Webinar Registration Form :: MK Talking Therapies

Full name Required

Date of birth Required

NHS number (if known)

Telephone number Required

Email address Required

Registered GP Surgery Required

Webinar Required

Learning to be Kind to Yourself

An Introduction to Anxiety and Low Mood

Improving Sleep

Dealing with Anger

ADHD and Mental Health

Cannabis & Mental Health

Grief & Loss

Living Well with a Long-Term Condition

Low Mood and Loneliness for Older Adults

Autism and Mental Health

Menopause and Mental Health

Living Well with Diabetes

Seasonal Affective Disorder (SAD)

Carer’s Health and Wellbeing

Navigating Emotions Around Infertility

Peri-Natal Mental Health

Starting Therapy

Manging Body Focused Repetitive Behaviours and Habits

Discussing Mental Health for Employers

Discussing Mental Health for Employees

Over the last 2 weeks, how often have you been bothered by any of the following problems?

Not at all

Several days

More than half the days

Nearly every day

Little interest or pleasure in doing things Required

0

1

2

3

Feeling down, depressed, or hopeless Required

0

1

2

3

Trouble falling or staying asleep, or sleeping too much Required

0

1

2

3

Feeling tired or having little energy Required

0

1

2

3

Poor appetite or overeating Required

0

1

2

3

Feeling bad about yourself — or that you are a failure or have let yourself or your family down Required

0

1

2

3

Trouble concentrating on things, such as reading the newspaper or watching television Required

0

1

2

3

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 Required

0

1

2

3

Thoughts that you would be better off dead or of hurting yourself in some way Required

0

1

2

3

PHQ9 total score

Over the last 2 weeks, how often have you been bothered by any of the following problems?

Not at all

Several days

More than half the days

Nearly every day

Feeling nervous, anxious or on edge Required

0

1

2

3

Not being able to stop or control worrying Required

0

1

2

3

Worrying too much about different things Required

0

1

2

3

Trouble relaxing Required

0

1

2

3

Being so restless that it is hard to sit still Required

0

1

2

3

Becoming easily annoyed or irritable Required

0

1

2

3

Feeling afraid as if something awful might happen Required

0

1

2

3

GAD7 total score:

Webinar Registration Form

Webinar Registration Form

PHQ-9

GAD-7