steady

Mood · In your head

Two questions, then a doctor

Ask yourself about the last two weeks. Little interest or pleasure in doing things? Feeling down, depressed or hopeless? Yes to either on most days: book a doctor.

2 minEvidence: decent

These two questions are a short check doctors use. In a study of 6,000 patients at family doctors' and gynaecology clinics, they did a fair job of picking out who needed a fuller assessment. Evidence: decent

It's a check, not a diagnosis. A yes doesn't mean you have depression. It means a doctor should ask you more, and only a doctor can do that part. A no doesn't rule anything out if something still feels wrong. The bar here is set lower than the one doctors use, on purpose: better one visit too many.

Why these two: they are the core signs doctors look for. Low mood, or clearly less interest or pleasure in things, most of the day, nearly every day, for two weeks or more. A diagnosis needs other symptoms on top, and someone trained to check them. Evidence: solid

At the appointment, read the two questions out and say what you answered. You don't need better words than that.

If you've had thoughts of not wanting to be here, don't wait for an appointment. Call your local emergency number (112 in the EU) or a crisis line: findahelpline.com.

Source: Kroenke, Spitzer and Williams, 2003, Medical Care (link)

Same theme: In your head

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