Burns' Depression Checklist* INSTRUCTIONS: Select the appropriate option to indicate how much each of the symptoms has been bothering you in the past week including today . Please be honest and be sure to answer all 15 questions.
Sadness: Have you been feeling sad or down in the dumps?
Discouragement: Does the future look bleak or hopeless?
Low Self-Esteem: Do you feel worthless or think of yourself as a loser?
Inferiority: Do you feel inadequate or inferior to others?
Guilt: Do you get self-critical and blame yourself?
Indecisiveness: Is it hard to make decisions?
Irritability and Frustration: Have you been feeling angry or resentful?
Loss of Motivation: Do you feel overwhelmed and have to push yourself hard to do things?
Poor Self-Image: Do you think you're looking old or unattractive
Appetite Changes: Have you lost your appetite? Or, do you over eat compulsively?
Sleep Changes: Is it hard to get a good night's sleep? Or, are you tired and sleeping too much?
Loss of Libido: Have you lost your interest in sex?
Hypochondriasis: Do you worry a lot about your health?
Suicidal Impulses: Do you think life is not worth living or think you'd be better off dead?
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