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1) Persistent sadness
I just feel like I'm stuck in this never-ending cycle of sadness.


2) emptiness
I try to put on a smile and pretend like everything's okay, but deep down, I just feel so empty and numb


3) Loss of interest in activities once enjoyed
I've lost interest in things that used to bring me joy, like hobbies or spending time with loved ones. It's like nothing matters anymore


4) Fatigue or loss of energy
I wake up every morning feeling completely drained, like I haven't slept at all, even though I've been in bed for hours


5) Feelings of guilt


6) Decreased motivation


7) difficulty starting or completing tasks, even simple ones.


8) Social withdrawal or avoiding social activities and interactions.


9) Increased sensitivity to criticism or rejection.


10) Difficulty experiencing pleasure


11) Difficulty in finding joy in things that used to be enjoyable.
I used to love going out with friends and doing things I enjoyed, but now even the thought of leaving my house feels impossible


12) Irritability or agitation, even over minor matters.


13) Changes in sleep patterns, such as sleeping too much or too little.


14) Changes in appetite or weight


15) unhealthy eating habits.


16) unexplained aches and pains, headaches


17) digestive issues.


18) Difficulty concentrating


19) Difficulty in making decisions


20) Difficulty in remembering things.


21) Persistent feelings of hopelessness
Some days, it's a struggle just to get out of bed and face the day. I feel like I'm just going through the motions without any real purpose


22) Feelings of despair
I wish I could just switch off my thoughts and stop feeling this constant sense of sadness and despair. It's exhausting trying to fight it all the time.


23) Feeling of worthlessness.
I feel like I'm constantly battling with my own mind, like there's this voice in my head telling me I'm not good enough


24) Thoughts of self-harm


25) suicidal ideations


26) Thoughts about death.


27) Excessive worry or fear
I can't seem to quiet the thoughts racing through my mind, it's like there's a constant stream of worry and fear


28) Muscle tension


29) Difficulty concentrating


30) Sleep disturbances


31) Excessive worry about various aspects of life, such as work, health, family, or finances.


32) Difficulty controlling worry


33) experiencing restlessness


34) Being fatigue


35) irritability


36) Recurrent and unexpected panic attacks


37) sudden episodes of intense fear or discomfort that peak within minutes.


38) palpitations


39) sweating
My heart races uncontrollably, and I start sweating and shaking whenever I have to face a stressful situation


40) trembling


41) shortness of breath


42) chest pain
My chest feels tight, and I struggle to catch my breath, especially when I'm in crowded or unfamiliar places


43) nausea


44) dizziness


45) feelings of unreality or impending doom
Sometimes, I have this overwhelming feeling of impending doom, like something terrible is about to happen and I can't stop it


46) Persistent worry about having future panic attacks or the consequences of panic attacks.


47) Intense fear or anxiety about social situations where the individual may be scrutinized, judged, or embarrassed by others.


48) Avoidance of social situations or enduring them with extreme distress.
I avoid certain places or situations because they trigger intense feelings of panic and dread


49) Fear of being negatively evaluated or rejected by others


50) leading to avoidance of social interactions, public speaking, or performance situations.


51) Intense fear or anxiety about a specific object or situation, such as heights, animals, flying, or medical procedures.


52) Avoidance of the phobic stimulus or enduring it with intense fear or anxiety.


53) The fear or anxiety is excessive or unreasonable, and it significantly interferes with daily life.
I always feel like something terrible is about to happen, like I'm constantly on edge waiting for the next disaster


54) Fear or avoidance of situations or places where escape might be difficult or help may not be available in the event of a panic attack or other distressing symptoms.


55) Avoidance of situations such as public transportation, open spaces, enclosed spaces, crowds, or being outside the home alone.


56) Fear or anxiety about experiencing paniclike symptoms or losing control in these situations.


57) elevated mood


58) increased energy


59) Episodes of depression
some days, I can barely get out of bed, and everything feels hopeless.


60) low mood


61) loss of interest or pleasure


62) fatigue


63) Impulsivity
I can't seem to regulate my emotions


64) overspending


65) reckless driving
I take on risky behaviors like spending sprees, reckless driving, or engaging in impulsive sexual encounters.


66) substance abuse


67) risky sexual behavior


68) Racing thoughts
My thoughts race a mile a minute, and I find it hard to focus or concentrate on anything for long periods of time


69) Decreased need for sleep


70) Grandiosity or inflated self-esteem


71) extreme mood swings
I struggle with extreme mood swings – one moment I'm euphoric and full of grandiose ideas, and the next I'm overwhelmed with sadness and despair.


72) experience of intense irritability or agitation


73) difficult to interact with others or manage daily tasks.


74) difficulty falling sleep
I go through periods of intense energy and creativity, where I can't sleep and feel like I can take on the world


75) Difficulty in staying asleep


76) excessive sleepiness during depressive episodes.


77) Rapid speech


78) difficulty concentrating or focusing on tasks


79) Difficulties in relationships
I struggle to maintain stable relationships because my mood swings often cause conflicts and misunderstandings


80) strain relationships with family members, friends, and romantic partners


81) conflicts and interpersonal challenges.


82) poor concentration or decision-making


83) impact performance at work or school


84) difficulties in meeting responsibilities or achieving goals.


85) Impulsive spending or financial mismanagement


86) suicidal thoughts or behaviors


87) hearing voices
Sometimes, I hear voices whispering things that aren't there, and it's like they're coming from inside my head. It's terrifying.


88) seeing things that aren't there
I see things that others don't, like shadows moving or figures lurking in the corner. It's like living in a constant state of fear.


89) feeling sensations on the skin.


90) Believing that I am being persecuted


91) I am being controlled
Sometimes, I feel like I'm not in control of my own body, like someone else is pulling the strings. It's like I'm trapped in my own mind.


92) I have special powers


93) Difficulty organizing thoughts and expressing them coherently
My thoughts feel fragmented and disorganized, like I can't hold onto a single coherent thought for more than a few seconds.


94) leading to speech that may be fragmented


95) illogical speech


96) nonsensical speech


97) unpredictable behavior


98) Being agitated


99) inappropriate dressing


100) difficulty completing tasks.


101) Reduced expression of emotions.
I have trouble expressing my emotions, and it's like I'm living in a constant state of numbness or detachment.


102) decrease in the ability to function normally


103) lack of motivation


104) diminished speech


105) Social withdrawal


106) Impairments in memory


107) Impaired attention


108) Impairments in executive functioning


109) impact daily functioning


110) Problems in academic or occupational performance.


111) Difficulty in maintaining relationships


112) Difficulty in holding a job


113) Difficulty in attending school


114) Obsessions
intrusive, unwanted thoughts


115) Compulsions
repetitive behaviors or rituals


116) Fear of contamination by germs, dirt, or toxins
I have this overwhelming fear of contamination, so I spend hours washing and scrubbing my hands until they're raw and bleeding.


117) Intrusive thoughts about harm, violence, or causing accidents
I have these intrusive thoughts that keep replaying in my mind, like a broken record. No matter how hard I try, I can't make them stop.


118) Concerns about symmetry, order, or exactness


119) Unwanted sexual or aggressive thoughts


120) Fear of losing control or acting on impulses


121) Preoccupation with religious or moral concerns


122) Excessive hand washing, showering, or cleaning to alleviate fears of contamination


123) Checking behaviors (e.g., checking locks, appliances, or body parts repeatedly)
I'm constantly checking and rechecking things, like the stove or the door locks, to make sure everything is just right. It's exhausting.


124) Counting, arranging, or repeating words, phrases, or actions


125) Ritualized behaviors (e.g., tapping, touching, or arranging objects in a specific order)
I feel compelled to perform certain rituals or behaviors to ward off my anxiety, even though I know they're irrational. It's like I'm a prisoner to my own mind.


126) Mental rituals, such as silently praying, counting, or repeating phrases to neutralize obsessions


127) Avoidance of triggers or situations that provoke anxiety
I avoid certain situations or places because they trigger my obsessions and make my anxiety worse. It's like living in a constant state of fear.


128) disruptions in daily routines, work, school, and relationships


129) experience feelings of guilt, shame, or embarrassment


130) impairment in functioning


131) social isolation


132) decreased productivity


133) reduced quality of life


134) Flashbacks
I have these intense flashbacks of the traumatic event, like I'm reliving it all over again. It's like I'm trapped in a never-ending nightmare.


135) Nightmares
I struggle to sleep at night because of the nightmares – it's like I'm afraid to close my eyes and face the horrors that await me in my dreams.


136) Intrusive memories


137) Emotional distress or physical reactions to reminders of the traumatic event


138) Avoidance of trauma related thoughts, feelings, or memories


139) Avoidance of trauma related external reminders
I avoid anything that reminds me of the traumatic event, like crowded places or loud noises, because they trigger my anxiety and panic attacks.


140) Negative beliefs about oneself or the world


141) Distorted blame of oneself or others


142) Persistent negative emotions


143) Decreased interest in activities


144) Feeling alienated or estranged from others
I struggle to trust others or form close relationships because of the betrayal or abandonment I experienced during the traumatic event.


145) Irritability or aggression


146) Hypervigilance
I feel on edge all the time, like danger is lurking around every corner. It's exhausting trying to stay hypervigilant and alert.


147) Exaggerated startle response


148) Concentration difficulties
I have trouble concentrating or focusing on anything because my mind is constantly preoccupied with thoughts of the trauma.


149) Sleep disturbances


150) Intense emotional or physical reactions when reminded of the event.


151) Avoidance of people, places, activities, or situations that remind the individual of the traumatic event.


152) Efforts to avoid thoughts, feelings, or conversations associated with the trauma.


153) Persistent negative beliefs or expectations about oneself, others, or the world.


154) fear, guilt, shame, or anger
I have these overwhelming feelings of guilt or shame, like I should have done something differently to prevent the trauma from happening.


155) Diminished interest in activities previously enjoyed.


156) Feelings of detachment from others or a sense of emotional numbness.
I feel numb and disconnected from the world around me, like I'm just going through the motions without really feeling anything.


157) Irritability, anger, or aggressive behavior.


158) Difficulty concentration


159) Self-destructive behavior or reckless actions.


160) Restriction of food intake leading to significantly low body weight


161) Intense fear of gaining weight or becoming fat, despite being underweight


162) Distorted body image, with individuals seeing themselves as overweight even when they are dangerously thin


163) Denial of the seriousness of low body weight and its impact on health


164) Recurrent episodes of binge eating


165) Compensatory behaviors to prevent weight gain


166) Selfevaluation unduly influenced by body shape and weight


167) eating large amounts of food in a discrete period


168) feeling a lack of control over eating during the episode


169) self-induced vomiting


170) misuse of laxatives, diuretics, or other medications


171) fasting


172) excessive exercise


173) Recurrent episodes of binge eating without compensatory behaviors


174) Feelings of distress or guilt after binge eating


175) Eating rapidly during binge episodes


176) eating until uncomfortably full


177) eating alone due to embarrassment about the quantity of food consumed


178) feeling disgusted


179) depressed


180) guilty after overeating


181) Impaired control over substance use
I find myself turning to drugs or alcohol whenever I'm feeling stressed or anxious. It's like they're the only things that can help me cope with my problems.


182) Craving for the substance
I've tried quitting on my own, but I always end up relapsing. It's like I'm powerless to control my cravings and impulses.


183) Continued use despite negative consequences


184) Withdrawal symptoms


185) Inability to control or limit substance consumption
Using substances used to be fun and recreational, but now it's become a necessity. It's like I can't imagine my life without them.


186) relationship problems
Using drugs or alcohol has started to affect my relationships and my work. It's like they're taking over my life, and I don't know how to stop.


187) legal issues


188) health problems
My substance use has caused me to neglect my responsibilities and my health. It's like I'm sacrificing everything for the sake of getting high.


189) Spending a significant amount of time obtaining, using, or recovering from the effects of the substance
I use substances to numb myself from painful emotions or memories. It's like they provide temporary relief, but the problems always come back stronger.


190) Cravings or strong urges to substance use
I've tried cutting back on my substance use, but I always end up giving in to the cravings. It's like I'm stuck in a cycle of addiction that I can't break free from.


191) Tolerance, requiring increasing amounts of substance to achieve the desired effects
I've noticed that I need more and more of the substance to get the same effects. It's like my tolerance is increasing, and I'm afraid of what will happen if I keep going down this path.


192) Withdrawal symptoms when substance use is discontinued or reduced
I feel guilty and ashamed about my substance use, but I don't know how to stop. It's like I'm trapped in a cycle of self-destructive behavior.


193) Excessive thoughts, feelings, or behaviors related to somatic symptoms
I worry constantly about my health, obsessing over every little twinge or discomfort. It's exhausting and takes over my thoughts all day, every day.


194) Persistent distress about health concerns


195) High level of anxiety about health


196) Excessive time and energy devoted to health concerns


197) physical complaints cannot be fully explained by a medical condition, and they often involve multiple organ systems


198) seek medical treatment repeatedly


199) undergo numerous diagnostic tests and procedures
I've had countless medical tests and appointments, but they always come back normal. It's like my body is betraying me, and no one understands what I'm going through.


200) experience frustration when no medical explanation is found for the symptoms


201) Presence of neurological symptoms


202) weakness or paralysis


203) abnormal movements


204) sensory disturbances


205) episodes resembling seizures, that cannot be explained by medical or neurological conditions


206) Persistent and severe pain that cannot be fully explained by a medical condition or other mental health disorder
I constantly experience physical symptoms like headaches, stomachaches, and muscle pain, but doctors can't find any medical explanation for them. It's frustrating and makes me feel like I'm going crazy.


207) significant distress or impairment in social, occupational, or other important areas of functioning


208) stress


209) anxiety


210) depression
I'm tired of feeling like a burden on my loved ones, constantly complaining about my symptoms. It's like I'm trapped in a never-ending cycle of illness and worry.


211) Preoccupation with fears or beliefs of having a serious medical condition
Every little ache or pain sends me into a panic, convinced that it's a sign of some serious illness. It's like I'm always on edge, waiting for the next symptom to appear.


212) Feels that bodily symptoms or normal bodily sensations are due to serious illness


213) Excessive health-related behaviors


214) frequent medical consultations


215) seeking reassurance from healthcare providers
I've become obsessed with researching my symptoms online, convinced that I'll find the answer that doctors have missed. It's a never-ending cycle of frustration and despair.


216) repeatedly checking the body for signs of illness