Severity should be taken into account when deciding whether concurrent (or alternative) physical treatments or hospitalization are necessary, and in determining where to begin within cognitive therapy. Severity can be assessed through clinical interview (e.g. intensity, pervasiveness, and reactivity of depressed mood; extent of behavioural and interpersonal deficits). The Beck Depression Inventory ( BDI)(43> provides a rapid overview of symptoms. The BDI is a 21-item self-report inventory scoring 0 to 3 on each item (<10, not depressed; 10-19, mild; 20-25, moderate; >25, severe). Routine completion of the BDI before sessions allows clinicians to observe overall progress, as well as tracking scores on particular items: for example, low self-esteem (items 3, 7, and 8). Hopelessness and suicidality (items 2 and 9) should be routinely assessed. Scores above 9 on the Beck Hopelessness Scale,(44) a 21-item, self-report inventory, predict subsequent suicidal behaviour more accurately than depression perse.(4 46) High scores are thus a sign that suicide risk should be investigated in more depth.

Positive Thinking As The Key To Success

Positive Thinking As The Key To Success

Download this Guide and Discover How To Find And Monetize on Your Expertise And Strengths. Inside this special report, you'll discover: How positive thinking is one of the key factors in a successful life. Five ways and tools to help you stay positive. Use these to help you keep on track. Case studies that'll inspire you to stick to your dreams. Plus much, much more.

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