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ADHD Rating Scale

6/29/2020

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Home Version

School Version


Never or rarely (0) Sometimes (1) Often (2) Very often (3)

1. Fails to give close attention to details or makes careless mistakes in schoolwork.

2. Fidgets with hands or feet or squirms in seat.

3. Has difficulty sustaining attention in tasks or play activities.

4. Leaves seat in classroom or in other situations in which remaining seated is expected.

5. Does not seem to listen when spoken to directly.

6. Runs about or climbs excessively in situations in which it is inappropriate.

7. does not follow through on instructions and fails to finish work.

8. Has difficulty playing or engaging in leisure activities quietly.

9. Has difficulty organizing tasks and activities.

10. Is "on the go" or acts as if "driven by a motor".

11. Avoids tasks (e.g. schoolwork, homework) that require sustained mental effort.

12. Talks excessively.

13. Loses things necessary for tasks or activities.

14. Blurts out answers before questions have been completed.

15. Is easily distracted.

16. Has difficulty awaiting turn.

17. Is forgetful in daily activities.

18. Interrupts or intrudes on others.

Age 5-7 yr

Age 8-10 yr

Age 11-13 yr

Age 14-18 yr

Male

Female



Percentile for Inattention
<90%
90%-93%
93%-98%
>98%
Percentile for Hyperactivity
<90%
90%-93%
93%-98%
>98%
Diagnostic criteria for ADHD
A. Six or more of each Inattention Symptoms (odd numbers) and/or Hyperactivity-Impulsivity symptoms (even numbers) present for 6 months (rated "often" or "very often")
B. Some hyperactive-impulsive or inattentive symptoms that caused impairment were present before age 7 yrs.
C. Some impairment from the symptoms is present in two or more settings(eg school and home)
D. There must be clear evidence of clinically significant impairment in social, academic, or occupational functioning.
E.The symptoms are not part of another mental disorder (eg depression or personality disorder).
Type of ADHD:
Attention-Deficit/Hyperactivity Disorder, Combined Type
Attention-Deficit/Hyperactivity Disorder, Predominantly Inattentive Type
Attention-Deficit/Hyperactivity Disorder, Predominantly Hyperactive-Impulsive Type

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Anxiety Screening General Anxiety Disorder (GAD-7)

6/29/2020

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GAD-7 p.title{ text-transform: uppercase; font-size: 16; font-family: Arial; font-weight: bolder; text-align: left; color: black; } p.heading{ font-weight: bolder; text-decoration: underline; } td.heading1{ font-size: 12; font-family: Arial; font-weight: bold; text-align: left; vertical-align: top; color: white; background:black ; border-width: 1; } td.heading2{ font-size: 12; font-family: Arial; font-weight: bold; text-align: left; vertical-align: top; color: white; background: #903321; border-width: 1; } tr.even{ background-color: #ffffff; } tr.odd{ background-color: #dddddd; } td.question{ font-size: 12; font-family: Arial; font-weight: normal; text-align: left; vertical-align: top; color: black; border-width: 1; } td.answer{ font-size: 12; font-family: Arial; font-weight: normal; text-align: center; vertical-align: top; color: black; border-width: 1; } td.normaltext{ width: 100%; font-size: 12; font-family: Arial; font-weight: normal; text-align: left; vertical-align: top; color: black; background-color: white; border-width: 0; } input.formtext{ width: 100%; height: 100%; font-size: 12; font-family: Arial; font-weight: normal; text-align: left; vertical-align: top; color: black; background-color: white; border-width: 1; border-style: solid; } textarea.formtext{ width: 100%; height: auto; font-size: 12; font-family: Arial; font-weight: normal; text-align: left; vertical-align: top; color: black; background-color: white; border-width: 1; border-style: solid; } div.DoNotPrint { display: none; } input.noborder { border : 0px; background: transparent; } textarea.noborder { scrollbar-3dlight-color: transparent; scrollbar-3dlight-color: transparent; scrollbar-arrow-color: transparent; scrollbar-base-color: transparent; scrollbar-darkshadow-color: transparent; scrollbar-face-color: transparent; scrollbar-highlight-color: transparent; scrollbar-shadow-color: transparent; scrollbar-track-color: transparent; background: transparent; overflow: hidden; //scrollbar : none; border : 0px; } function getCheckedValue(radioObj) { if(!radioObj) return parseInt(0); var radioLength = radioObj.length; if(radioLength == undefined) if(radioObj.checked) return parseInt(radioObj.value); else return parseInt(value); for(var i = 0; i < radioLength; i++) { if(radioObj[i].checked) { return parseInt(radioObj[i].value); } } return parseInt(0); } function totalScore(){ var i = 0; i += getCheckedValue(document.GAD7Form.Q1); i += getCheckedValue(document.GAD7Form.Q2); i += getCheckedValue(document.GAD7Form.Q3); i += getCheckedValue(document.GAD7Form.Q4); i += getCheckedValue(document.GAD7Form.Q5); i += getCheckedValue(document.GAD7Form.Q6); i += getCheckedValue(document.GAD7Form.Q7); document.GAD7Form.GAD7Score.value = i; if (i<=4){ document.getElementById("none").style.background='#90EE90'; document.getElementById("mild").style.background='white'; document.getElementById("moderate").style.background='white'; document.getElementById("severe").style.background='white'; } else if (i>=5 && i<=9){ document.getElementById("none").style.background='white'; document.getElementById("mild").style.background='#FFFF99'; document.getElementById("moderate").style.background='white'; document.getElementById("severe").style.background='white'; } else if (i>=10 && i<=14){ document.getElementById("none").style.background='white'; document.getElementById("mild").style.background='white'; document.getElementById("moderate").style.background='#FED8B1'; document.getElementById("severe").style.background='white'; } else if (i>=15 && i<=21){ document.getElementById("none").style.background='white'; document.getElementById("mild").style.background='white'; document.getElementById("moderate").style.background='white'; document.getElementById("severe").style.background='#FFCCCB'; } }     A. Over the last 2 weeks, how often have you been bothered by any of the following problems? Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) Q1. Feeling nervous, anxious or on edge Q2. Not being able to stop or control worrying Q3. Worrying too much about different things Q4. Trouble relaxing Q5. Being so restless that it is hard to sit still Q6. Becoming easily annoyed or irritable Q7. Felling afraid as if something awful might happen B. If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people? Not difficult at all Somewhat difficult Very difficult Extremely difficult Score Action 0-4 No anxiety 5-9 Mild anxiety 10-14 Moderate anxiety 15-21 Severe anxiety      

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Depression Screening Patient Health Questionnaire (PHQ-9)

6/29/2020

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A. Over the last 2 weeks, how often have you been bothered by any of the following problems? Not at all (0) Several days (1) More than half the days (2) Nearly every day (3)
Q1. Little interest or pleasure in doing things
Q2. Feeling down, depressed, or hopeless
Q3. Trouble falling or staying asleep, or sleeping too much
Q4. Feeling tired or having little energy
Q5. Poor appetitie or overeating
Q6. Feeling bad about yourself or that you are a failure or have let yourself or your family down
Q7. Trouble concentrating on things, such as reading the newspaper or watching television
Q8. 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
Q9. Thoughts that you would be better off dead, or of hurting yourself in some way

B. If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people? Not difficult at all Somewhat difficult Very difficult Extremely difficult


Instructions - How to Score the PHQ-9

Major depressive disorder is suggested if:

  • of the 9 items, 5 or more are checked as at least 'more than half the days'
  • either Q1 or Q2 is positive, that is at least 'more than half the days'

Other depressive syndrome is suggested if:

  • of the 9 items, Q1, Q2, or Q3 is checked as at least 'more than half the days'
  • either item Q1 or Q2 is positive, that is, at least 'more than half the days'
Also, PHQ-9 scores can be used to plan and monitor treatment. To score the instrument, tally each response by the number value under the answer headings, (not at all=0, several days=1, more than half the days=2, and nearly everyday=3). Add the numbers together to total the score on the bottom of the questionnaire. Interpret the score by using the guide listed below.
Score Action
0-4 The score suggests the patient may not need depression treatment
5-14 Mild major depressive disorder. Physician uses clinical judgement about treatment, based on patient's duration of symptoms and functional impairement
15-19 Moderate major depressive disorder. Warrants treatment for depression, using antidepressant, psychotherapy or a combination of treatment
20 or higher Severe major depressive disorder. Warrants treatment with antidepressant, with or without psychotherapy; follow frequently
   
 

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East Meets West A New Approach To Medicine

4/27/2020

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Before returning to his slumber, the Rajah of the famous Hindi parable said, “Perhaps if you put the parts together you will see the truth”. Each of the six blind men, having known only small ideas of what parts of an elephant look like, argued with each other over the correct depiction of the mighty creature. One man believes the trunk is a snake, another finds the tail to be a rope, and another thinks the leg is a giant cow. The Rajah tells them that they are all none the wiser and that, perhaps, if they put their ideas together, they will find out what an elephant really looks like.

Indeed, the story of the Blind Man and the Elephant exemplifies the debate on the most effective approach to medicine today. Modern medicine is nothing without technology, laboratories, and other elaborate devices that amount to its empire. Even still, alternative medicine often pales in comparison during medical emergencies and fast-acting relief.

Instead of arguing over which approach is best, we need to come together and allow each method’s strengths to work their magic so that the total approach – mind, body, and spirit – can be adopted from a scientific lens. The merging of modern and natural medicine is a seamless integration.

Acupuncture is a form of alternative medicine and a key component of traditional Chinese medicine in which thin needles are inserted into the body.

Aromatherapy, Reiki, acupuncture — any ancient tradition — will do wonders for, at the very least, our relaxation levels, and, on a good day, possibly accent our medications for further benefit. Yoga, as one example, may work hand-in-hand with our SSRIs to fight depression, and CBD oil partners well with anxiety medications.

Really, it’s no wonder that integrative care hospitals are becoming so popular. Whatever route you choose to take, be mindful of the blind men who mistake the elephant for the cow. Although there is no one size fits all approach to wellness, the blend of Eastern healing traditions with Western medicine is a match made in heaven.

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5 ways to deal with boredom during the COVID-19 pandemic

4/24/2020

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Being locked up at home is certainly anxiogenic to most of us. Social interactions become limited and we can find ourselves overthinking and catastrophizing the situation. Besides, feeling lonely is common during those hard times, especially if you are quarantined alone. Now, we should all take a minute to reflect about how we feel in order to be able to work on those feelings and feel better. 

Are you feeling bored? Here are some fun activities to do alone or with your family. The more you keep yourself busy with activities, the less you feel bored.  

Exploit your artistic side

Even if you’re not an innate artist, you can devote your time to painting colourful canvas, drawing and creating art pieces. All you need to start is a pencil and a drawing sketchbook. Remember, it’s not the result of your art that counts, but the creative process you go through and the therapeutic moment when you escape reality and cultivate the fruits of your imagination. When you draw, paint and place colors together, you express your feelings and to me, this is the definition of healing. 

Here are some resources you can consult to feed your imagination: 

Cook with your heart 

Again, even if you’re not a natural cuisine chef, enjoy cooking new recipes and don’t be afraid to fail. Have you ever tried cooking a Tandoori chicken, Moroccan couscous or a Mexican tortilla soup? Maybe it’s time to give them a try. 

Here are dishes ideas you can cook and boast of having cooked them

Move your body 

There are so many ways to exercise, find your favorite. 

Here are some fun workouts: 

  • Walk or jog to a beautiful destination. If there is a splendid view around you, walk alone (and far away from people) to it and appreciate it. If you are a sunset lover, you can jog to a park next to your home and watch the sun gracefully disappearing.
  • Take Zumba courses on YouTube. Zumba is cheerful, it will make you happy… and a bit exhausted later.  
  •  Take some belly dancing lessons. It will enhance your elf esteem and you’ll feel extremely desirable afterwards. 
  • Practice Yoga and meditation 

Learn new languages 

You want to watch Money Heist in its original version? Learn Spanish and take online classes. Not only will it fill your time, but it will also increase your skills and enrich your resume. 

Save humanity by fighting boredom

Your free time, your motivation and your skills are definitely needed during this crisis. We need people like you to save humanity in their own way, even remotely from their houses. Not only you will help people and do good, feel needed and valued, but you will also increase your social interactions and fight your boredom. 

Now, you can also start your own project to help. There’s so many causes you can fight for in an infinite number of ways. 

Here are some inspiring stories: 

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On Fearing Death and Why You Dont Have To

4/20/2020

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For many (if not all of us), Thanatophobia – fear of death – is high-up on our worry lists. This fear, like so many fears, reverses itself with spirituality. Spirituality, defined here as a belief in something higher and cyclic, teaches what comes “next” and what it means for you.

Author and recovery voice, Beverly Conyers, bleeds through rationality with a Zen koan, or what she calls the “cryptic question”. “What was your face before you were born?” she asks, in her work – Find Your Light: Practicing Mindfulness to Recover from Anything. The answer is eternity.

Ancient wisdom finds that time moves only toward eternity and repeats in this way forever. As Conyers puts it, there is no “judgement day” as we move beyond the run of the river. So beyond, in fact, that traces of stardust can be found in our DNA. We are one with the entire universe, never dying, only re-birthing.

Knowing that you are made of godliness, that you, physical, pragmatic, you, are supporting yourself with spirit running through your veins, demolishes fear of death and fosters belief in healing that may be otherwise unfounded.

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Australia and Oceanias Hotlines

4/2/2020

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Africas Hotline

4/2/2020

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Asias Hotlines

4/2/2020

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Europes Hotlines

4/2/2020

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