Your Self Audit

“You good?”

This is the recent catchy phrase circling the globe with an undertone of checking one’s mental well-being. Invariably, most respond with, “Yeah, I’m good,” but are you…really?

“Where are you at?”

This is my response to that question…What is your GPSS® telling you?

Global Psychiatric Symptom Scale (GPSS®)

Do you have thoughts of death/dying/suicide: If you went to sleep tonight and did not wake-up in the morning, that would be a great relief (CSSRS®) [10 pts]

Are you thinking of harming yourself or someone else - specific or random person (CSSRS®) [10 pts]

In the past 2-weeks, have you not experienced pleasure in doing things (PHQ-2®) [5 pts]

In the past 2-weeks, have you been feeling down, hopeless, or depressed (PHQ-2®) [5 pts]

Are you feeling on edge, nervous or anxious most of the time(GAD-2®) [5 pts]

Are you not able to control or stop your worries (GAD-2®) [5pts]

Have you recently experienced a loss [5 pts]

You are not getting along well with others: at home, at work, in general - even when at your favorite location. Are you simply mad, upset, or disappointed with yourself [2pts]

Are you utilizing illicit substances or alcohol (in excess) to ease your mind, calm your nerves, cope, or numb your feelings [3pts]

Life is not satisfying for you [3pts]

You aren’t effective at your job – you show up, but not much gets done / minimal work effort [3 pts]

Do you wish you could just disappear or run away [5 pts]

Do you have medical health challenges [4 pts]

Have you been previously diagnosed with a psychiatric or mental health condition [5 pts]

Are you non-compliant with your medications: not taking them as prescribed [1 pt]

Global Psychiatric Symptom Score (GPSS®)

Calculate your GPSS® by adding up the points.

To efficiently assess a client’s mental health status, I utilize the Global Psychiatric Symptom Scale®. It asks questions derived from well-known sources, such as the Patient Health Questionnaire (PHQ-9®) and Generalized Anxiety Disorder (GAD-7®) survey. Additional questions about relevant feelings or behaviors assessed in patients who are experiencing mental or emotional distress completes the 15-question survey .

➢ A score of 5 points or more suggests further exploration

➢ A score of 7 points or more recommends psychotherapy

➢ A score of 10 points or more warrants professional evaluation and treatment

Depending on the severity of symptoms and risk, a treatment plan could include hospitalization, psychotherapy, psychotropic medications, homeopathic remedies, or a combination of these.

Please speak with a qualified healthcare provider about your symptoms! Here’s where to start:

• Psychiatric mental health clinicians – psychiatrist, psychiatric nurse practitioner, clinical psychologist, licensed mental health counselor / mental health intern, licensed clinical social worker/ social work intern, licensed marriage and family counselor

• Primary Care Provider (PCP)

• Faith-based counsel from a pastor or spiritual leader

• Call your insurance company. Find out about your mental health benefits. Use their directory to find a mental health provider in your area

• Local mental health or crisis hotline

• United Way 211: Dial 2-1-1 from any phone . National phone number with 24-7/365 coverage

• National Suicide Prevention Lifeline 1-800-273-8255

• NAMI HelpLine -National Alliance on Mental Health 1-800-950-NAMI (6264)

• Veteran Crisis Line 24-7/365 coverage 1-800-273-8255 (select 1) or TEXT 838255

• SAMHSA – Substance Abuse and Mental Health Services Administration


• Immediate life-threatening situation: Dial 9-1-1

Disclaimer – read the full disclaimer.

GPSS® is proprietary information and is not peer-reviewed. Dr. Google and Specialist Bing can’t provide all the answers – and neither can this blog. However, there is hope – so please reach out to someone!

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