Anxiety, PTSD and Burnout Audit

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Are you a little stressed or is this something more serious? Anxiety, Post Traumatic Stress Disorder, Burnout and Stress have overlapping symptoms. ADHD, OCD and Bipolar Disorder also share some of these symptoms, and all of us experience some of these symptoms sometimes. But it is when we have a constellation of negative effects in our lives which will not go away that we may consider getting help.
Also take into consideration that medications and substances could be mood altering, and that hormonal, thyroid and adrenal problems have great impact on out emotional world.
All responses will be treated as completely confidential.

First Name *

Last Name

Age? *

E mail *

Are you currently on mood altering medication or using mood altering substances?

Part 1 - which description fits you best? *

Just like me

A lot like me

Sometimes

A little like me

Not at all like me

I often feel overwhelmed by my responsibilities.

I am unhappy with my living situation, but find myself unable to take effective steps to change it.

I am not doing a good job of taking care of my personal finances and affairs.

I am avoiding activities that used to be pleasurable.

I am avoiding places and situations that will cause me anxiety

My confidence in my ability to do things is undermined as I live an increasingly restricted lifestyle ruled by fears

I am not maintaining activities that provide pleasure or support such as meeting friends, doing hobbies, playing sport or going for walks.

I engage in distracting behaviours to keep myself from getting anxious, for example I clench and unclench my hands, I ask reassuring questions all the time, I scan my surroundings continuously or I drink sleeping pills or alcohol to calm me down.

I have had problems and shocks lately, but I am working through it by talking about it with safe people.

I know that it takes time to recover from trauma and I am patient and kind to myself during this process.

I tend to get locked into obsessive thoughts and ruminating endlessly.