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Patient Health Questionnaire PHQ-9 free printable template

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PATIENT HEALTH QUESTIONNAIRE-9 PHQ-9 Over the last 2 weeks how often have you been bothered by any of the following problems Use to indicate your answer Not at all Several days More than half the days Nearly every 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...
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How to fill out 9 patient pdf form

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How to fill out Patient Health Questionnaire (PHQ-9)

01
Start by reading each question carefully.
02
Rate the frequency of your symptoms over the past two weeks on a scale from 0 to 3, where 0 is 'not at all' and 3 is 'nearly every day'.
03
For each question, mark the number that corresponds to your experience.
04
Add up your scores for all the questions at the end of the questionnaire.
05
Refer to the scoring guidelines to interpret your total score and assess the severity of depression.
06
Discuss the results with a healthcare provider if necessary.

Who needs Patient Health Questionnaire (PHQ-9)?

01
Individuals experiencing symptoms of depression.
02
Patients undergoing mental health assessments.
03
People seeking to monitor their mood over time.
04
Anyone concerned about their mental health and considering a treatment plan.
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Ask the patient: how often have they been bothered by the following over the past 2 weeks? Little interest or pleasure in doing things? Feeling down, depressed, or hopeless? Trouble falling or staying asleep, or sleeping too much?
The Patient Health Questionnaire (PHQ) is a self-administered version of the PRIME-MD diagnostic instrument for common mental disorders. The PHQ-9 is the depression module, which scores each of the 9 DSM-IV criteria as “0” (not at all) to “3” (nearly every day).
Ask the patient: how often have they been bothered by the following over the past 2 weeks? Little interest or pleasure in doing things? Feeling down, depressed, or hopeless? Trouble falling or staying asleep, or sleeping too much?
The PHQ-9 also has been used in many studies in primary care settings, as well as with older individuals and with those who have physically disabling conditions. It is free to users and available in English and over 30 other languages.
The Patient Health Questionnaire (PHQ) is a self-administered version of the PRIME-MD diagnostic instrument for common mental disorders. The PHQ-9 is the depression module, which scores each of the 9 DSM-IV criteria as “0” (not at all) to “3” (nearly every day).
Scores are calculated based on how frequently a person experiences these feelings. Each “not at all” response is scored as 0; each “several days” response is 1; each “more than half the days” response is 2; and each “nearly every day” response is 3. The sum value of these responses gives you your total score.

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The Patient Health Questionnaire (PHQ-9) is a standardized tool used to assess and measure the severity of depression in individuals. It consists of nine questions that relate to the symptoms of depression experienced over the past two weeks.
Individuals who are being evaluated for depression by a healthcare provider are typically required to complete the PHQ-9. This includes patients in primary care settings, mental health clinics, and other healthcare facilities.
To fill out the PHQ-9, individuals should read each question carefully and select the answer that best describes how they have felt over the last two weeks. Each question has a scale from 0 (not at all) to 3 (nearly every day). The total score is then calculated to determine the severity of depression.
The purpose of the PHQ-9 is to provide healthcare providers with a reliable measure of depression symptoms and their severity. It helps in diagnosing depression, monitoring treatment response, and making decisions about further care.
The PHQ-9 requires individuals to report on their experiences with nine specific symptoms of depression, including mood, interest, sleep, energy levels, self-esteem, concentration, and thoughts of self-harm. Additionally, the total score is reported to indicate the level of depression.
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