Diagnostic Tool - Wellness Collaborative

"*" indicates required fields

Step 1 of 5

20%

This tool is designed to aid in diagnosing mental conditions and is not intended to replace a full diagnostic process.*

I understand

Press Enter

Do you believe the symptoms are Malingering or Factitious?*

Malingering is when individuals purposely try to deceive the therapist. Pure malingering means the patient is making up the symptoms, and partial malingering means they are simply exaggerating.

Yes

Press Enter

Ok! A diagnosis is not appropriate at this time.

Press Enter

Could the symptoms possibly be caused by a medical condition or a medication?*

There are many medical conditions that could mimic mental health issues. It's important to rule these out.

Yes

Press Enter

Ok! A diagnosis is not appropriate at this time.

Press Enter

Are the symptoms attributable to the physiological effects of a substance?*

Substance use or withdrawal from substance use can mimic many mental health disorders.

Yes

Press Enter

Ok! A diagnosis is not appropriate at this time.

Press Enter

Can the symptoms be attributed to a recent life change?*

For example, the death of someone in the client's life, divorce, or even a recent move or job change.

Yes

Press Enter

Ok! A diagnosis of Adjustment Disorder may be appropriate.

Press Enter

Are the symptoms significant enough to “cause the individual clinically significant distress or impairment in social, occupational, or other important areas of functioning”?*

Based on your best, reasonable judgement.

Yes

Press Enter

Ok! A diagnosis is not appropriate at this time.

Press Enter

Which category best describes the primary complaint of the client?*

Anxious Feelings

Depressed Feelings

Reactions to Trauma

Obsessive-Compulsive

Unstable Interpersonal Relationships

Cycling Moods

Delusions and/or Hallucinations

Substance Use

Press Enter

Which symptom(s) are the client experiencing?

Delusions

Hallucinations

Disorganized speech (e.g., frequent derailment or incoherence)

Grossly disorganized or catatonic behavior

Negative symptoms (i.e., diminished emotional expression or avolition)

Press Enter

This field is hidden when viewing the form

Schizophrenia Count

Press Enter

For a significant portion of the time since the onset of the disturbance, are one or more major areas of functioning such as work, interpersonal relations, or self-care markedly below the level achieved prior to the onset?

Yes

Press Enter

Have there been continuous signs of the disturbance for at least 6 months?

Yes

Press Enter

Which symptom(s) are the client experiencing

Substance is often taken in larger amounts or over a longer period than was intended.

There is a persistent desire or unsuccessful efforts to cut down or control substance use.

A great deal of time is spent in activities necessary to obtain the substance, use the substance, or recover from its effects.

Craving, or a strong desire or urge to use the substance.

Recurrent substance use resulting in a failure to fulfill major role obligations at work, school, or home.

Continued substance use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of the substance.

Important social, occupational, or recreational activities are given up or reduced because of substance use.

Recurrent substance use in situations in which it is physically hazardous.

Substance use is continued despite knowledge of having a persistent or recurrent physical or psychological problem that is likely to have been caused or exacerbated by the substance.

Tolerance

Withdrawal

Press Enter

This field is hidden when viewing the form

Substance Count

Press Enter

Have the symptoms all occurred in a period of 12 months?

Yes

Press Enter

Which symptom(s) are the client experiencing?

Check all that apply

Inflated self-esteem or grandiosity.

Decreased need for sleep

More talkative than usual or pressure to keep talking.

Flight of ideas or subjective experience that thoughts are racing.

Distractibility

Increase in goal-directed activity (either socially, at work or school, or sexually) or psychomotor agitation (i.e., purposeless non-goal-directed activity).

Excessive involvement in activities that have a high potential for painful consequences

Press Enter

This field is hidden when viewing the form

Bipolar Mania Count

Press Enter

How long do these symptoms typically last?

With symptoms present most of the day, nearly every day.

Less than 1 week

1 week or more

Press Enter

Is the mood disturbance sufficiently severe to cause marked impairment in social or occupational functioning or to necessitate hospitalization to prevent harm to self or others, or there are psychotic features.*

Yes

Press Enter

Which symptom(s) are the client experiencing?

Check all that apply

Depressed mood most of the day, nearly every day, as indicated by either subjective report (e.g., feels sad, empty, hopeless) or observation made by others (e.g., appears tearful).

Markedly diminished interest or pleasure in all, or almost all, activities most of the day, nearly every day.

Significant weight loss when not dieting or weight gain (e.g., a change of more than 5% of body weight in a month), or decrease or increase in appetite nearly every day.

Insomnia or hypersomnia nearly every day.

Psychomotor agitation or retardation nearly every day (observable by others, not merely subjective feelings of restlessness or being slowed down).

Fatigue or loss of energy nearly every day.

Feelings of worthlessness or excessive or inappropriate guilt (which may be delusional) nearly every day (not merely self-reproach or guilt about being sick).

Diminished ability to think or concentrate, or indecisiveness, nearly every day (either by subjective account or as observed by others).

Recurrent thoughts of death (not just fear of dying), recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for committing suicide.

Press Enter

This field is hidden when viewing the form

Bipolar Depressive Count

Press Enter

Which symptom(s) are the client experiencing?

Check all that apply

Frantic efforts to avoid real or imagined abandonment.

A pattern of unstable and intense interpersonal relationships

Identity disturbance: markedly and persistently unstable self-image or sense of self.

Impulsivity in at least two areas that are potentially self-damaging

Recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior.

Affective instability due to a marked reactivity of mood

Chronic feelings of emptiness.

Inappropriate, intense anger or difficulty controlling anger

Transient, stress-related paranoid ideation or severe dissociative symptoms.

Press Enter

This field is hidden when viewing the form

BPD Count

Press Enter

Which of these describes the client's obsessive-compulsive symptoms?

Check all that apply

Recurrent and persistent thoughts, urges, or images that are experienced, at some time during the disturbance, as intrusive and unwanted, and that in most individuals cause marked anxiety or distress.

The individual attempts to ignore or suppress such thoughts, urges, or images, or to neutralize them with some other thought or action (i.e., by performing a compulsion).

Repetitive behaviors (e.g., hand washing, ordering, checking) or mental acts (e.g., praying, counting, repeating words silently) that the individual feels driven to perform in response to an obsession or according to rules that must be applied rigidly.

The behaviors or acts are aimed at preventing or reducing anxiety or distress, or preventing some dreaded event or situation; however, these behaviors or mental acts are not connected in a realistic way with what they are designed to neutralize or prevent, or are clearly excessive.

Press Enter

This field is hidden when viewing the form

OCD Count

Press Enter

Can the symptoms be attributed to another mental condition such as excessive worries, generalized anxiety, etc.*

Yes

Press Enter

Which best describes the client's anxiety symptoms?*

Worry about many different things

Extreme anxiety episodes with strong physical symptoms

Fear of social situations (specific or general)

Fear of a specific thing, not otherwise included with the above

Press Enter

Which best describes the client's anxiety symptoms?*

The phobic object or situation almost always provokes immediate fear or anxiety.

The phobic object or situation is actively avoided or endured with intense fear or anxiety.

The fear or anxiety is out of proportion to the actual danger posed by the specific object or situation and to the sociocultural context.

The fear, anxiety, or avoidance is persistent, typically lasting for 6 months or more.

Press Enter

This field is hidden when viewing the form

Phobia Count

Press Enter

Which symptom(s) are the client experiencing?*

Restlessness or feeling keyed up or on edge

Being easily fatigued

Difficulty concentrating or mind going blank

Irritability

Muscle tension

Sleep disturbance (difficulty falling or staying asleep, or restless, unsatisfying sleep)

Press Enter

This field is hidden when viewing the form

GAD Count

Press Enter

Which symptom(s) are the client experiencing?*

Palpitations, pounding heart, or accelerated heart rate.

Sweating.

Trembling or shaking.

Sensations of shortness of breath or smothering.

Feelings of choking.

Chest pain or discomfort.

Nausea or abdominal distress.

Feeling dizzy, unsteady, light-headed, or faint.

Chills or heat sensations

Paresthesias (numbness or tingling sensations).

Derealization

Fear of losing control or 'going crazy.'

Fear of dying

Press Enter

This field is hidden when viewing the form

Panic Count

Press Enter

Has the client experienced either of these for a month or more following an episode?*

Persistent concern or worry about additional panic attacks or their consequences

A significant maladaptive change in behavior related to the attacks

Press Enter

Has the client experienced the following?*

Marked Fear or Anxiety About One or More Social Situations in which the individual is exposed to possible scrutiny by others.

The Individual Fears That They Will Act in a Way or Show Anxiety Symptoms That Will Be Negatively Evaluated, such as being humiliating or embarrassing; leading to rejection or offending others.

The Social Situations Almost Always Provoke Fear or Anxiety.

The Social Situations Are Avoided or Endured With Intense Fear or Anxiety.

The fear or anxiety is out of proportion to the actual threat posed by the social situation and to the sociocultural context.

The fear, anxiety, or avoidance is persistent, typically lasting for 6 months or more.

Press Enter

How long have they experienced symptoms?

For most of the day, for more days than not, for at least 2 years. (Note: In children and adolescents, mood can be irritable and duration must be at least 1 year.)

For the same 2-week period and represent a change from previous functioning

Neither

Press Enter

Which symptom(s) are the client experiencing?*

Depressed Mood

Markedly Diminished Interest or Pleasure

Significant Weight Loss

Insomnia or Hypersomnia

Psychomotor Agitation or Retardation

Fatigue or Loss of Energy

Feelings of Worthlessness or Excessive or Inappropriate Guilt

Diminished Ability to Think or Concentrate, or Indecisiveness

Recurrent Thoughts of Death

Press Enter

This field is hidden when viewing the form

MDD Count

Press Enter

Which symptom(s) are the client experiencing?*

Poor appetite or overeating

Insomnia or hypersomnia

Low energy or fatigue

Low self-esteem

Poor concentration or difficulty making decisions

Feelings of hopelessness

Press Enter

This field is hidden when viewing the form

PDD Count

Press Enter

Which actual or perceived threat of death, serious injury, or sexual violence has the client experienced?

Directly experiencing the traumatic event(s)

Witnessing, in person, the event(s) as it occurred to others

Learning that the traumatic event(s) occurred to a close family member or close friend

In cases of actual or threatened death of a family member or friend, the event(s) must have been violent or accidental

Experiencing repeated or extreme exposure to aversive details of the traumatic event(s)

None of these

Press Enter

When did the trauma occur?*

Between 3 days and 1 month ago

More than a month ago

Press Enter

Which symptom(s) are the client experiencing?*

Recurrent, involuntary, and intrusive distressing memories of the traumatic event(s).

Recurrent distressing dreams in which the content and/or affect of the dream are related to the event(s).

Dissociative reactions (e.g., flashbacks) in which the individual feels or acts as if the traumatic event(s) were recurring.

Intense or prolonged psychological distress or marked physiological reactions in response to internal or external cues that symbolize or resemble an aspect of the traumatic event(s).

Persistent inability to experience positive emotions.

An altered sense of the reality of one's surroundings or oneself.

Inability to remember an important aspect of the traumatic event(s) (typically due to dissociative amnesia and not to other factors such as head injury, alcohol, or drugs).

Efforts to avoid distressing memories, thoughts, or feelings about or closely associated with the traumatic event(s).

Efforts to avoid external reminders (people, places, conversations, activities, objects, situations) that arouse distressing memories, thoughts, or feelings about or closely associated with the traumatic event(s).

Sleep disturbance (e.g., difficulty falling or staying asleep, restless sleep).

Irritable behavior and angry outbursts, typically expressed as verbal or physical aggression toward people or objects.

Problems with concentration.

Exaggerated startle response.

Press Enter

This field is hidden when viewing the form

ASD Count

Press Enter

Which symptom(s) are the client experiencing?*

Select all that apply

Recurrent, involuntary, and intrusive distressing memories of the traumatic event(s).

Recurrent distressing dreams in which the content and/or affect of the dream are related to the traumatic event(s).

Dissociative reactions (e.g., flashbacks) in which the individual feels or acts as if the traumatic event(s) were recurring. (Such reactions may occur on a continuum, with the most extreme expression being a complete loss of awareness of present surroundings.)

Intense or prolonged psychological distress at exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event(s).

Marked physiological reactions to internal or external cues that symbolize or resemble an aspect of the traumatic event(s).

Press Enter

This field is hidden when viewing the form

PTSD count

Press Enter

Has the client experienced persistent avoidance of stimuli?

Avoidance of or efforts to avoid distressing memories, thoughts, or feelings about or closely associated with the traumatic event(s).

Avoidance of or efforts to avoid external reminders (people, places, conversations, activities, objects, situations) that arouse distressing memories, thoughts, or feelings about or closely associated with the traumatic event(s).

Press Enter

Has the client experienced alterations in cognitions and mood?

Select all that apply

Inability to remember an important aspect of the traumatic event(s) (typically due to dissociative amnesia and not to other factors such as head injury, alcohol, or drugs).

Persistent and exaggerated negative beliefs or expectations about oneself, others, or the world

Persistent, distorted cognitions about the cause or consequences of the traumatic event(s) that lead the individual to blame himself/herself or others.

Persistent negative emotional state (e.g., fear, horror, anger, guilt, or shame).

Markedly diminished interest or participation in significant activities.

Feelings of detachment or estrangement from others.

Persistent inability to experience positive emotions (e.g., inability to experience happiness, satisfaction, or loving feelings).

Press Enter

This field is hidden when viewing the form

PTSD Mood Count

Press Enter

Has the client experienced alterations in arousal?

Select all that apply

Irritable behavior and angry outbursts (with little or no provocation) typically expressed as verbal or physical aggression toward people or objects.

Reckless or self-destructive behavior.

Hypervigilance.

Exaggerated startle response.

Problems with concentration.

Sleep disturbance (e.g., difficulty falling or staying asleep or restless sleep).

Press Enter

This field is hidden when viewing the form

PTSD arousal count

Press Enter

0% Completed!