General Opt- in leaflet 30 11 09
Problems
at work?
B
Depressed?
Over the last 2 weeks, how often have you been bothered by the following problems?
1. Feeling nervous, anxious or on edge
2. Not being able to stop or control worrying
3. Worrying too much about different things
4. Trouble relaxing
5. Being so restless that it is hard to sit still
6. Becoming easily annoyed or irritable
7.Feeling afraid as if something awful might happen
Not
at
all
Several
days
More
than half
the days
Nearly
every
day
00
00
00
00
00
00
00
11
11
11
11
11
11
11
22
22
22
22
22
22
22
33
33
33
33
33
33
33
Stressed?
Phobias?
Total score: ____
If you score 8 or more, please call us on 0203 228 6747
C
Choose a number from the scale below to show how much you would avoid each of the
situations or objects listed below. Then write the number in the box opposite the situation.
0
1
would not
avoid it
2
slightly
avoid it
3
4
definitely
avoid it
5
6
7
markedly
avoid it
8
always
avoid it
A16
Social situations due to a fear of being embarrassed or making a fool of myself
A17
Certain situations because of a fear of having a panic attack or other distressing
symptoms (such as loss of bladder control, vomiting or dizziness)
Certain situations because of a fear of particular objects or activities (such as animals,
heights, seeing blood, being in confined spaces, driving or flying)
A18
Anxious?
If you score 4 or more in any of the boxes above, please call us on 0203 228
6747
Thank you for filling in these questionnaires. Please have the answers with you when you call us
for an appointment on 0203 228 6747 (9-5 Monday to Friday).
Help is at hand …
Can’t find
work?
General Opt- in leaflet 30 11 09
T he L amb et h Ps yc ho l ogi ca l T he r ap ie s S e r v ic e NH S
If you are feeling anxious, low, stressed, or struggling with problems at work, or
with finding work, our service may be able to help.
This leaflet is about our Psychological Therapies Service, and to let you know how
to arrange your first appointment.
What is the Lambeth Psychological Therapies Service?

Lambeth Psychological Therapies is a NHS Service that works with adults who
have common psychological problems including depression, stress, anxiety
and phobias.
You would have sessions with clinical staff with specialist training and
experience.
We offer a range of psychological help and support, including CBT (Cognitive
Behavioural Therapy).
We also offer advice and support around employment, solving work related
problems and finding work.
You can use our service if you live in Lambeth or are registered with a Lambeth
GP.
Q ue sti onn ai r es
Please fill in the questionnaires and have the answers with
you when you call us for an appointment. It will help to guide
us to the best part of the service for you.
A
Over the last 2 weeks, how often have you been bothered by any of the
following problems? Please tick a box to indicate your answer and then
add up the numbers in the boxes to give you your total score.
Not at
all
Several
days
More than
half the days
Nearly
every day
1. Little interest or pleasure in
doing things
00
11
22
33
2. Feeling down, depressed, or
hopeless
00
11
22
33
3. Trouble falling or staying
asleep, or sleeping too much
00
11
22
33
4. Feeling tired or having little
energy
00
11
22
33
5. Poor appetite or overeating
00
11
22
33
6. Feeling bad about yourself —
or that you are a failure or have
let yourself or your family down
00
11
22
33
7. Trouble concentrating on
things, such as reading the
newspaper or watching tv
00
11
22
33
Please complete the questionnaires in this leaflet now and have the answers with
you when you call. Please be aware that the initial telephone appointment may
take up to 20 minutes, and you need to be somewhere private where you can talk
openly. If you leave a message please say what day and time you will be available
for us to call you back.
8. Moving or speaking so slowly
that other people could have
noticed? Or the opposite — being
so fidgety or restless that you
have been moving around a lot
more than usual.
00
11
22
33
We are not an emergency service. If you are in crisis and need urgent help please
contact either your GP, or attend the Accident and Emergency Department of your
local hospital (24hrs).
9. Thoughts that you would be
better off dead or of hurting
yourself in some way.
00
11
22
33




How do I get a consultation appointment?
You can call us on 0203 228 6747 (9-5 Monday to Friday) for an initial consultation
appointment.
Or speak to your GP, you can show them this leaflet.
If you have any queries or questions you would like to ask us, please contact us on
the number above.
Tot a l s c or e: _ _ _ _
If you score 10 or more, please call us on 0203 228 6747