If you have recently been diagnosed with depression, have questions about depression, or are not sure whether your illness is under control, talking to your doctor or psychiatrist (a doctor who specializes in mental health conditions) can help. It is important for your doctor to understand how your depression is affecting your daily life and normal functioning.

This doctor discussion guide will help you talk to your doctor or psychiatrist about your depression.

Remember to ask for extra time when making your appointment so that you won't feel rushed during your discussion.

To print your personalized doctor discussion guide:

  1. Answer the questions as best as you can.
  2. Click on "print results" when you are done answering the questions.
  3. The printout will contain a summary of the information you provided.

About you



(month year)

Emotions

What symptoms are you experiencing?

For each statement choose a number from 0 to 4 that describes the impact on your daily life, where 4 has the highest impact and 0 has no impact:

0 = no impact on daily life/no symptoms
1 = mild impact on daily life
2 = moderate impact on daily life
3 = severe impact on daily life
4 = debilitating impact on daily life

FACT: Depression can affect anyone at any age, although it most commonly appears between 15 and 45 years of age.

0
1
2
3
4
No Impact
Mild
Moderate
Severe
Debilitating
0
1
2
3
4
No Impact
Mild
Moderate
Severe
Debilitating
0
1
2
3
4
No Impact
Mild
Moderate
Severe
Debilitating
0
1
2
3
4
No Impact
Mild
Moderate
Severe
Debilitating