Please list any medications you are taking that have not been listed above, including birth control pills, any over the counter medications and herbal remedies (i.e. decongestants, St. John's Wart, vitamins).
If yes, please indicated: 1) What dosage did you take? 2) How many weeks did you take
the medication? 3) Did it result in 50% reduction of depressive symptoms? 4) Did you have any troubling side effects that made it difficult to take the medication?
Instructions: Please choose one number for each statement.
PHQ-9 Copyright © 1999 Pfizer Inc. All rights reserved.
NNDC Common Assessment Package: Self-Rated (January 25, 2011)
Spitzer RL, Kroenke K, Williams JBW, Lowe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med 2006;166:1092-97.
Instructions: Rate each of the following questions on a 0 to 8 scale: 0 indicates no impairment at all and 8 indicates very severe impairment. Please choose your responses below.
Mundt, J.C., Marks, I.M., Shear, M.K., & Greist, J.H. (2002). The Work and Social Adjustment Scale: a simple measure of impairment in functioning. Br J Psychiatry, 180, 461-464.
NNDC Common Assessment Package, Baseline: Self-Rated (Fabruary 14, 2011)