Is it just a "bad week,"
or is it Depression?

Many people in Toronto live with persistent sadness or exhaustion without realizing it's a treatable condition. Use this 2-minute screening tool to measure the severity of your symptoms and understand if it’s time to seek professional support.

Patient Health Questionnaire-9
(PHQ-9)


Over the last 2 weeks, how often have you been bothered by any of the following problems?
(Please select the answer that best fits your experience.)

1. Little interest or pleasure in doing things

Not at all (0)

Several days (+1)

More than half the days (+2)

Nearly every day (+3)

2. Feeling down, depressed, or hopeless

Not at all (0)

Several days (+1)

More than half the days (+2)

Nearly every day (+3)

3. Trouble falling or staying asleep, or sleeping too much

Not at all (0)

Several days (+1)

More than half the days (+2)

Nearly every day (+3)

4. Feeling tired or having little energy

Not at all (0)

Several days (+1)

More than half the days (+2)

Nearly every day (+3)

5. Poor appetite or overeating

Not at all (0)

Several days (+1)

More than half the days (+2)

Nearly every day (+3)

6. Feeling bad about yourself – or that you are a failure or have let yourself or your family down

Not at all (0)

Several days (+1)

More than half the days (+2)

Nearly every day (+3)

7. Trouble concentrating on things, such as reading the newspaper or watching television

Not at all (0)

Several days (+1)

More than half the days (+2)

Nearly every day (+3)

8. 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

Not at all (0)

Several days (+1)

More than half the days (+2)

Nearly every day (+3)

9. Thoughts that you would be better off dead or of hurting yourself in some way

Not at all (0)

Several days (+1)

More than half the days (+2)

Nearly every day (+3)

PHQ-9 Management Summary

Score (Depression Severity)

Comments

0 - 4 (Minimal or none)

Monitor; may not require treatment


Use clinical judgment (symptom duration, functional impairment) to determine necessity of treatment

5 - 9 (Mild)

10 - 14 (Moderate)


Warrants active treatment with psychotherapy, medications, or combination

15 - 19 (Moderately severe)

20 - 27 (Severe)

Disclaimer: This tool is a screening measure, not a diagnosis. A clinical interview with a licensed therapist is the best way to understand your mental health.

Schedule a Consultation with Our Team

Frequently Asked Questions about the Depression Assessment

Still have questions? Take a look at the FAQ or reach out anytime. If you’re feeling ready, go ahead and apply.

  • No. While the PHQ-9 is a clinically validated tool used by professionals worldwide, it is a screening tool, not a final diagnosis. Think of it as a "mental health thermometer"—it can tell you if you have a "fever" (symptoms), but a licensed therapist or doctor is needed to determine the underlying cause and provide a formal diagnosis.

  • Yes. Many people don't realize that depression often shows up as physical symptoms like constant exhaustion, changes in appetite, or trouble sleeping. The PHQ-9 measures these physical markers alongside emotional ones.

  • If your score indicates mild to severe symptoms, we recommend booking an initial consultation. Bringing your score to your first session can be a great "conversation starter" to help your therapist understand exactly where you are struggling.

  • Yes. Developed by Dr. Kurt Kroenke (a Professor of Medicine at Indiana University and world-renowned researcher with over 300 peer-reviewed publications), the PHQ-9 is one of the most trusted instruments in modern medicine.

  • Research involving thousands of patients (including studies by Kroenke et al. and Arroll et al.) shows that a score of 10 or higher is roughly 88% sensitive in identifying Major Depressive Disorder (MDD). While a meta-analysis of 29 studies confirmed its high accuracy, it also noted that only about 50% of those who "score high" in a primary care setting actually have clinical MDD—which is why a follow-up conversation with a therapist is the essential next step.

Professional Support for Depression in Toronto

We help people move from "surviving" to "thriving." Our therapists specialize in evidence-based care to help you manage the symptoms you're feeling today.

Email: info@arepsychotherapy.com

Phone: +1-647-522-3820

Wechat ID: arepsychotherapy01