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Symptom Body Map Checklist

The Symptom Body Map Checklist allows you to learn about depression and build a list of your symptoms, as well as rate how much those symptoms affect your life. Choose a number from 0 to 10, where 0 indicates that the symptom has no impact on your everyday life and 10 indicates that the symptom has the greatest impact on your everyday life. It is important to remember that this is not a "score," but a way to communicate how much you believe the symptom affects your everyday life.

When you finish, you'll be able to print out your symptoms and share this information with your doctor. Rate all that apply to you.

Sadness throughout the day, nearly every day
Feeling sad is a natural part of life, but prolonged sadness can be a symptom associated with depression, especially if you find that your sadness interferes with everyday life.

Loss of interest in or enjoyment of your favorite activities
If you have lost interest in the things you once enjoyed, like going to the movies, hanging out with friends, or walking the dog, you may be experiencing one of the common symptoms of depression.

Feelings of worthlessness
Do you feel like you don't matter or that you don't deserve to be happy? Have you experienced these feelings for an extended period of time?

Excessive or inappropriate feelings of guilt
Having excessive feelings of guilt should raise a red flag. Are you constantly blaming yourself when things don't turn out well? You may have done nothing wrong, but maybe you feel like what you do is never right.

Thoughts of death or suicide
Thoughts of death or suicide are common in depression, and it's important to take these thoughts seriously. If you feel like giving up, call the National Suicide Prevention Helpline, 1-800-SUICIDE (1-800-784-2433).

Trouble making decisions
Having trouble making decisions? Do the little things frustrate you? Do some decisions seem too overwhelming or burdensome?

Fatigue or lack of energy
Feeling tired or fatigued nearly every day may be associated with depression. Do you drag yourself out of bed each morning? Do you feel like you have no energy to make dinner or do laundry?

Sleeping too much or too little
Sleeping too much or not enough may be a symptom of depression. Do you stay awake at night and feel sleepy during the day? Sleep studies suggest that 40% to 60% of outpatients—and 90% of inpatients—with depression may have sleep problems.

Change in appetite or weight
A weight change of more than 5% (up or down) in a month when you haven't been trying to gain or lose weight may be a sign of depression.

Trouble concentrating
Has your performance at work gone down because you can't concentrate? Are you unable to focus on your daily tasks and projects? Is your mind always racing?

Complaints of pain
Complaints of pain can be a symptom of depression. Do you have nagging aches and pains that don't seem to go away?

Restlessness
Are you easily agitated? Do you have trouble sitting still? Do you pace back and forth?