PHQ-9 + GAD-7 — Adult Depression & Anxiety Screening

PHQ-9 + GAD-7 — Adult Depression & Anxiety Screen

Two short, widely-used self-report screens combined into one form. The PHQ-9 looks at depression symptoms; the GAD-7 looks at anxiety symptoms. Both have been validated across primary care and specialist settings.

This is a screening tool, not a diagnosis. If item 9 of the PHQ-9 (thoughts of self-harm) is endorsed at any level, please reach out — that signal is taken seriously.

Over the last 2 weeks, how often have you been bothered by any of the following problems?

PHQ-9 — Depression (items 1–9)

1. Little interest or pleasure in doing things
2. Feeling down, depressed, or hopeless
3. Trouble falling or staying asleep, or sleeping too much
4. Feeling tired or having little energy
5. Poor appetite or overeating
6. Feeling bad about yourself — or that you are a failure or have let yourself or your family down
7. Trouble concentrating on things, such as reading the newspaper or watching television
8. Moving or speaking so slowly that other people could have noticed? Or the opposite — being so fidgety or restless that you have been moving around a lot more than usual
9. Thoughts that you would be better off dead or of hurting yourself in some way

GAD-7 — Anxiety (items 10–16)

10. Feeling nervous, anxious or on edge
11. Not being able to stop or control worrying
12. Worrying too much about different things
13. Trouble relaxing
14. Being so restless that it is hard to sit still
15. Becoming easily annoyed or irritable
16. Feeling afraid as if something awful might happen

Functional impact

If you have ticked any problems above, how difficult have they made it for you to do your work, take care of things at home, or get along with other people?

PHQ-9 (Depression)

0

GAD-7 (Anxiety)

0

PHQ-9 severity

GAD-7 severity

What this means: Both scales give a severity reading, not a diagnosis. Two people with the same score can have very different lives — a clinical conversation is what unpacks that. PHQ-9 ≥ 10 and/or GAD-7 ≥ 10 are common thresholds at which clinicians take a closer look.
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PHQ-9 and GAD-7 developed by Drs. Robert L. Spitzer, Janet B.W. Williams, Kurt Kroenke and colleagues, with an educational grant from Pfizer Inc. Both instruments are in the public domain — no permission required to reproduce, translate, display or distribute.