Below is a self screening assessment tool designed to help assist you in determining if you have symptoms or problems that may require treatment.
Please review each question, and record your answers. If you answer YES to any of the questions in each category, you may have symptoms consistent with the associated
diagnosis. These symptoms can be treated at The New York Counseling Center.
DEPRESSION
In the last month has there been a period of time when you were feeling depressed or down most of the day?.....(?)..(NO)..(YES)
If yes, did it last as long as 2 weeks?.....(?)..(NO)..(YES)
What about being a lot less interested in most things or unable to enjoy the things you used to enjoy?(Was it most of the day nearly everyday for at least two weeks?.....(?)..(NO)..(YES)
PAST DEPRESSION
Have you ever had a period when you were feeling depressed or down most of the day nearly every day?.....(?)..(NO)..(YES)
If yes, did it last as long as two weeks?.....(?)..(NO)..(YES)
MANIA/HYPOMANIA
In the last month, has there been a period of time when you were feeling so good or hyper that the other people thought you were not your normal self or you were so hyper that
you got into trouble? (Did anyone say you were manic?) (Was that more than just feeling good?.....(?)..(NO)..(YES)
What about a period of time when you were so irritable that you would shout at people or start fights or arguments?.....(?)..(NO)..(YES)
PAST MANIA
Have you ever had a time when you were feeling so good or hyper that the other people thought you were not your normal self or you were so hyper that you got into trouble?
(Did anyone say you were manic?) (Was that more than just feeling good?.....(?)..(NO)..(YES)
DYSTHYMIA
For the past couple of years, have you been bothered by depressed mood most of the day, more days than not? (more than half the time?).....(?)..(NO)..(YES)
ALCOHOL ABUSE
Was there ever a period in your life when you drank too much? (Has alcohol ever caused problems for you?).....(?)..(NO)..(YES)
Has anyone ever objected to your drinking?.....(?)..(NO)..(YES)
PANIC DISORDER
Have you ever had a panic attack, when you suddenly felt frightened, anxious or extremely uncomfortable?.....(?)..(NO)..(YES)
AGORAPHOBIA
Were you ever afraid of going out of the house alone, being in crowds, standing in line, or traveling on buses or trains?.....(?)..(NO)..(YES)
SOCIAL PHOBIA
Is there anything you were ever afraid to do or uncomfortable doing in front of other people like speaking, eating or writing?.....(?)..(NO)..(YES)
SIMPLE PHOBIA
Are there any other things you have been especially afraid of, like flying, heights, seeing blood, closed places, or certain kinds of animals or insects?.....(?)..(NO)..(YES)
OBSESSIVE COMPULSIVE DISORDER
Have you ever been bothered by thoughts that didn't make any sense and kept coming back to you even when you tried not to have them?.....(?)..(NO)..(YES)
What about awful thoughts, like actually hurting someone even though you didn't want to, or being contaminated by germs or dirt?.....(?)..(NO)..(YES)
Was there ever anything that you had to do over and over again and couldn't resist doing, like washing your hands again and again or checking something several times to make sure you'd done it right?.....(?)..(NO)..(YES)
GENERALIZED ANXIETY
In the last six months, have you been particularly nervous or anxious?.....(?)..(NO)..(YES)
Do you worry a lot about terrible things that might happen?.....(?)..(NO)..(YES)
ANOREXIA NERVOSA
Have you ever had a time when you weighed much less than other people thought you ought to weigh?.....(?)..(NO)..(YES)
At that time were you very afraid that you could become fat?.....(?)..(NO)..(YES)
BULIMIA NERVOSA
Have you ever had eating binges during which you ate a lot of food in a short period of time?.....(?)..(NO)..(YES)
During these binges, did you feel your eating was out of control?.....(?)..(NO)..(YES)
In addition, to learn more about the psychotherapy process/experience, click on the "ABOUT PSYCHOTHERAPY THERAPY" button.
Thank you for visiting our web site. If you have any questions about the self test or for more information regarding the benefits of therapy, please contact us.
You can reach us in the following ways:
Phone: (212) 362-1086
Fax: (212)877-9204
Mail:
New York Counseling Center
160 West End Avenue, Suite 1N
New York, NY 10023
Or e-mail:
nycgs@aol.com |
