First Name
Age Group
Zip Code
Marital Status
How many people share the living space with you?
What is your highest level of formal education?
Middle School
What race/ethnicity do you belong to?
What is the frequency of your visits to the health care provider?
Every Week
Are you presently employed? If yes, what is your occupation?
Were you employed previously? If yes, when and where?
What conditions have you been diagnosed with? When? Where?
Last year in April, I was diagnosed with generalized anxiety disorder and clinical depression at the North Shore Wellness Center.
Have you ever been hospitalized? If yes, how many times? When was the last time that you were hospitalized?
Please describe everything you know about your condition(s) and how you obtained such information?
What I know about clinical depression: Symptoms include insomnia, sleeping too much, changes in appetite, irritability, loss of interest in things that used to be fun, deep sadness. These must occur for over a two week period to be considered depression. I learned about depression from my therapists and from furthur research of my own. Anxiety disorder: Symptoms include constant worrying, irritability, inability to concentrate. I learned about anxiety disorder from my own research on the Internet and from my psychiatrist.
Please illustrate your life before, during, and after learning of your condition(s) and engaging in therapies, if any?
Before I was depressed/had anxiety, I was living a full, happy life. I had lots of friends, took dance classes and studied the piano, and was generally a very normal, very happy person. Starting in November 2004, I started feeling increasingly depressed and began worrying about absolutely everything. I had trouble sleeping and my schoolwork began to fall behind drastically. I would lock myself in the bathroom and cry for hours, often for no reason. I began scratching and cutting myself to try to ease the mental pain, but it often just made things worse. Finally, my parents sent me to my pediatrician to see what I should do, and she prescribed me Ambien. The sleeping pills helped me sleep, but they also provided me with the temptation to take my own life by overdosing on them. I also saw my school social worker, who reccomended I talk to a therapist outside of school. I went to two therapists, the second of which I am currently seeing every week for talk therapy. I was then referred to a psychiatrist, who I still see bi-monthly (I saw him weekly at first) who diagnosed me with clinical depression and anxiety disorder, along with some panic issues (I had suffered from a few panic attacks). Slowly, I began feeling better with the help of Zoloft, an antidepressant that has helped me greatly, and therapy.
Please describe how you cope with your condition(s), if at all, and the effectiveness of each strategy?
I cope by surrounding myself with friends and family that I care about, which is very effective, taking Zoloft, and going to therapy sessions with my psychologist. I sometimes still feel depressed or anxious, but I am slowly getting better. I also take dance six times a week and play the piano and do lots of artsy things, which is a good outlet for me.
Does the state of your health impede in any way your everyday activities such as work, housework, studies and so on?
Yes. I sometimes get distracted or put things off because I feel depressed, or I am so anxious about something that I begin to shake.
Does the state of your health impede in any way your social activities, such as inviting others to your residence, accepting invitations, going out with friends and so on?
Often I lie to friends and tell them that I am busy when I am really too depressed or lethargic to go out, and I have trouble calling people and inviting them to hang out because I worry that they will not like me or something will happen that will make me even more depressed.
How would you classify your daily interactions with people in general? (Comfortable, neutral, awkward, unpleasant) Please describe in detail.
I tend to read too much into what people act like around me. My interactions with others can be awkward for me because, say, if the person I am talking to rolls their eyes or sounds bored, I am automatically hurt and think there is something wrong with me. I have trouble taking jokes and I get jealous very easily, which bothers some people and makes it hard to have an active conversation with me without my getting hurt.
How do you envision your future?
I hope to become a ballerina, concert pianist, or public relations worker (I take dance six times a week and I still take piano) someday. Otherwise, I'm not sure what my future will hold.
On the whole, I am satisfied with myself.
At times I think I am no good at all.
Strongly Agree
I feel that I have a number of good qualities.
I am able to do things as well as most other people.
I feel I do not have much to be proud of.
Strongly Agree
I certainly feel useless at times.
Strongly Agree
I feel that I'm a person of worth, at least on an equal plane with others.
I wish I could have more respect for myself.
Strongly Agree
All in all, I am inclined to feel that I am a failure.
Strongly Agree
I take a positive attitude toward myself.
I can always manage to solve difficult problems if I try hard enough.
If someone opposes me, I can find the ways and means to get what I want.
I am certain that I can accomplish my goals.
I am confident that I could deal efficiently with unexpected events.
Strongly Agree
Thanks to my resourcefulness, I can handle unforeseen situations.
I can solve most problems if I invest the necessary effort.
I can remain calm when facing difficulties because I can rely on my coping abilities.
When I am confronted with a problem, I can find several solutions.
If I am in trouble, I can think of a good solution.
I can handle whatever comes my way.
With my illness experience, I feel I am:
More often tense
More often uncomfortable
Often in agony
More often distraught
Often discouraged
Equally confident and unsure
Equally capable and helpless
Almost always uncertain
My relationships help me feel I am:
More often worthless
More often distressed
Equally close and distant
More often isolated
Often excluded
Equally supported and blamed
Often accepted
Towards those who are emotionally close to me, I feel I am:
Almost always forgiving
Almost always welcoming
Almost always accepting
Often discouraging
Often distrusting
Equally understanding and misunderstanding
More often respectful
Universal beliefs and principles or a divine presence help me feel I am:
Almost always uninspired
Almost always troubled
Almost always judged
Almost always aimless
Almost always rejected
Almost always out-of-step
Almost always adrift
Towards universal beliefs and principles or a divine presence I feel I am:
Almost always ignoring
Equally receptive and closed
Equally thankful and demanding
Equally accepting and critical
Equally approaching and receding
Equally willing and resisting
Equally connecting and separating