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PHQ-A free printable template

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PHQ-9 modified for Adolescents PHQ-A Clinician Name Date Instructions How often have you been bothered by each of the following symptoms during the past two weeks For each symptom put an X in the box beneath the answer that best describes how you have been feeling. Office use only Severity score Modified with permission from the PHQ Spitzer Williams Kroenke 1999 by J. Johnson Johnson 2002. Not at all Several days More than half the days Nearly every Feeling down depressed irritable or...
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How to fill out PHQ-A

01
Start by reviewing the instructions provided with the PHQ-A.
02
Read each question carefully to understand what is being asked.
03
Answer each question based on your feelings and experiences over the past two weeks.
04
Use the response options (0-2 scale) to indicate how often you've experienced each symptom.
05
Make sure to answer all questions honestly for an accurate evaluation.
06
Once completed, you may review your answers with a healthcare provider if needed.

Who needs PHQ-A?

01
Children and adolescents who may be experiencing symptoms of depression.
02
Parents or guardians seeking to assess the mental health of their children.
03
Healthcare providers looking to evaluate the mental well-being of young patients.
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The PHQ-9 is a multipurpose instrument for screening, diagnosing, monitoring and measuring the severity of depression: n The PHQ-9 incorporates DSM-IV depression diagnostic criteria with other leading major depressive symptoms into a brief self-report tool.
Patient Health Questionnaire for Adolescents (PHQ-A) Manual and Scoring Instructions.
a. The PHQ-A should be administered at least quarterly after initial positive screen (defined as a score of 10 or greater).
The Patient Health Questionnaire Modified for Teens (PHQ-Modified) can be used with patients between the ages of 12 and 18 and takes less than five minutes to complete and score. The PHQ-9 Modified can be administered and scored by a nurse, medical technician, physical assistant, physician or other office. staff.
All positive answers (positive is defined by a “2” or “3” in questions 1-8 and by a “1”, “2”, or “3” in question 9) should be followed up by interview. A total PHQ-9 score > 10 (see below for instructions on how to obtain a total score) has a good sensitivity and specificity for MDD.
The 9-question Patient Health Questionnaire (PHQ-9) is a diagnostic tool introduced in 2001 to screen adult patients in a primary care setting for the presence and severity of depression. It rates depression based on the self-administered Patient Health Questionnaire (PHQ).

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PHQ-A stands for the Patient Health Questionnaire for Adolescents, which is a tool used to assess and measure depression and anxiety symptoms in adolescents.
Health care providers, mental health professionals, and educational institutions may be required to file PHQ-A when evaluating the mental health status of adolescents.
To fill out PHQ-A, respondents are asked to answer a series of questions regarding their feelings and behaviors over the past two weeks, following the provided instructions to select the appropriate choices.
The purpose of PHQ-A is to identify potential mental health issues in adolescents, facilitate early intervention, and guide treatment options.
PHQ-A requires reporting on symptoms of depression, anxiety, their duration, impact on daily life, and any additional relevant information regarding mental health history.
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