Level

Description

0

I feel great! This is the best I’ve felt in a long time!

1

I’m feeling really good! There’s no distress to address.

2

I’m feeling good. If I start feeling bothered, I can be easily distracted or cheered up.

3

I’m okay, but there are some things bothering me. I can easily cope with them, though.

4

I could be better. There are a few things distressing me right now. It’s not exactly easy to deal with, but I still have the skills to get through it.

5

I’m not okay. My coping skills aren’t working as well anymore, but enough of them work to get me through the day. Easy things are getting harder. I need some support.

6

I’m feeling bad, and it’s hard to do the things I need or want to do. Many of my coping skills aren’t effective right now, and it’s taking more energy to stay stable. I need help.

7

I’m feeling awful. It’s hard to focus on anything but my emotions, and/or I’m avoiding things that distress me. I can’t do much but try to take care of myself, which is already hard in itself. I’m running low on, or have run out of, effective coping skills. I need a lot of help right now.

8

I’m feeling awful, and I can’t escape it anymore. How I feel is affecting every part of my day, and I’m reaching the point where I can’t function. It’s hard to sleep, eat, socialize, etc. I need help before I can’t handle anything.

9

This is approaching the worst I could feel. I can’t function anymore. My emotions have totally consumed me. I may be a danger to myself or others, or I may be neglecting myself. I need urgent help.

10

This is the worst I’ve felt ever/since [last time]. I can’t care for myself at all. My emotions are so intense, I’m at imminent risk of dangerously acting on them. I need crisis support

11

I have acted on my emotions and hurt myself or someone else. Everything else in my life is impossible to comprehend. I need medical care and intense mental support immediately.