Dothan Behavioral Medicine Clinic
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Home
Medication Policy
Our Team
Our Services
Clinic
Therapy
Counseling
Testing
Televisits
Research
QEEG
FAQ
Harmonex Neuroscience Research
New Patients
Welcome From Our Medical Director
Request New Patient Appointment
CliniCom
Contact Us
News
New Patient Paperwork
Forms
NeuroStar TMS
TMS Right For You?
DBMC-TMS Screening
Full Name
Email
Phone Number
Little interest or Pleasure in doings things.
Not at all
Several Days
More than Half the days
Nearly every day
Feeling down, depressed, or hopeless
Not at all
Several Days
More than Half the days
Nearly every day
Trouble falling or staying asleep, or sleeping to much.
Not at all
Several Days
More than Half the days
Nearly every day
Poor appetite or overeating.
Not at all
Several Days
More than Half the days
Nearly every day
Feeling bad about yourself - or that you are a failure or have let yourself or family down.
Not at all
Several Days
More than Half the days
Nearly every day
Trouble concentrating on things, such as reading the newspaper or watching television.
Not at all
Several Days
More than Half the days
Nearly every day
Moving or speaking so slowly that other people could have noticed. or the opposite being so figety or restless that you have been moving around a lot more than usual.
Not at all
Several Days
More than Half the days
Nearly every day
Thoughts that you would be better off dead, or of hurting yourself.
Not at all
Several Days
More than Half the days
Nearly every day
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