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Handout: the mills depression and anxiety checklist[c]. (Postpartum Care).



This checklist is not intended to be used to diagnose diagnose /di·ag·nose/ (di´ag-nos) to identify or recognize a disease.

di·ag·nose
v.
1. To distinguish or identify a disease by diagnosis.

2.
 depression during pregnancy pregnancy, period of time between fertilization of the ovum (conception) and birth, during which mammals carry their developing young in the uterus (see embryo). The duration of pregnancy in humans is about 280 days, equal to 9 calendar months.  or the months following birth. Instead, it is hoped that it will help you express the way you have been feeling over the past two weeks.

Some of the symptoms and feelings will be hard to admit, but you are urged to be honest, because this will result in a more accurate assessment of your mood. Remember that all new mothers probably will experience the symptoms below some of the time.

Such feelings are part of the adjustment to motherhood. But when mothers feel bad often or most of the time, it is important that you get help from a health professional urgently.

* Try not to feel guilty--you are not to blame.

* At least one in ten new mothers do have clinical depression and anxiety during pregnancy and in the first year after the birth of a baby.

To complete the Checklist, please fill in the appropriate column with one of the numbers that comes closest to the way you have been feeling and thinking during the past two weeks.

0 = not at all

1 = from time to time

2 = quite often

3 = most of the time

When you have completed the checklist go to the bottom of this page to find instructions on how to interpret To run a program one line at a time. Each line of source language is translated into machine language and then executed.  your results.

Please note the highlighted symptoms and feelings and the comment about them at the end.

It is recommended that you print out the check sheet below but do not look at the scoring levels until you fill out the checklist.
Mills Depression & Anxiety Symptom/Feeling Checklist[c]

Symptoms & Feelings              0 = not at all   1 = from time to time

Appetite change
Being forgetful
Being indecisive
Confused thinking
Crying spells
Fears or fantasies of harming
  yourself or others
Fears or fantasies of
  harming baby
Feeling afraid
Feeling angry
Feeling anxious
Feeling depressed
Feeling fatigued
Feeling frustrated
Feeling guilty
Feeling hopeless
Feeling irritable
Feeling like a bad mother
Feeling lonely
Feeling no love for the baby
Feeling numb
Feeling out of control
Feeling panicky
Feeling that your baby would
  be better off without you
Feeling trapped
Feeling unsupported--that
  no one cares about you
Having scary thoughts
Insomnia/changes in your
  sleep patterns
Loss of concentration
Loss of interest in
  your appearance
Loss of libido--no interest
  in sex
Loss of motivation
Loss of self-esteem
Mood swings
Obsessive thinking--weird
  thoughts keep going around
  in your head
Panic attacks
Pre-occupation with death--
  often thinking about death
  and dying
Suicidal thinking--thinking
  of killing yourself
Unusual conflict and fights
  with people close to you
Unusual physical symptoms--
  headaches, irregular
  heartbeat, nausea, "knot in
  your stomach," etc.
Unusual weight gain or loss
Other

Symptoms & Feelings              2 = quite often   3 = most of the time

Appetite change
Being forgetful
Being indecisive
Confused thinking
Crying spells
Fears or fantasies of harming
  yourself or others
Fears or fantasies of
  harming baby
Feeling afraid
Feeling angry
Feeling anxious
Feeling depressed
Feeling fatigued
Feeling frustrated
Feeling guilty
Feeling hopeless
Feeling irritable
Feeling like a bad mother
Feeling lonely
Feeling no love for the baby
Feeling numb
Feeling out of control
Feeling panicky
Feeling that your baby would
  be better off without you
Feeling trapped
Feeling unsupported--that
  no one cares about you
Having scary thoughts
Insomnia/changes in your
  sleep patterns
Loss of concentration
Loss of interest in
  your appearance
Loss of libido--no interest
  in sex
Loss of motivation
Loss of self-esteem
Mood swings
Obsessive thinking--weird
  thoughts keep going around
  in your head
Panic attacks
Pre-occupation with death--
  often thinking about death
  and dying
Suicidal thinking--thinking
  of killing yourself
Unusual conflict and fights
  with people close to you
Unusual physical symptoms--
  headaches, irregular
  heartbeat, nausea, "knot in
  your stomach," etc.
Unusual weight gain or loss
Other

Score (write total score here) [ ]


Contact a health professional immediately if you have any of these symptoms.

Guidelines guidelines,
n.pl a set of standards, criteria, or specifications to be used or followed in the performance of certain tasks.
 for Interpreting in·ter·pret  
v. in·ter·pret·ed, in·ter·pret·ing, in·ter·prets

v.tr.
1. To explain the meaning of: interpreted the ambassador's remarks. See Synonyms at explain.
 Your Total Score

40 or less = mild adjustment difficulties

41-69 = moderate to severe depression and anxiety (If you score above 50, we recommend that you contact a health professional)

70+ = severe depression and anxiety (Urgent: if your score is above 70 consult your health professional, and inform your family immediately).

Please note: The checklist is not intended to indicate and articulate articulate /ar·tic·u·late/ (ahr-tik´u-lat)
1. to pronounce clearly and distinctly.

2. to make speech sounds by manipulation of the vocal organs.

3. to express in coherent verbal form.

4.
 the most common symptoms and feelings of depression and anxiety in pregnancy and during the first year after a baby. And it is not an established diagnostic instrument. This survey is not meant to replace diagnosis or treatment with a qualified healthcare provider

[c] 1999 Liz Mills, Founder-President pndsa (Postnatal Depression Postnatal depression is a form of clinical depression which can affect women, and less frequently men, after childbirth. It is widely considered to be treatable. Studies report prevalence rates from 5% to 25%, but methodological differences among the studies make the actual  Support Association of South Africa South Africa, Afrikaans Suid-Afrika, officially Republic of South Africa, republic (2005 est. pop. 44,344,000), 471,442 sq mi (1,221,037 sq km), S Africa. ) and Executive Board Member of psi PSI - Portable Scheme Interpreter  (Postpartum Support International Postpartum Support International'' (PSI) was founded in 1987 by Jane Honikman and currently headquartered in Santa Barbara, CA. The purpose of the organization is to increase awareness among public and professional communities about the emotional changes that women experience ); e-mail: liz@pndsa.co.za; http://www.pndsa.co.za
COPYRIGHT 2002 Association of Labor Assistants & Childbirth Educators
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 2002, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

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Article Details
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Author:Mills, Liz
Publication:Special Delivery
Geographic Code:1USA
Date:Sep 22, 2002
Words:778
Previous Article:Postpartum Depression from the Office on Women's Health, Washington, D.C. (Postpartum Care).
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