after reading the post i did think about not responding but what good would that do i did not sleep one wink last nite was going over things in my head and all i have left to say is thank you.

would you guys like to hear of my progress to reclaim my marriage ?

I dunno why she picked you. Maybe she thinks she can help you.

would you guys like to hear of my progress to reclaim my marriage ?

after reading the post i did think about not responding but what good would that do i did not sleep one wink last nite was going over things in my head and all i have left to say is thank you.

would you guys like to hear of my progress to reclaim my marriage ?

Thank you but there is no more luck needed she has already made up her mind I am just waiting for her to finalize things. I am putting all the blame and guilt on my own shoulders. I wish I could fix things.

Pep!!!

How do you say so much.....with so few words...???

She went to the "Coffee, tea or not me" school.



Larry

I am here just dont know what to say

I am here just dont know what to say

PHQ-9 � Nine Symptom Checklist
Patient Name Date
1.
2.
Over the last 2 weeks, how often have you been bothered by any of the following problems? Read each item carefully, and circle your response.
1
Tools May be printed without permission
a. Little interest or pleasure in doing things
Not at all Several days More than half the days
b. Feeling down, depressed, or hopeless
Not at all Several days More than half the days
c. Trouble falling asleep, staying asleep, or sleeping too much
Not at all Several days More than half the days
d. Feeling tired or having little energy
Not at all Several days More than half the days
e. Poor appetite or overeating
Not at all Several days More than half the days
Nearly every day
Nearly every day
Nearly every day
Nearly every day
Nearly every day
f. Feeling bad about yourself, feeling that you are a failure, or feeling that you have let yourself or your family down Not at all Several days More than half the days Nearly every day
g. Trouble concentrating on things such as reading the newspaper or watching television
Not at all Several days More than half the days Nearly every day
h. Moving or speaking so slowly that other people could have noticed. Or being so fidgety or restless that you have been moving around a lot more than usual Not at all Several days More than half the days Nearly every day
i. Thinking that you would be better off dead or that you want to hurt yourself in some way
Not at all Several days More than half the days Nearly every day
If you checked off any problem on this questionnaire so far, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?
Not Difficult at All Somewhat Difficult Very Difficult Extremely Difficult
Copyright held by Pfizer Inc, but may be photocopied ad libitum
PHQ-9 � Scoring Tally Sheet
Patient Name Date
1. Over the last 2 weeks, how often have you been bothered by any of the following problems? Read each item carefully, and circle your response.
2. If you checked off any problem on this questionnaire so far, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?
Copyright held by Pfizer Inc, but may be photocopied ad libitum
Not at all
Several days
More than half the days
Nearly every day
0
1
2
3
a. Littleinterestorpleasureindoingthings
b. Feelingdown,depressed,orhopeless
c. Troublefallingasleep,stayingasleep,or sleeping too much
d. Feelingtiredorhavinglittleenergy
e. Poorappetiteorovereating
f. Feeling bad about yourself, feeling that you are a failure, or feeling that you have let yourself or your family down
g. Troubleconcentratingonthingssuchas reading the newspaper or watching television
h. Movingorspeakingsoslowlythatother people could have noticed. Or being so fidgety or restless that you have been moving around a lot more than usual
i. Thinking that you would be better off dead or that you want to hurt yourself in some way
Totals
Not Difficult At All
Somewhat Difficult
Very Difficult
Extremely Difficult
0
1
2
3
2
Tools May be printed without permission
How to Score PHQ-9
Scoring Method For Diagnosis
Scoring Method For Planning And Monitoring Treatment
Major Depressive Syndrome is suggested if:
� Of the 9 items, 5 or more are circled as at least "More than half the days"
� Either item 1a or 1b is positive, that is, at least "More than half the days"
Minor Depressive Syndrome is suggested if:
� Of the 9 items, b, c, or d are circled as at least "More than half the days"
� Either item 1a or 1b is positive, that is, at least "More than half the days"
Question One
� To score the first question, tally each response by the number value of each response:
Not at all = 0 Several days = 1 More than half the days = 2 Nearly every day = 3
� Add the numbers together to total the score. � Interpret the score by using the guide listed below:
Question Two
In question two the patient responses can be one of four: not difficult at all, somewhat difficult, very difficult, extremely difficult. The last two responses suggest that the patient's functionality is impaired. After treatment begins, the functional status is again measured to see if the patient is improving.
Copyright held by Pfizer Inc, but may be photocopied ad libitum
Score
Action
<4
The score suggests the patient may not need depression treatment.
> 5-14
Physician uses clinical judgment about treatment, based on patient�s duration of symptoms and functional impairment.
>15
Warrants treatment for depression, using antidepressant, psychotherapy and/or a combination of treatment
3
Tools
How to Score PHQ-9