Mental
Health
Symptom
Screening Tool
If
you notice any of the following symptoms please contact Westwood Mental
Health at 635-4444. We will conduct an on-site assessment to determine
your treatment needs.
Feeling: |
Anxiety: |
Appetite: |
Sleep: |
Sad
or Depressed |
Worried |
Increase |
Difficulty
Sleeping |
Hopeless |
Restlessness |
Decrease |
Sleeping
during |
Worthless |
Nervousness |
Recent
Weight Gain |
the
day |
Helpless |
Difficulty
Concentrating |
Recent
Weight Loss |
|
Lonesome |
Heart
Racing |
|
|
Stressed |
|
|
|
Other
Symptoms: |
Crying
Episodes |
Threatens
to harm self |
Irritability |
Threatens
to harm others |
Unusually
Afraid |
Poor
attention to personal hygiene |
Delusional |
Auditory/Visual
hallucinations |
Isolation |
Disorganized
Thoughts |
Aggressive
Behavior |
Poor
Impulse Control |
Loss
of interest in activities, friends, family |
Excessive
Spending |