Depression and Anxiety Tests -
How to Check if You are Depressed or Anxious

Depression and anxiety are the most common health problems experienced by people in the UK and in many other parts of the world. It can be hard to determine whether your symptoms point to depression, anxiety or both. Here are some of the most common symptoms of depression and anxiety:


  • Feeling restless, impatient or agitated
  • Feeling irritable
  • Feeling tearful
  • Having suicidal thoughts
  • Feelings hopeless
  • Feeling a sense of dread
  • Feeling ‘on edge’
  • Feeling useless or inadequate
  • Having feelings of guilt or worthlessness

  • Physical symptoms such as pain, headaches, palpitations, dizziness, lack of energy, drowsy and tired.
  • Difficulty sleeping- waking up early, or sleeping more
  • Difficulty concentrating or making decisions
  • Getting no pleasure from life or activities you used to enjoy such as lacking interest in sex
  • Avoiding other people, even close friends and relatives

Am I Depressed or do I have Anxiety?

For many of us, experiencing the symptoms listed above will mean a trip to the GP. But how will the doctor know how severe your depression or anxiety is? Some GPs will ask you to fill in the questionnaires listed below to give them an idea of what symptoms you are experiencing and how severe the problem is for you. The first is called the Patient Health Questionnaire (PHQ9 for short) and is used to assess depression. The second is the Generalised Anxiety Disorder Assessment (GAD7) and is used as a screening tool for anxiety. By adding up your score you can see how much your depression or anxiety is affecting you daily and whether you are experiencing depression, anxiety or both.

 

P A T I E N T   H E A L T H   Q U E S T I O N N A I R E - 9   (P H Q - 9)

 

Over the last 2 weeks, how often have you been bothered by any of the following problems?

Not at all


Several days

More than half the days

Nearly every day

  0 1 2 3
  • Little interest or pleasure in doing things

 

 

 

 

  • Feeling down, depressed, or hopeless

 

 

 

 

  • Trouble falling or staying asleep, or sleeping too much

 

 

 

 

  • Feeling tired or having little energy

 

 

 

 

  • Poor appetite or overeating

 

 

 

 

  • Feeling bad about yourself — or that you are a failure or have let yourself or your family down

 

 

 

 

  • Trouble concentrating on things, such as reading the newspaper or watching television

 

 

 

 

  • Moving or speaking so slowly that other people could have noticed? Or the opposite — being so fidgety or restless that you have been moving around a lot more than usual

 

 

 

 

  • Thoughts that you would be better off dead or of hurting yourself in some way

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

GENERALISED ANXIETY DISORDER ASSESSMENT 7 (GAD-7)

Over the last 2 weeks, how often have you been bothered by any of the following problems?

Not at all Several days

More than half the days

Nearly every day
  0 1 2 3
  • Feeling nervous, anxious or on edge

 

 

 

 

  •  Not being able to stop or control worrying

 

 

 

 

  • Worrying too much about different things

 

 

 

 

  •  Trouble relaxing

 

 

 

 

  •  Being so restless that it is hard to sit still

 

 

 

 

  •  Becoming easily annoyed or irritable

 

 

 

 

  •  Feeling afraid as if something awful might happen

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

What do my scores mean?

 

Add up your scores for both questionnaires, and compare your results to the information below:

PHQ-9 for depression (score out of 27)

GAD-7 for anxiety (score out of 21)

0 - 4    None/minimal symptoms

0 - 4    None/minimal symptoms

5 - 9    Mild depression

5 - 10   Mild anxiety

10 - 14 Moderate depression

11 - 15 Moderate anxiety

15 - 19 Moderately severe depression

15 - 21 Severe anxiety

20 - 27 Severe depression


 

What next, if you have Depression or Anxiety?

Although it is possible to have 'anxiety' or 'depression' to varying degrees (psychiatrists can help formally classify whether you meet a condition based on certain criteria), it can be more helpful to focus on treatment rather than to dwell on the diagnostic label. To read more about depression and working through it, please see our 'Depression Help Guide'. For further information about anxiety and treatment, see this 'Anxiety Counselling' page.

Tests: Developed by Drs. Robert L. Spitzer, Janet B.W. Williams, Kurt Kroenke and colleagues, with an educational grant from Pfizer Inc.  No permission required to reproduce, translate, display or distribute.


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