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Clinical Trauma & Mental Health Assessment

Uses NHS-standard validated screening tools. Nothing is saved or sent. This is for self-reflection, not medical diagnosis.

🏥 Clinical Mental Health Self-Assessment

PCL-5 (PTSD) • PHQ-9 (Depression) • GAD-7 (Anxiety) • ISI (Sleep) • ACEs • BGQ-5 (Grief)

For reflection and next steps — this is NOT a diagnosis.

⚠️ Critical disclaimers — please read:
• This uses validated clinical screening tools for self-reflection only
• This is NOT a diagnosis and does NOT replace professional assessment
• These are screening instruments — positive screens need clinical follow-up
• Scores indicate symptom severity, not clinical diagnosis
• High scores mean "seek professional assessment", not "you have this condition"

Emergency: If you're in immediate danger, call 999 (UK) / 112 (EU) / 911 (US/CA).
UK crisis support: 116 123 (Samaritans) or text SHOUT to 85258.

📋 Basic information

Optional — helps tailor suggestions.

Age range

Have you received mental health treatment before?

🧠 PTSD symptoms (PCL-5, past month)NHS VALIDATED TOOL

PCL-5 is the NHS-standard PTSD screening questionnaire. How much have you been bothered by the following?

1. Repeated, disturbing, unwanted memories of the stressful experience

2. Repeated, disturbing dreams of the stressful experience

3. Suddenly feeling or acting as if the stressful experience were actually happening again (flashbacks)

4. Feeling very upset when something reminded you of the stressful experience

5. Having strong physical reactions when something reminded you (heart pounding, trouble breathing, sweating)

6. Avoiding memories, thoughts, or feelings related to the stressful experience

7. Avoiding external reminders of the stressful experience (people, places, conversations, activities, objects, situations)

8. Trouble remembering important parts of the stressful experience

9. Having strong negative beliefs about yourself, other people, or the world (e.g., "I am bad," "No one can be trusted," "The world is completely dangerous")

10. Blaming yourself or someone else for the stressful experience or what happened after it

11. Having strong negative feelings such as fear, horror, anger, guilt, or shame

12. Loss of interest in activities that you used to enjoy

13. Feeling distant or cut off from other people

14. Trouble experiencing positive feelings (for example, being unable to feel happiness or loving feelings)

15. Irritable behavior, angry outbursts, or acting aggressively

16. Taking too many risks or doing things that could cause you harm

17. Being "superalert" or watchful or on guard

18. Feeling jumpy or easily startled

19. Having difficulty concentrating

20. Trouble falling or staying asleep

😔 Depression (PHQ-9, last 2 weeks)NHS VALIDATED TOOL

PHQ-9 is the NHS-standard depression screening questionnaire.

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

😰 Anxiety (GAD-7, last 2 weeks)NHS VALIDATED TOOL

GAD-7 is the NHS-standard anxiety screening questionnaire.

1. Feeling nervous, anxious, or on edge

2. Not being able to stop or control worrying

3. Worrying too much about different things

4. Trouble relaxing

5. Being so restless that it is hard to sit still

6. Becoming easily annoyed or irritable

7. Feeling afraid as if something awful might happen

😴 Insomnia (ISI, past 2 weeks)VALIDATED TOOL

ISI (Insomnia Severity Index) is a validated 7-item sleep screening tool used worldwide.

1. Please rate the current (past 2 weeks) SEVERITY of your insomnia problem(s):

a) Difficulty falling asleep

b) Difficulty staying asleep

c) Problem waking up too early

2. How SATISFIED/DISSATISFIED are you with your current sleep pattern?

3. How NOTICEABLE to others do you think your sleep problem is in terms of impairing the quality of your life?

4. How WORRIED/DISTRESSED are you about your current sleep problem?

5. To what extent do you consider your sleep problem to INTERFERE with your daily functioning (e.g., daytime fatigue, ability to function at work/daily chores, concentration, memory, mood, etc.)?

🌀 Dissociation screeningINFORMAL SCREENING

These questions are NOT from a validated standardized tool. For clinical dissociation assessment, request formal DES-II or MDI screening from a professional.

1. Feeling disconnected from yourself, like watching yourself from outside your body (depersonalization)

2. Things around you feel unreal, dreamlike, or foggy (derealization)

3. Finding yourself somewhere with no memory of how you got there (dissociative amnesia)

4. Feeling emotionally numb or completely cut off from your feelings

5. "Spacing out" or losing awareness of your surroundings for periods of time

🤝 Support, safety & risk screening

Current support system

Are you currently in physical danger or an unsafe environment?

In the past month, have you had thoughts of ending your life or harming yourself?

How difficult have these problems made it to work, take care of things at home, or get along with other people?

Are you using alcohol or drugs more than usual to cope with feelings or symptoms?

🏫 Adverse Childhood Experiences (ACEs, before age 18)VALIDATED TOOL

This is the CDC/NHS-standard ACEs questionnaire. It's optional but provides important context. This is a simple count (0–10), not a diagnosis.

While you were growing up, during your first 18 years of life:

🖤 Grief screening (BGQ-5, past month)VALIDATED TOOL

Brief Grief Questionnaire - optional, for those who have experienced bereavement. This is NOT a diagnosis of complicated grief, just a screening tool.

1. In the past month, how often have you felt that your life is empty or meaningless because of your loss?

2. In the past month, how often has it been hard to accept the death?

3. In the past month, how often have you felt stunned, dazed, or shocked by the loss?

4. In the past month, how often do memories of your loved one interfere with your ability to do everyday things?

5. In the past month, how often have you felt bitter, angry, or that moving on from the loss is impossible?

🚨 Emergency crisis resources

🇬🇧 UK
999 (Emergency)
Samaritans: 116 123
SHOUT Crisis Text: 85258
NHS 111 (Urgent, non-emergency)
🇺🇸 United States
911 (Emergency)
988 Suicide & Crisis Lifeline
Crisis Text: HOME to 741741
🇨🇦 Canada
911 (Emergency)
Talk Suicide: 1-833-456-4566
Kids Help Phone: 1-800-668-6868
🇦🇺 Australia
000 (Emergency)
Lifeline: 13 11 14
Beyond Blue: 1300 224 636