Mood Disorder Questionnaire
It is easier to use this questionnaire by printing it out once it is on your screen.
Click here to take a completely confidential screener and then share the results with your doctor.
Additional Resources
Depression and Bipolar Support Alliance (DBSA)
www.dbsalliance.org
800.826-3632
The nation’s largest patient-directed organization focusing on depression and bipolar disorder, led by a 65-member scientific advisory board, comprised of the country’s leading researchers and clinicians in the field of mood disorders. DBSA has more than 1,000 peer-run support groups across the country.
National Alliance for the Mentally Ill (NAMI)
www.nami.org
800.950.6264
NAMI is the nation’s largest grassroots organization for people with mental illness and their families. Founded in 1979, NAMI has affiliates in every state and in more than 1,100 local communities across the country.
Mental Health America (MHA)
www.nmha.org
800.969.6642
Mental Health America (formerly known as the National Mental Health Association) is the country’s leading nonprofit dedicated to helping ALL people live mentally healthier lives. With its more than 320 affiliates nationwide, they represent a growing movement of Americans who promote mental wellness for the health and well-being of the nation—every day and in times of crisis.
Postpartum Support International
http://www.postpartum.net
800.944.4PPD (4773)
Postpartum Support International is dedicated to helping women suffering from perinatal mood and anxiety disorders, including postpartum depression, the most common complication of childbirth. They also work to educate family, friends and health care providers so that moms and moms-to-be can get the support they need and recover. You are not alone. You are not to blame. With help, you will be well.
American Psychiatric Association (APA)
www.psych.org
888.367.7924
The APA’s mission is to advance public understanding of mental illnesses. The organization promotes awareness of mental illnesses and the effectiveness of treatment, the importance of early intervention, access to care and the need for high-quality services and treatment through a combination of grants, programs, research funding and awards. The APA reaches businesses, schools and community organizations that are committed to educating the public about mental illnesses.
Bazelton Center for Mental Health Law
www.bazelon.org
202.467.5739
The Bazelon Center for Mental Health Law is a nonprofit organization devoted to improving the lives of people with mental illnesses through changes in policy and law. For nearly 40 years, its legal and policy advocates have engaged in impact litigation, policy reform and public education to ensure the rights of people with mental illnesses in all areas of life, including housing, employment, education, public systems, health care, the judiciary and more.
Partnership for Prescription Assistance
888.477.2669
The Partnership for Prescription Assistance helps qualifying patients without prescription drug coverage get the medicines they need for free or nearly free. Its mission is to increase awareness of patient assistance programs and boost enrollment of those who are eligible. We offer a single point of access to more than 475 public and private programs, including nearly 200 offered by pharmaceutical companies. The Partnership has already helped millions of Americans get free or reduced-cost prescription medicines.
NeedyMeds
http://www.needymeds.com
215.625.9609
NeedyMeds is a 501(c)(3) nonprofit organization with the mission of helping people who cannot afford medicine or health care costs. The information at NeedyMeds is available anonymously and free of charge.
Pharmaceutical Research & Manufacturers of America (PhRMA)
800.762.4636
http://www.phrma.org
PhRMA’s mission is to conduct effective advocacy for public policies that encourage discovery of important new medicines for patients by pharmaceutical/biotechnology research companies.
The Medicine Program (United Project)
573.996.7300
www.themedicineprogram.com
UnitedProject.org is an online community for anyone who wants access to better health care options. By sharing stories and experiences, the program helps build a “wisdom well” for others to draw upon. The organization helps by giving away free health benefits for consumers and their families.
Medem Network Physician Finder
www.medem.com
Helps consumers find physicians; includes a comprehensive database of doctors.
Mental Health Liaison Group (MHLG)
www.mhlg.org
The MHLG monitors federal developments in mental health on such issues as health care reform, Medicare, Medicaid, managed care, parity and medical records privacy. The Committee prepares letters to policymakers, testimony, and position statements on federal policy issues under consideration by Congress and federal agencies, working to develop positions that best reflect consensus within the mental health community. Committee documents are posted on the website at www.mhlg.org.
Center for Mental Health Services (Substance Abuse and Mental Health Services Administration – SAMHSA)
800.789.2647
http://www.mentalhealth.org
National Institute of Mental Health (NIMH)
866.615.6464
http://www.nimh.org
The mission of NIMH is to transform the understanding and treatment of mental illness though basic and clinical research; paving the way for prevention, treatment and a cure. NIMH fosters innovative to ensure that a full array of novel scientific perspectives are used to further discovery in evolving the science of the brain, behavior and experience. In this way, breakthroughs in science can become breakthroughs for all people living with a mental illness.
Disability and Work Issues
Share
Disability Attorneys
The National Fibromyalgia & Chronic Pain Association is developing a list of disability attorneys who serve individuals affected by fibromyalgia.
Contact us to add an attorney to the list.
“Ticket to Work and Self-Sufficiency”
A program run by the Social Security Administration to help people on disability get a job.
(866) 968-7842
www.socialsecurity.gov/work
Patient Advocate Foundation
Offers assistance to patients with issues connected to insurance, job retention, and debt or crisis matters.
700 Thimble Shoals Blvd, Suite 200
Newport News, VA 23606
(800) 532-5274
www.patientadvocate.org/
Disabled Online
www.disabledonline.com/
Disability Rights Education and Defense Fund, Inc
2212 Sixth St.
Berkeley, CA 94710
(510) 644-2555
www.dredf.org/
National Center on Physical Activity and Disability
(800) 900-8086
www.ncpad.org/
National Organization of Social Security Claimants’ Representatives
560 Sylvan Ave
Englewood Cliffs, NJ 07632
(800) 431-2804
www.nosscr.org/
RESOURCES FOR Finances
Share
Benefits Checkup
People over 55 and those on disability can find out what benefits they may be eligible for:
www.benefitscheckup.org/
Social Security
Provides Medicare and Medicaid information
(800) 772-1213
www.socialsecurity.gov/
Chronic Disease Fund
6900 North Vallas Parkway
Suite 200
Plano, TX 95024
(877) 968-7233
http://www.cdfund.org/
US Department of Housing and Urban Development
This department can connect you with your local Housing and Urban Development Office, which can lead you to a local housing authority that provides rental subsidies to low-income families.
451 7th Street S.W.
Washington, DC 20410
(202) 708-1112
www.hud.gov/
Government Benefits
www.govbenefits.gov/
It is easier to use this questionnaire by printing it out once it is on your screen.
Click here to take a completely confidential screener and then share the results with your doctor.
Additional Resources
Depression and Bipolar Support Alliance (DBSA)
www.dbsalliance.org
800.826-3632
The nation’s largest patient-directed organization focusing on depression and bipolar disorder, led by a 65-member scientific advisory board, comprised of the country’s leading researchers and clinicians in the field of mood disorders. DBSA has more than 1,000 peer-run support groups across the country.
National Alliance for the Mentally Ill (NAMI)
www.nami.org
800.950.6264
NAMI is the nation’s largest grassroots organization for people with mental illness and their families. Founded in 1979, NAMI has affiliates in every state and in more than 1,100 local communities across the country.
Mental Health America (MHA)
www.nmha.org
800.969.6642
Mental Health America (formerly known as the National Mental Health Association) is the country’s leading nonprofit dedicated to helping ALL people live mentally healthier lives. With its more than 320 affiliates nationwide, they represent a growing movement of Americans who promote mental wellness for the health and well-being of the nation—every day and in times of crisis.
Postpartum Support International
http://www.postpartum.net
800.944.4PPD (4773)
Postpartum Support International is dedicated to helping women suffering from perinatal mood and anxiety disorders, including postpartum depression, the most common complication of childbirth. They also work to educate family, friends and health care providers so that moms and moms-to-be can get the support they need and recover. You are not alone. You are not to blame. With help, you will be well.
American Psychiatric Association (APA)
www.psych.org
888.367.7924
The APA’s mission is to advance public understanding of mental illnesses. The organization promotes awareness of mental illnesses and the effectiveness of treatment, the importance of early intervention, access to care and the need for high-quality services and treatment through a combination of grants, programs, research funding and awards. The APA reaches businesses, schools and community organizations that are committed to educating the public about mental illnesses.
Bazelton Center for Mental Health Law
www.bazelon.org
202.467.5739
The Bazelon Center for Mental Health Law is a nonprofit organization devoted to improving the lives of people with mental illnesses through changes in policy and law. For nearly 40 years, its legal and policy advocates have engaged in impact litigation, policy reform and public education to ensure the rights of people with mental illnesses in all areas of life, including housing, employment, education, public systems, health care, the judiciary and more.
Partnership for Prescription Assistance
888.477.2669
The Partnership for Prescription Assistance helps qualifying patients without prescription drug coverage get the medicines they need for free or nearly free. Its mission is to increase awareness of patient assistance programs and boost enrollment of those who are eligible. We offer a single point of access to more than 475 public and private programs, including nearly 200 offered by pharmaceutical companies. The Partnership has already helped millions of Americans get free or reduced-cost prescription medicines.
NeedyMeds
http://www.needymeds.com
215.625.9609
NeedyMeds is a 501(c)(3) nonprofit organization with the mission of helping people who cannot afford medicine or health care costs. The information at NeedyMeds is available anonymously and free of charge.
Pharmaceutical Research & Manufacturers of America (PhRMA)
800.762.4636
http://www.phrma.org
PhRMA’s mission is to conduct effective advocacy for public policies that encourage discovery of important new medicines for patients by pharmaceutical/biotechnology research companies.
The Medicine Program (United Project)
573.996.7300
www.themedicineprogram.com
UnitedProject.org is an online community for anyone who wants access to better health care options. By sharing stories and experiences, the program helps build a “wisdom well” for others to draw upon. The organization helps by giving away free health benefits for consumers and their families.
Medem Network Physician Finder
www.medem.com
Helps consumers find physicians; includes a comprehensive database of doctors.
Mental Health Liaison Group (MHLG)
www.mhlg.org
The MHLG monitors federal developments in mental health on such issues as health care reform, Medicare, Medicaid, managed care, parity and medical records privacy. The Committee prepares letters to policymakers, testimony, and position statements on federal policy issues under consideration by Congress and federal agencies, working to develop positions that best reflect consensus within the mental health community. Committee documents are posted on the website at www.mhlg.org.
Center for Mental Health Services (Substance Abuse and Mental Health Services Administration – SAMHSA)
800.789.2647
http://www.mentalhealth.org
National Institute of Mental Health (NIMH)
866.615.6464
http://www.nimh.org
The mission of NIMH is to transform the understanding and treatment of mental illness though basic and clinical research; paving the way for prevention, treatment and a cure. NIMH fosters innovative to ensure that a full array of novel scientific perspectives are used to further discovery in evolving the science of the brain, behavior and experience. In this way, breakthroughs in science can become breakthroughs for all people living with a mental illness.
Disability and Work Issues
Share
Disability Attorneys
The National Fibromyalgia & Chronic Pain Association is developing a list of disability attorneys who serve individuals affected by fibromyalgia.
Contact us to add an attorney to the list.
“Ticket to Work and Self-Sufficiency”
A program run by the Social Security Administration to help people on disability get a job.
(866) 968-7842
www.socialsecurity.gov/work
Patient Advocate Foundation
Offers assistance to patients with issues connected to insurance, job retention, and debt or crisis matters.
700 Thimble Shoals Blvd, Suite 200
Newport News, VA 23606
(800) 532-5274
www.patientadvocate.org/
Disabled Online
www.disabledonline.com/
Disability Rights Education and Defense Fund, Inc
2212 Sixth St.
Berkeley, CA 94710
(510) 644-2555
www.dredf.org/
National Center on Physical Activity and Disability
(800) 900-8086
www.ncpad.org/
National Organization of Social Security Claimants’ Representatives
560 Sylvan Ave
Englewood Cliffs, NJ 07632
(800) 431-2804
www.nosscr.org/
RESOURCES FOR Finances
Share
Benefits Checkup
People over 55 and those on disability can find out what benefits they may be eligible for:
www.benefitscheckup.org/
Social Security
Provides Medicare and Medicaid information
(800) 772-1213
www.socialsecurity.gov/
Chronic Disease Fund
6900 North Vallas Parkway
Suite 200
Plano, TX 95024
(877) 968-7233
http://www.cdfund.org/
US Department of Housing and Urban Development
This department can connect you with your local Housing and Urban Development Office, which can lead you to a local housing authority that provides rental subsidies to low-income families.
451 7th Street S.W.
Washington, DC 20410
(202) 708-1112
www.hud.gov/
Government Benefits
www.govbenefits.gov/