Counseling Associates of Metropolitan Washington

Deborah L. Horan, LCSW-C

Nancy C. Markoe, LCSW-C

Depression Checklist

Over the past two weeks, how often have you been bothered by any of the following problems?

This checklist is only intended as a tool to help determine if you are experiencing any symptoms of clinical depression. It is not intended to be a substitute for evaluation by a qualified mental health professional. If you are in need of help, please contact a qualified mental health practitioner. If you are in danger of hurting yourself or others call 911 or go to your nearest hospital emergency room immediately.

1. Little interest or pleasure in doing things	Not at all Several days More than half the days Nearly every day
2. Feeling down, depressed or hopeless	Not at all Several days More than half the days Nearly every day
3. Trouble falling or staying asleep, or sleeping too much	Not at all Several days More than half the days Nearly every day
4. Feeling tired or having little energy	Not at all Several days More than half the days Nearly every day
5. Poor appetite or overeating	Not at all Several days More than half the days Nearly every day
6. Feeling bad about yourself, or feeling that you are a failure or have let yourself or your family down	Not at all Several days More than half the days Nearly every day
7. Trouble concentrating on things such as reading the newspaper or watching television	Not at all Several days More than half the days Nearly every day
8. Moving or speaking so slowly that other people notice. Or the opposite—being so fidgety or restless that you have been moving around a lot more than usual	Not at all Several days More than half the days Nearly every day
9. Thinking that you would be better off dead or wanting to hurt yourself in some way	Not at all Several days More than half the days Nearly every day