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Patient Health Questionnaire

Patient Health Questionnaire

Diagnostic evaluationWikipedia

Search complete. 14 mentions across 9 episodes found for "Patient Health Questionnaire".

Sep 30, 2026

Stephen PorgesGUEST
60:31
The reason I use long COVID is that there's a lot of symptomatology that will overlap with trauma therapy.
Stephen PorgesGUEST
60:38
And what we found out is by using it for fifteen minutes in the morning and in the evening over a four-week period, the symptoms were greatly reduced, including mental health symptoms, where many of the people who were on the GAD and the PCL and the PHQ in clinical concern moved into the normal range.
Stephen PorgesGUEST
60:59
So there were significant shifts in that and significant shifts in the reduction of burden.
Stephen PorgesGUEST
61:05
And what's even more interesting, there were two other intervention groups in the study.
Holly SamuelHOST
44:09
It's reactive.
Holly SamuelHOST
44:10
If you fill out the GAD-7 PHQ, you know, at your midwife office and you're actually honest on the form and they're like, oh, you're screening positive for being at higher risk of postpartum depression, anxiety, postpartum OCD.
Holly SamuelHOST
44:25
you know let's refer you to a mental health expert that's great that's still pretty reactive i feel most people would probably benefit from some mental health support postpartum whether they fail a screening or not how they test is probably a better way to phrase that um and i think that would be super helpful we also really lack parental leave Um, and, and support for parents, both the birthing parent and maybe the support partner.
Holly SamuelHOST
44:54
We lack that here too.
James PhelpsGUEST
61:58
Um, that would be, um, That's a territory.
James PhelpsGUEST
62:03
Or looking at the rapid mood screener and going, okay, how are you going to build in a systematic information assessment that you get before you sit down with anybody? Maybe you're getting their PHQ-9s now.
James PhelpsGUEST
62:17
That's fairly common.
James PhelpsGUEST
62:18
But you need a rapid mood screener.
Preston RocheHOST
10:45
Now that I have a couple years under my belt, I, I think I'm starting to kind of see in between the matrix as to, like, how people in general respond to these types of medications.
Preston RocheHOST
10:57
And there's stuff that shows up in the data, and then there's stuff that just anecdotally you hear over and over again that may not be, like, measured on a PHQ, not detected on a PHQ, not your GAD-7, but you're like, "This person is, like, heavily anxious, doesn't have a lot of anhedonic features." Like, I feel like they're just gonna be more of, like, a Lexapro person than, um, you know, something like Prozac from, like, out the gate or something.
Preston RocheHOST
11:20
Whereas, like, someone has, like, a more, like, melancholic or anhedonic depression rather than an anxious depression, I may be using something a little bit more catecholamine heavy or a little bit more boosting because I don't think it's gonna worsen their anxiety or don't think they have much anxiety to make worse.
Margaret DuncanHOST
11:34
Right.

7 MINS LATER

Preston RocheHOST
18:39
And then I also-- maybe this is my own, like, skepticism, but...
Preston RocheHOST
18:46
And I guess I'm making up stuff that's not even in this.
Preston RocheHOST
18:49
Sometimes people report seeing no change in their depressive symptoms, but either through collateral or through, like, my own observations or their PHQ-9s, I notice, like, subtle differences.
Margaret DuncanHOST
18:58
Mm-hmm.
Sarah SongGUEST
13:12
But if you're able to do that before you even show up in your doctor's office, that kind of takes the burden of collecting that information.
Sarah SongGUEST
13:19
And it can be simple questions like a PH- a PHQ two or four, a GAD score, something like GAD score, GAD.
Sarah SongGUEST
13:28
Yeah, so basically taking care of some of that upfront.
Sarah SongGUEST
13:32
And then another idea would be having an MA collect it as part of the check-in process, right? So going through some of those screens, creating like a re- real like brain health screen that you might be able to do in just under five minutes.
Brian KurtzGUEST
9:17
And knowing that those have slightly different best practices in terms of how to follow up on those, it's still really useful for us to be able to ask those questions of youth, to be able to find folks who are willing to tell us as trusted medical providers that they've experienced this so that we can really make sure that we are doing things in that episode of care that will be helpful for them to protect them from suicide, and also be connecting them to resources that will allow them to get treatment if they do have a mental health condition that would benefit from treatment.
Paul BunchHOST
9:52
So for those people who have not used the ASQ framework of questions, a lot of practices will use the PHQ system, the PHQ-2, the PHQ-9, PHQ-A, that also have some suicide risk questions.
Paul BunchHOST
10:05
How do those two tools differ?
Brian KurtzGUEST
10:07
That's a great question.
Brian KurtzGUEST
10:08
So the PHQ is very specific for asking about the DSM-5 criteria for a major depressive episode.
Brian KurtzGUEST
10:17
There's nine questions for that.
Brian KurtzGUEST
10:19
So where the PHQ-9 comes from.
Brian KurtzGUEST
10:20
The ninth question is one that relates to thoughts about death, dying, suicide.
Danielle TolmanHOST
28:06
And validated, because I mean, your report pops out a DHI score.
Danielle TolmanHOST
28:10
It pops out the PHQ-8, the GAD-7.
Danielle TolmanHOST
28:14
So you've got those validated functional outcome measures already in there.
Danielle TolmanHOST
28:19
And waiting for that clinician to report.

15 MINS LATER

Danielle TolmanHOST
43:18
But also it made documentation a heck of a lot easier.
Danielle TolmanHOST
43:21
filling out paperwork.
Danielle TolmanHOST
43:23
If I already had a DHI coming into this and the PHQ-8, I didn't have to include that in my paperwork when the person got there at the exact moment their time was supposed to start and they had a whole packet of information to fill out for HIPAA and consent.
Danielle TolmanHOST
43:39
Aside from making it easier, it also, I felt... helped reshape my history taking.
Brooklyn StormHOST
10:10
Well meaning that, I don't know, you'd given them an assessment measure.
Brooklyn StormHOST
10:15
Maybe it was the BDI, the Beck Depression Inventory, or the Beck Anxiety Inventory, or the Patient Health Questionnaire, or the General Health Questionnaire, or some kind of grief and loss rating scale or something, right? At the start, and then you gave it to them at the end, and the scores hopefully improve.
Brooklyn StormHOST
10:32
Boom, there's your evidence.
Brooklyn StormHOST
10:33
The person's, you know, okay, and so they get discharged.
BrianGUEST
37:36
So doctors, nurse practitioners, primary care providers, they are told the drugs will solve these problems.
BrianGUEST
37:44
If you screen a patient with this Pfizer-created personal health questionnaire, PHQ-2 or PHQ-9, and it scores this score, that means they are blah, right? And blah could be moderate depressive disorder or severe depressive disorder.
BrianGUEST
38:04
And if it's that, then you have to, you know, these drugs are the family of drugs that can help.
BrianGUEST
38:08
It can mirtazapine, bupropion, you know, SSRIs, whatever.

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