Antidepressant Medication Review

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Personal Details
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Medication Review
Are you happy with your current antidepressant medication?: *
Would you like this to be added to your repeat prescription?: *
Do you need to speak to a doctor about your mental health?: *
 
Have you spoken to the CWIC Mental Health Team: *
Have you watched our video on Mental Health Self-Help: *
Have you had thoughts that you would be better off dead or thoughts of hurting yourself in some way?: *
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Patient Health Questionnaire (PHQ-9)

PHQ-9 Assessment

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

(1) Little interest or pleasure in doing things?: *
(2) Feeling down, depressed, or hopeless?: *
(3) Trouble falling or staying asleep, or sleeping too much?: *
(4) Feeling tired or having little energy?: *
(5) Poor appetite or overeating?: *
(6) Feeling bad about yourself — or that you are a failure or have let yourself or your family down?: *
(7) Trouble concentrating on things, such as reading the newspaper or watching television?: *
(8) Moving or speaking so slowly that other people could have noticed? Or so fidgety or restless that you have been moving a lot more than usual?: *
(9) Thoughts that you would be better off dead, or thoughts of hurting yourself in some way?: *
If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people? : *
PHQ-9 Result 1 - 4 (Minimal Depression)

Minimal Depression

you have a score of

Scores less than 4 suggest minimal depression which may not require treatment.

PHQ-9 Result 5 - 9 (Mild Depression)

Mild Depression

you have a score of

Scores 5 - 9 suggest mild depression.

PHQ-9 Result 10 -14 (Moderate Depression)

Moderate Depression

you have a score of

Scores 10 - 14 suggest moderate depression severity.

PHQ-9 Result 15 - 19 (Moderately Severe Depression)

Moderately Severe Depression

you have a score of

Scores 15 - 19 suggest moderately severe depression.

PHQ-9 Results 20 - 27 (Severe Depression)

SEVERE DEPRESSION

you have a score of

Scores 20 and greater suggest severe depression.

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Contact

Harbours Medical Practice
Health Centre
Avenue Road
Cockenzie, East Lothian
EH32 0JU

Telephone: 0300 790 6244

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