Depression Assessment

Please provide the following contact information (email essential):

Birthdate (day/month/year)

Gender (Male/Female)

The Format of profiling your experience of DEPRESSION is 

1. WHEN (you identify the triggering or activating events)

2. I FEEL (you identify the level of impact that accompanies DEPRESSION)

3. I RESPOND BY (you identify the behaviours or actions that accompany you feeling DEPRESSION)

4. BECAUSE (you identify the thinking that accompanies the experience of DEPRESSION)

WHEN

I am facing loss (with implications for the future) [possessions, job, loved one etc.]
I am feeling failure

Other WHENs

I experience FEELINGS associated with Depression

to this level  1. The absence of any distress. Feeling calm and totally relaxed 2. Neutral feeling or just OK, not as relaxed as could be 3. Increased discomfort, unpleasant, but in control 4. Noticeable discomfort or distress, perhaps agitation, but tolerable 5. Discomfort is very uncomfortable, but I can stand it. 6. Discomfort worsens and affects my life 7. Discomfort is severe and emotional pain interferes with my life. 8. Discomfort increases and it is in my thoughts constantly 9. Discomfort is nearly intolerable 10. Discomfort is extreme and the worst imaginable. I feel panicky and overwhelmed.

I RESPOND BY

Withdrawing from reinforcements
Withdrawing into myself
Creating an environment consistent with my feelings

Attempting to terminate feelings of depression in self-destructive ways
    (a) suicide attempts
    (b) inflicting pain
    (c) damaging property

Other Responses you make

BECAUSE

I only see negative aspects of the loss of failure
I think of other losses and failures that I have experienced
I think I am unable to help myself (a sense of helplessness)
I only see pain and blackness in the future (a sense of hopelessness)

Other Becauses

Please comment further those things you feel I need to know to understand you and your experience of Depression?