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Problem solving & behavioural activation

“ If in your head you undertake hatha yoga as a form of exercise or body building, you will end up with just what you reached for ... a more beautiful body. On the other hand, if you undertake hatha yoga as a form of yoga then it will, in a relatively short time, bring about a profound metamorphosis in your body calmness, sensitivity, and lightness ... all of which will facilitate your sadhana. ” - Ram Dass

Here are a series of forms, questionnaires and handouts that I use regularly in my work.  The problem solving diagram is a recurring theme - both at the start of therapy and as a sheet to return to when reviewing and considering additional therapeutic options.  Other sheets are classic variants on the tools used by many cognitive behavioural therapists - with occasional alternatives and additions, that I've come up with over the years, thrown in as well.

Depression assessment

“ Medical knowledge is a social process: The conversations that occur around artifactual data are always more important than the data themselves. ” - John Lester

Depression assessment scales come in two basic forms - interviewer/clinician rated and sufferer/patient rated.  As stated in the background information on the IDS/QIDS questionnaires (see below) "There are several accepted clinician rated and patient self report measures of depressive symptoms. The most commonly used clinician rated scales are the 17, 21, 24, 28, and 31 item versions of the Hamilton Rating Scale for Depression (HRSD) (Hamilton 1960, 1967), and the 10-item Montgomery-Asberg Scale (Montgomery and Asberg 1979). The most frequently used self-reports include the 13, and 21 item version of the Beck Depression Inventory (BDI) (Beck et al. 1961), the BDI-II (Beck et al. 1996), the Zung Depression Rating Scale (Zung 1965), the Carroll Rating Scale (CRS) (Carroll et al. 1981), and the Patient Health Questionnaire - 9 (PHQ-9) (Kroenke et al.

Depression information

“ A happy person is not a person in a certain set of circumstances, but rather a person with a certain set of attitudes. ” - Anonymous

Here are a few handouts that I've put together over the years to provide background information about depression.  The development/maintenance diagram is probably the handout here that I use most - both to explain issues about depression and also for many other psychological disorders as well. 

Introduction & monitoring

I feel the capacity to care is the thing which gives life its deepest significance.

- Pablo Casals

Here are a series of forms that I use almost every session with clients, or for screening and orientation at the start of therapy:

Diagnosis of psychological disorders

“ The most important thing is caring, so do it first, for the caring physician best inspires hope and trust. ” - Sir William Osler

Making a formal psychological diagnosis can be a mixed blessing. It has several potential advantages. If many of my symptoms can be accurately grouped under a specific psychological diagnosis, it may well help to understand what is happening, to clarify the likely time course of my symptoms, and to choose treatments that have the best chance of being effective. It's worth noting that often people suffer from more than one psychological disorder at the same time - this is called comorbidity and it is common.

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