Do you Suffer from Depression

Chagrin Counseling Associates & Eating Recovery 29235 Chagrin Blvd., Suite 102, Pepper Pike, Ohio 44122 11740 Clifton Blvd., Suite 202, Lakewood, Ohio 44107 ..Providing innovative techniques to help people meet life's challenges and find peace and balance..

Are You Wondering If You Are Depressed?

Instructions : Please make a check next to the boxes that apply

	1.	Sleep changes (Sleeping more or less than usual; Early morning waking; Difficulty falling asleep; Difficulty staying asleep)?
	2.	Changes in appetite (Eating more or less than usual)?
	3.	Feeling sadder than normal or lower mood?
	4.	Feeling more irritable than normal?
	5.	Feeling more tired than usual?
	6.	Feeling more restless than usual?
	7.	Feel less interested or find less pleasure in the things you normally enjoy?
	8.	Crying more?
	9.	Having more aches and pains than usual?
	10.	Wanting to spend less time than normal with friends and family?
	11.	Have you been thinking about suicide or been having thoughts about death?
	12.	Feeling guilty about things you are not responsible for?
	13.	Are you having difficulty concentrating?

   *If you are experiencing 3 or more of these symptoms, you may be depressed. It is our
    recommendation that you contact a mental health professional to discuss your
    concerns.

* American Psychiatric Association (2000). Diagnostic and Statistical Manual Mental
Disorders IV (Text Revision). APA Press: Washington D.C.

**Disclaimer: This tool is not a substitute for psychological testing, a form of psycho-
therapy or mental health treatment.

	For more information* about our services or to schedule an appointment with one of our therapists
	*To reach us by telephone, please call (216) 360-4606
	If you would like to speak with one of our therapists for a free, 15 minute phone* consultation