Patient Health Questionnaire and Generalized Anxiety Disorder Questionnaire

Self assessment

This self-assessment is not monitored, and submissions are not captured. You are the only person who will see your results. Please contact your healthcare provider with any questions or concerns related to your mental health. See emergency mental health supports provided in the footer of this form.
More on the EDPS, GAD-7, and PC-PTSD-5:

This form provides easy access to common mental health assessments used during the perinatal period, addressing depression (EDPS), anxiety (GAD-7), and trauma (PC-PTSD-5). The forms are not used for medical purposes, and CarryMe Health advices you to take action by accessing licensed therapy per your discretion. Therapy will be available through your center of care, and/or can be accessed via CarryMe Health or other providers. To access CarryMe Health's licensed therapy services, please see: https://www.carrymehealth.com/licensed-therapy

EDPS

General depression screening currently recommended by ACOG

Over the last 7 days, how have you felt (0-3, scroll right as needed to see)?

Rows	0	1	2	3
I have been able to laugh and see the funny side of things (as much as always -> not at all)
I have looked forward with enjoyment to things (as much as always -> not at all)
I have blamed myself unnecessarily when things when wrong(no never -> most of the time)
I have been anxious or worried (not at all -> yes very often)
I have felt scared or panicky(not at all -> yes, a lot)
Things have been getting on top of me(no, I have been coping as usual -> yes, most of the time)
I have been so unhappy that I have had difficulty sleeping(not at all -> yes, most of the time)
I have felt sad or miserable(not at all -> yes, most of the time)
I have been so unhappy that I have been crying(not at all -> yes, most of the time)
The thought of harming myself has occurred to me(never -> yes, often)

EDPS Score summary (table 1): A non-zero response on the final question of table 1 is a positive screen. OR Score ≥ 10 (auto-calculated here) is also a positive screen. Reach out to CarryMe Health or your care provider for resources to support you through this time.

GAD-7

Anxiety screening currently recommended by ACOG

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

Rows	Not at all	Several Days	More than half the days	Nearly every day
Feeling nervous, anxious, or on edge
Not being able to stop or control worrying
Worrying too much about different things
Trouble relaxing
Being so restless that it is hard to sit still
Becoming easily annoyed or irritable
Feeling afraid as if something awful might happen

GAD-7 Score (table 2): Score ≥ 5 (auto-calculated here) is a positive screen. Reach out to CarryMe Health or your care provider for resources to support you through this time.

PC-PTSD-5

Posttraumatic stress disorder screening currently recommended by ACOG

Sometimes things happen to people that are unusually or especially frightening, horrible, or traumatic. For example but not limited to: A serious accident, physical or sexual assault or abuse, war, seeing someone be killed or seriously injured.

Rows	No	Yes
Have you ever experienced this kind of event? Please circle the response that indicates your answer: If NO, you are finished and score is 0. If YES, please continue...
In the past month have you: had nightmares about the event(s) or thought about the event(s) when you did not want to?
In the past month have you: tried hard not to think about the event(s) or went out of your way to avoid situations that reminded you of the event(s)?
In the past month have you: been constantly on guard, watchful, or easily startled?
In the past month have you: felt numb or detached from people, activities, or your surroundings?
In the past month have you: felt guilty or unable to stop blaming yourself or others for the event(s) or any problems the event(s) may have caused?

PTSD Score (table 3): If first item is a NO, Score is 0. Score ≥ 3 is a positive screen. Reach out to CarryMe Health or your care provider for resources to support you through this time.

Thank you for taking the time to self-assess. Please reach out to CarryMe Health or your care provider for licensed therapy or other resources to support you through this time.

Emergency services are provided below:

If experiencing a mental health crisis or in need of emergency services for you or your family : Call 911 or go to your nearest emergency room.

National Suicide Prevention Hotline (24/7): Call 988
Postpartum Support International Helpline (8AM-11PM EST): Call 1-800-944-4773 (4PPD)
National Maternal Mental Health Hotline (24/7): Call 1-833-852-6262 (TLC-MAMA)
Should be Empty:

Self assessment

More on the EDPS, GAD-7, and PC-PTSD-5:

EDPS

GAD-7

PC-PTSD-5