There are a variety of useful tools that can assist in evaluation and treatment of various needs from ADHD or Career Counseling to Mental Illness, Competency or Psychopathology.

Some are copyrighted and available only in office and others are available as links for download when using paid for Telehealth services within this practice.

All of the following assessment results must be calculated directly by this licensed clinician and/or staff and are completely confidential unless explicitly requested by the client. These are provided only as part of a thorough mental health evaluation, including a full biopsychosocial assessment and clinical interview.

COMPREHENSIVE ASSESSMENT OF ADD/ADHD

"Adult version is comprehensive and highly reliable."

The CAT-A is a 108-item self-report instrument that is sensitive to the symptomatology of attentional deficits both with and without hyperactivity for adults. It consists of two parts: Part 1 (Childhood Memories) assesses the individual’s memories of his or her behaviors and sensations as a child; Part 2 (Current Symptoms) assesses parallel issues in adulthood.

Clinical index scores are provided for both parts separately and for the summation of the parts.

Three validity scales—Negative Impression, Infrequency, and Positive Impression—are embedded within the instrument.

Linkage to DSM-IV™ diagnostic criteria with comprehensive content coverage both within and across scales/clusters assists you in rendering differential diagnoses.

Context clusters indicate contexts in which ADD/ADHD symptoms are most problematic, whereas locus clusters indicate the extent to which ADD/ADHD symptoms are experienced internally as sensations or experienced as symptoms on which overt behaviors are acted."

ADULT ADHD SELF REPORT SCALE (ASRSv1.1)

If you suspect you may have ADHD and are curious if you should take the CAT-A this self-report scale is a screening tool that can help to decide if you meet basic criteria for Adult symptoms of ADHD or ADD. Simply click the link underlined above and email your results to this office for review.

Research suggests that the symptoms of ADHD can persist into adulthood, having a significant

impact on the relationships, careers, and even the personal safety of your patients who may

suffer from it. Because this disorder is often misunderstood, many people who have it do not

receive appropriate treatment and, as a result, may never reach their full potential. Part of the

problem is that it can be difficult to diagnose, particularly in adults.

The Adult ADHD Self-Report Scale (ASRS-v1.1) Symptom Checklist was developed

in conjunction with the World Health Organization (WHO), and the Workgroup on Adult

ADHD that included a team of psychiatrists and researchers.

MARITAL SATISFACTION INVENTORY REVISED - MSI-R

The revised edition of the MSI assesses the nature and extent of conflict within a marriage or relationship. Excellent for use at the beginning of marital therapy to guide subsequent treatment, the instrument helps couples communicate hard-to-express feelings. Also useful for premarital counseling and for use with separated couples attempting reconciliation.

Helps you identify relationship issues that may be contributing to individual or family problems, including depression, substance abuse, and trouble with children or adolescents.

Scores for both partners can be plotted on a single profile/answer form. The profile highlights the primary concerns of each partner, clearly indicating differences in their perceptions of the relationship.

Normative data were collected from 2,040 people (1,020 intact couples) whose demographics approximated the U.S. population in regard to geographic region, education, and ethnicity; gender-specific norms are provided.

PERSONALITY & PSYCHOPATHOLOGY ASSESSMENTS

"The Myers–Briggs Type Indicator (MBTI) assessment is a psychometric questionnaire designed to measure psychological preferences in how people perceive the world and make decisions."

"The purpose of the Myers-Briggs Type Indicator® (MBTI®) personality inventory is to make the theory of psychological types described by C. G. Jung understandable and useful in people's lives. The essence of the theory is that much seemingly random variation in the behavior is actually quite orderly and consistent, being due to basic differences in the ways individuals prefer to use their perception and judgment."

"Perception involves all the ways of becoming aware of things, people, happenings, or ideas. Judgment involves all the ways of coming to conclusions about what has been perceived. If people differ systematically in what they perceive and in how they reach conclusions, then it is only reasonable for them to differ correspondingly in their interests, reactions, values, motivations, and skills."

Personality Assessment Inventory™ (PAI®)

This objective inventory of adult personality assesses psychopathological syndromes and provides information relevant for clinical diagnosis, treatment planning, and screening for psychopathology.

The 344 PAI items constitute 22 non-overlapping scales covering the constructs most relevant to a broad-based assessment of mental disorders: four validity scales, 11 clinical scales, five treatment scales, and two interpersonal scales. To facilitate interpretation and to cover the full range of complex clinical constructs, 10 scales contain conceptually derived subscales.

Clinical scales provide critical diagnostic features of 11 important clinical constructs. These 11 scales may be divided into three broad classes of disorders: those within the neurotic spectrum, those within the psychotic spectrum, and those associated with behavior disorder or impulse control problems.

Treatment scales indicate potential complications in treatment. These five scales include two indicators of potential for harm to self or others, two measures of the respondent’s environmental circumstances, and one indicator of the respondent’s motivation for treatment.

Interpersonal scales provide valuable information regarding the client’s relationships and interactions. Interpersonal style is assessed along two dimensions: a warmly affiliative versus a cold rejecting style, and a dominating/controlling versus a meekly submissive style.

Two scales assess pathology. The Borderline Features scale is the only PAI scale that has four subscales, reflecting the factorial complexity of the construct. The Antisocial Features scale includes three subscales: one assessing antisocial behaviors and the other two assessing antisocial traits.

Critical Items form alerts you to issues that require immediate attention. This form lists 27 items (distributed across nine content areas) that suggest behavior or psychopathology that may demand immediate attention. They are identified as critical based on two criteria: indications of a potential crisis situation and a very low endorsement rate in normal individuals.

Also available in Spanish.

Tambien disponible en Espanol.

TRAUMA SCREENING QUESTIONNAIRE (TSQ)

The TSQ is a 10-item symptom screen that was designed for use with survivors of all types of traumatic stress. The TSQ is based on items from the PTSD Symptom Scale - Self Report (PSS-SR; Foa et al., 1993) and has five re-experiencing items and five arousal items.

As used with the PTSD: National Center for PTSD and U.S. Department of Veterans Affairs.

Trauma History Questionnaire (THQ)

The THQ was developed for use in a number of psychosocial research projects in Washington, D.C., in the Department of Psychiatry at Georgetown University. The instrument was designed to gather information via self-report from general, community, and clinical populations about lifetime exposure to a range of potentially traumatic events. The THQ is not undergirded by any specific theoretical orientation; however, it follows a model of dimensions of trauma developed by Bonnie L. Green (1993). It covers a broad range of events that could be considered potentially traumatic and that could, therefore, meet Criterion A1 (the occurrence of a stressor) for a DSM-IV diagnosis of PTSD.

It is a 24 item symptom screen addressing a range of trauma events in three unique areas: (a) crime-related events (e.g., robbery, mugging), (b) general disaster and trauma (e.g., injury, disaster, witnessing death), and (c) unwanted physical and sexual experiences. It is available for use through the National Center for Trauma and is available in several languages through the Center for Trauma and the Community (CTC) at Georgetown University Medical Center.

Spanish - TRAUMA HISTORY QUESTIONNAIRE (THQ) Cuestionario del Historial de Trauma

Portuguese - TRAUMA HISTORY QUESTIONNAIRE (THQ)

French - Trauma Screening Questionnaire (THQ)

LE TRAUMA HISTORY QUESTIONNAIRE

Danish- Trauma Screening Questionnaire (THQ)

SPØRGESKEMA OM TRAUMATISKE LIVSBEGIVENHEDER

TRAUMA CHECKLIST ADULT

The Trauma Checklist Adult is a 47 item screen that is used with victims of trauma to address diagnostic criteria and symptoms of posttraumatic stress disorder.

TRAUMA SYMPTOM CHECKLIST

The TSC-40 is a research measure that evaluates symptomatology in adults associated with childhood or adult traumatic experiences. It measures aspects of posttraumatic stress and other symptom clusters found in some traumatized individuals. It does not measure all 17 criteria of PTSD, and should not be used as a complete measure of that construct. The TSC-40 is a revision of the earlier TSC-33 (Briere & Runtz, 1989). Those requiring a validated psychological test of posttraumatic response, using a similar format, should consider the Trauma Symptom Inventory (TSI) or (for evaluation of a specific trauma) the Detailed Assessment of Posttraumatic Stress (DAPS).

Spanish Translation of the PCL-C

Posttraumatic Stress Disorder Checklist - Civilian, National Institute of Health.

A measurement of the the 17 criteria of PTSD - en Espanol.

Ahora voy a leer una lista de problemas y síntomas que a veces tiene la gente después de una lesión (herida). Dígame cuánto le ha molestado cada una de estas cosas desde que ocurrió la lesión (herida).

Trauma Symptom Inventory™-2 (TSI™-2)

A broadband measure, the TSI-2 is designed to evaluate posttraumatic stress and other psychological sequelae of traumatic events, including the effects of sexual and physical assault, intimate partner violence, combat, torture, motor vehicle accidents, mass casualty events, medical trauma, traumatic losses, and childhood abuse or neglect.

Features and benefits

Three scales (Insecure Attachment, Somatic Preoccupations, and Suicidality) and several subscales, as well as four summary factors (Self-Disturbance, Posttraumatic Stress, Externalization, and Somatization), are new or have been significantly reconfigured.

New items assess clients’ tendencies to deny symptoms that are commonly endorsed, to over-endorse unusual or bizarre symptoms, or to respond in a random manner; the instrument now addresses malingering.

New standardization sample (N = 678) closely matches U.S. Census statistics.

Test structure - A 136-item carbonless form assesses a wide range of potentially complex symptomatology, ranging from PTSD, dissociation, and somatization to insecure attachment styles, impaired self-capacities, and dysfunctional behaviors.

Eight critical items help identify issues that potentially represent severe psychological disturbance or danger to the respondent or others.

Administration and scoring is available on PARiConnect, our online assessment platform.

The validation sample consisted of five non-overlapping clinical groups: combat veterans, individuals with borderline personality disorder, sexual abuse victims, victims of domestic violence, and incarcerated women. A sample of subjects simulating PTSD was used to test malingering. Also available in Spanish.

PTSD Checklist for DSM-5 (PCL-5) with Life Events Checklist for DSM-5 (LEC-5) and Criterion A

This measure was developed by staff at the US Department of Veterans Affairs National Center for PTSD and is in the public domain and not copyrighted. In accordance with the American Psychological Association's ethical guidelines, this instrument is intended for use by qualified health professionals and researchers.

Interpretation of the PCL-5 should be made by a clinician. The PCL-5 can be scored in different ways:

A total symptom severity score (range - 0-80) can be obtained by summing the scores for each of the 20 items.

DSM-5 symptom cluster severity scores can be obtained by summing the scores for the items within a given cluster, i.e., cluster B (items 1-5), cluster C (items 6-7), cluster D (items 8-14), and cluster E (items 15-20).

A provisional PTSD diagnosis can be made by treating each item rated as 2 = "Moderately" or higher as a symptom endorsed, then following the DSM-5 diagnostic rule which requires at least: 1 B item (questions 1-5), 1 C item (questions 6-7), 2 D items (questions 8-14), 2 E items (questions 15-20).

Initial research suggests that a PCL-5 cutoff score between 31-33 is indicative of probable PTSD across samples.

BECK DEPRESSION INVENTORY (BDI-II)

"The Beck Depression Inventory (BDI, BDI-1A, BDI-II), is a 21-question multiple-choice self-report inventory, one of the most widely used psychometric tests for measuring the severity of depression. Its development marked a shift among mental health professionals, who had until then, viewed depression from a psychodynamic perspective, instead of it being rooted in the patient's own thoughts.

In its current version, the BDI-II is designed for individuals aged 13 and over, and is composed of items relating to symptoms of depression such as hopelessness and irritability, cognitions such as guilt or feelings of being punished, as well as physical symptoms such as fatigue, weight loss, and lack of interest in sex.

Depression can be thought of as having two components: the affective component (e.g. mood) and the physical or "somatic" component (e.g. loss of appetite). The BDI-II reflects this and can be separated into two subscales. The purpose of the subscales is to help determine the primary cause of a patient's depression."

Severity Measure of Agoraphobia - Adult

Agoraphobia is an anxiety disorder involving a fear of places and situations that might cause panic, helplessness, or embarrassment that often develops after one or more panic attacks.

Symptoms include fear and avoidance of places and situations that might cause feelings of panic, entrapment, helplessness, or embarrassment.

Treatments include talk therapy and medication.

Copyright © 2016 Bianca Lauria-Horner. From The Primary Care Toolkit for Anxiety and Related Disorders: Quick, Practical Solutions for Assessment and Management, published by Brush Education Inc. The original purchaser is specifically authorized to copy and distribute this worksheet for clinical purposes.

Patient Health Questionnaire (PHQ-9)

The Patient Health Questionnaire (PHQ)-9 is the major depressive disorder (MDD) module of the full PHQ.

Used to provisionally diagnose depression and grade severity of symptoms in general medical and mental health settings.

Scores each of the 9 DSM criteria of MDD as “0” (not at all) to “3” (nearly every day), providing a 0-27 severity score.

Higher PHQ-9 scores are associated with decreased functional status and increased symptom-related difficulties, sick days, and healthcare utilization.

Beck Anxiety Inventory (BAI)

Beck Anxiety Inventory® (BAI®) is a brief, criteria-referenced assessment for measuring anxiety severity and level.Scoring Options: Manual scoring or Q-global scoring and reporting. Age range: 17 through 80 years

Generalized Anxiety (GAD-7)

Generalized Anxiety Disorder 7-item (GAD-7) scale

Scores of 5, 10, and 15 are taken as the cut-off points for mild, moderate and severe anxiety, respectively.

Using the threshold score of 10, the GAD-7 has a sensitivity of 89% and a specificity of 82% for GAD. It is moderately good at screening three other common anxiety disorders - panic disorder (sensitivity 74%, specificity 81%), social anxiety disorder (sensitivity 72%, specificity 80%) and post-traumatic stress disorder (sensitivity 66%, specificity 81%).

GAD-7 in Spanish

INTELLIGENCE TESTING (IQ)

"Intelligence Testing provides an estimate of cognitive ability for psychiatric or vocational rehabilitation evaluations; it also helps to identify learning disabilities, mental retardation, giftedness, neuropsychological impairments, and other exceptionalities.

The WRIT/Wide Range Intelligent Test assesses both verbal and nonverbal abilities, yielding a Verbal IQ and a Visual IQ, which generate a General IQ when combined and is a highly reliable assessment of cognitive abilities that can be used with individuals ages 4-85 years.

Standardized on 2,285 I=dividuals, the WRIT produces IQs that are highly correlated with those from traditional and much lengthier cognitive measures, including the WISC-III (.90) and the WAIS-III (.91)."*

Montreal Cognitive Assessment (MoCA)

Screens for mild cognitive impairment and Alzheimer's disease.

INSOMNIA SEVERITY INDEX (ISI)

Although insomnia is a prevalent complaint with significant morbidity, it often remains unrecognized and untreated. Brief and valid instruments are necessary both for screening and outcome assessment. The study on this index examined psychometric indices of the Insomnia Severity Index (ISI) to detect cases of insomnia in a population-based sample and to evaluate treatment response in a clinical sample.

Participants were 959 individuals selected from the community for an epidemiological study of insomnia (Community sample) and 183 individuals evaluated for insomnia treatment and 62 controls without insomnia (Clinical sample). They completed the ISI and several measures of sleep quality, fatigue, psychological symptoms, and quality of life; those in the Clinical sample also completed sleep diaries, polysomnography, and interviews to validate their insomnia/good sleep status and assess treatment response. In addition to standard psychometric indices of reliability and validity, item response theory analyses were computed to examine ISI item response patterns. Receiver operating curves were used to derive optimal cutoff scores for case identification and to quantify the minimally important changes in relation to global improvement ratings obtained by an independent assessor.

*Descriptions and data were quoted directly from assessments' technical information.