Comprehensive Mental Health Screening Tool

1. Do you often fail to give close attention to details or make careless mistakes in work, school, or other activities?

2. Do you have difficulty sustaining attention in tasks or activities (e.g., lectures, conversations, lengthy reading)?

3. Do you often not seem to listen when spoken to directly?

4. Do you often fail to follow through on instructions and fail to finish work, schoolwork, or duties?

(Not due to oppositional behavior or failure to understand)

5. Do you have difficulty organizing tasks and activities?

6. Do you avoid, dislike, or are reluctant to engage in tasks that require sustained mental effort?

7. Do you often fidget with or tap your hands or feet, or squirm in your seat?

8. Do you often feel restless or have difficulty remaining seated in situations where it is expected?

9. Do you often interrupt others or have difficulty waiting your turn in conversations or activities?

1. Over the past two weeks, have you felt depressed, sad, empty, or hopeless most of the day, nearly every day?

2. Have you experienced markedly diminished interest or pleasure in all, or almost all, activities most of the day, nearly every day?

3. Have you experienced significant weight loss when not dieting, weight gain, or a change in appetite nearly every day?

(Change of more than 5% of body weight in a month)

4. Have you experienced insomnia (trouble falling asleep, staying asleep, or early morning awakening) or hypersomnia (sleeping too much) nearly every day?

5. Have you felt physically agitated or slowed down nearly every day (observable by others, not just internal feelings)?

6. Have you felt unusually tired, fatigued, or experienced a loss of energy nearly every day?

7. Have you felt worthless or experienced excessive or inappropriate guilt (beyond just self-reproach about being sick)?

8. Have you had diminished ability to think, concentrate, or make decisions nearly every day?

9. Have you had recurrent thoughts of death (not just fear of dying), suicidal ideation, or have you made a suicide attempt or specific plan?

1. Have you ever had a distinct period of abnormally and persistently elevated, expansive, or irritable mood lasting at least one week (or any duration if hospitalization was necessary)?

2. During these times, did you need much less sleep than usual and still not feel tired?

(For example, feeling rested after only 3 hours of sleep)

3. Were you more talkative than usual or felt pressure to keep talking?

4. Did your thoughts race or did you experience a flight of ideas?

5. Were you more distractible than usual (attention too easily drawn to unimportant or irrelevant stimuli)?

6. Did you experience an increase in goal-directed activity (socially, at work/school, or sexually) or psychomotor agitation?

7. Did you engage in activities with high potential for painful consequences (e.g., excessive spending, sexual indiscretions, foolish business investments)?

8. Did these mood changes cause marked impairment in social or occupational functioning, necessitate hospitalization, or include psychotic features?

1. Over the past six months, have you been excessively worried or anxious about multiple events or activities (such as work or school performance) most days?

2. Do you find it difficult to control your worrying once it starts?

3. Do you often feel restless, keyed up, or on edge?

4. Are you easily fatigued or tire more quickly than you should?

5. Do you have difficulty concentrating or does your mind go blank?

6. Are you often irritable?

7. Do you experience muscle tension?

8. Do you experience sleep disturbances (trouble falling asleep, staying asleep, or restless, unsatisfying sleep)?

1. Do you experience marked fear or anxiety about social situations where you might be scrutinized by others?

(e.g., having conversations, meeting unfamiliar people, being observed eating/drinking, performing in front of others)

2. Do you fear that you will act in a way or show anxiety symptoms that will be negatively evaluated by others?

3. Do social situations almost always provoke fear or anxiety?

4. Do you actively avoid social situations or endure them with intense fear or anxiety?

5. Is your fear or anxiety out of proportion to the actual threat posed by the social situation?

6. Has this fear, anxiety, or avoidance persisted for 6 months or more?

1. Do you experience recurrent and persistent thoughts, urges, or images that are intrusive and unwanted?

2. Do you attempt to ignore, suppress, or neutralize these thoughts, urges, or images with some other thought or action?

3. Do you feel driven to perform repetitive behaviors (e.g., hand washing, ordering, checking) or mental acts (e.g., praying, counting, repeating words silently)?

4. Are these behaviors or mental acts aimed at preventing or reducing anxiety or distress, or preventing some dreaded event or situation?

5. Are these obsessions or compulsions time-consuming (take more than 1 hour per day) or cause significant distress or impairment?

1. Have you been exposed to actual or threatened death, serious injury, or sexual violence?

(Either directly experiencing, witnessing, learning it happened to a close family member or friend, or repeated exposure to details of traumatic events)

2. Do you experience recurrent, involuntary, and intrusive distressing memories of the traumatic event(s)?

3. Do you experience recurrent distressing dreams or nightmares related to the traumatic event(s)?

4. Do you actively avoid or make efforts to avoid distressing memories, thoughts, or feelings about the traumatic event(s)?

5. Do you avoid external reminders (people, places, conversations, activities, objects, situations) that arouse distressing memories about the traumatic event(s)?

6. Do you experience persistent negative emotional state (e.g., fear, horror, anger, guilt, shame)?

7. Are you experiencing irritable behavior, angry outbursts, reckless or self-destructive behavior, hypervigilance, or exaggerated startle response?

8. Have these symptoms persisted for more than one month and caused significant distress or impairment in functioning?

1. Have you experienced recurrent unexpected panic attacks (sudden surges of intense fear or discomfort that reach a peak within minutes)?

2. During these attacks, did you experience palpitations, pounding heart, or accelerated heart rate?

3. Did you experience sweating, trembling, shaking, shortness of breath, or feelings of choking?

4. Did you experience chest pain, nausea, dizziness, chills, or hot flashes?

5. Did you experience feelings of unreality (derealization) or being detached from yourself (depersonalization)?

6. Did you fear losing control, "going crazy," or dying during these attacks?

7. Following the attacks, have you experienced persistent concern or worry about having additional panic attacks or their consequences?

8. Have you made significant maladaptive changes in behavior related to the attacks (e.g., avoiding exercise or unfamiliar situations)?