.
1 My appetite is not as good as It used to be.
2 My appetite is much worse now.
3 I have no appetite at all anymore.
0 I haven’t lost much weight, if any, lately.
1 I have lost more than five pounds.
2 I have lost more than ten pounds.
3 I have lost more than fifteen pounds.
0 I am no more worried about my health than usual.
1 I am worried about physical problems like aches, pain, upset stomach or constipation.
2 I am very worried about physical problems and it’s hard to think of much else.
3 I am so worried about my physical problems that I cannot think of anything else.
0 I have not noticed any recent changes in my interest in sex.
1 I am less interested in sex than I used to be.
2 I have almost no interest in sex.
3 I have lost interest in sex completely.

Now that you have completed the questionnaire, add up the score for each of the
twenty-one questions by counting the number to the right of each question you marked.
The highest possible score is 63 and the lowest is zero.
You can evaluate your depression according to the table below.
TOTAL SCORE_______________
1-10 These ups and downs are considered normal.
11-16 Mild mood disturbances.
17-20 Bordeline clinical depression.
21-30 Moderate depression.
31-40 Severe depression.
over 40 Extreme depression

      There are many natural, organic ways to treat depression that do not include medication, including sunlight, Vitamin D, exercise and diet. There are also herbs and homeopathic supplements which can treat symptoms of depression. The FDA website has an extensive list of antidepressant medications if you decide that you want to go the pharmaceutical route.

      Studies show however, that when treating depression symptoms, psychotherapy can play an important role when used with other treatments. is the most effective approach to treat depression. For more information about the statistics on depression, click here.

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