If you are in distress, you can call or text 988 at any time. If it is an emergency, call 9-1-1 or go to your local emergency department.

Continuum Self-Check

Use the Mental Health Continuum to do a self-check

Click or tap on the indicators you see in yourself to help guide a self-check using the Mental Health Continuum.

This is not a diagnostic tool. Refresh the page to clear.

Mental Health Continuum Self-Check
  Healthy Reacting Injured Ill
Changes in Mood

Calmness

Confidence/optimism

Healthy mood fluctuations

Nervousness

Occasional self-doubt/pessimism

Irritability/impatience

Feelings of Anxiety

Loss of self-confidence, apathy, frequent pessimism

Anger

Feelings of excessive anxiety

Feelings of depression, numbness, hopelessness

Excessive anger or rage

         
Changes in Thinking and Attitude

Good sense of humour and optimistic

Healthy attitude and thinking patterns

Ability to concentrate and/or focus on tasks

Occasional inability to cope and/or handle competing demands

Displaced sarcasm

Occasional negative intrusive thoughts

Occasional distraction and/ or loss of focus on tasks

Some difficulty and/or procrastination

Cynicism

Frequent negative intrusive thoughts/suicidal ideation

Frequent distraction and/or loss of focus on tasks

Frequent inability to cope and/or handle competing demands

Humourless

Obsessive negative intrusive thoughts/suicidal intent

Inability to concentrate and/or complete loss of memory or cognitive abilities

Pervasive sense of incompetence and/or feeling completely overwhelmed

         
Changes in Behaviour and Performance

Healthy physical/social activity

Good performance Occasional performance issues

Physically present and engaged

Mentally present and alert

Occasional avoidance of physical/social activity

Occasional performance issues and/or procrastination

Occasional presenteeism

Occasionally distant/distracted

Frequent avoidance of physical/social activity

Frequent performance issues and/or procrastination

Frequent presenteeism/absenteeism

Frequently distant/distracted and/or pulling away from others

Isolation and/or complete withdrawal from physical/social activity

Inability to perform duties and/or complete tasks

Constant and prolonged absenteeism

Not mentally present

         
Physical Changes

Healthy sleep patterns

Healthy appetite

Feeling energetic

Healthy and stable weight

Occasional trouble sleeping

Occasional gain/loss of appetite

Occasional lack of energy

Occasional weight fluctuations

Frequently distant/distracted and/or pulling away from others

Frequent trouble sleeping/restlessness

Frequent gain/loss of appetite

Frequent tiredness

Frequent weight fluctuations

Inability to fall/stay asleep and/or insomnia

Excessive food intake or complete loss of appetite

Constant and prolonged physical exhaustion

Extreme weight fluctuationse

         
Changes in Substance Use and Addictive Behaviours

Limited/no alcohol consumption and/or binge drinking

Limited/no addictive behaviours (i.e., gaming, social media use, etc.)

No trouble/impact due to substance use (i.e., smoking, vaping, etc.)

Occasional alcohol consumption and/or binge drinking

Occasional addictive behaviours (i.e., gaming, social media use, etc.)

Limited trouble/impact due to substance use (i.e., smoking, vaping, etc.)

Frequent alcohol consumption and/or binge drinking

Struggle to control addictive behaviours (i.e., gaming, social media use, etc.)

Frequent trouble/impact due to substance use (i.e., smoking, vaping, etc.)

Excessive alcohol consumption and/or binge drinking

Inability to control addictive behaviours (i.e., gaming, social media use, etc.)

Severe trouble/impact due to substance use (i.e., smoking, vaping, etc.)

         
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