Depression
inventories, the quizzes that 'rate' depression and give you a score, are all
over the Internet. If you've been a bit scared to take one, or have had a
result that frightens you, please read on.
First off,
there are dozens of inventories, some of which you can take free of charge and others
that you have to pay for.
One of the
most famous free ones is the Patient Health Questionnaire – Nine Item (PHQ-9)
It looks at the classic nine symptoms of depression (sleep issues, low mood
etc) One of the most famous ones you have to pay for is Beck's Depression
Inventory (BDI) that questions 21 issues associated with depression (sense of
failure, self-dissatisfaction, guilt etc).
Is longer
and expensive better than simple and cheap? Well, not necessarily.
So if one
works as well as the other, why do we have so many?
Some of the
reasons include:
·
There
are different theories about how depression works, and
·
Depression
doesn't come in one shape or form, it affects people differently, and
·
Because
scientists like to make up their own stuff so they become famous (and maybe
have people pay them money for their discoveries and inventories)
Are all
depression inventories totally awesome and foolproof? No, absolutely not.
For one
thing, inventories tend to lack context.
For example, you may have had two weeks where you've cried your eyes out
every day, have no appetite, no energy, are lower than earthworms in your mood and
can't concentrate on a thing.
An
inventory might say BIG DEPRESSION SCORE! And hit the panic button. But what if
someone close to you just passed away 15 days before? In that case your symptoms would be grief,
not depression.
Also, as
the inventories typically rely on self-reporting there are problems with
accuracy. For one thing, your idea of low mood may be different than mine.
Also, it relies on your memory being accurate. If you're like me and you've no
idea what you were feeling last week Wednesday, reporting properly can be
tricky.
There are
also lots of other issues to consider but as we're not writing a book here, these
are some of the main points.
So why do
we take depression inventories? Because they're an awesome basis for
conversation.
When you
talk to your doctor or mental health professional, an inventory is just part of
the assessment.
You'll be
asked all kinds of other questions like when you last had a medical checkup, whether
you're on any medications, what kind of major life events you've experienced in
the last year – and much more.(you can read more about that here)
A pro needs
to figure out if you are depressed, and if so, what the likely cause is. Understanding the cause is important because it influences what treatments you might use.
Then
they need to figure out the best path to get you back to happy. In short, it's
not a whap-wham-fill-out-the-quiz-and-whoopie-doo-we-know-where-you're-at-and-how-to-fix-you
situation.
So, if you
think you are depressed, do take one of those online quizzes but don't worry
too much about the score. Treat it as a basis for a good think.
And if you suspect
you are depressed, go and see your family doctor, psychologist, psychiatrist or
mental health professional to have the proper conversation.
TIP: if
you're talking to someone who asks you a handful of questions and then hands
you a conclusion, RUN! Depression assessment is not to be taken lightly. And while
I hate to say it, there are cons, quacks and greedy buggers with no principles
who prey on frightened people. You can read up on how to avoid those here
If in doubt,
go to a public hospital. It's not foolproof but it's the best bet that you get
someone with the right training.
Contact me if you've questions, and I'll do my best to answer.
Photo Credit: Image by Gerd Altmann from Pixabay