| RPT |
.| .| Difficulties in Emotion Regulation Scale(DERS)|| Date Given: <.Date_Given.>| Clinician: <.Staff_Ordered_By.>| Location: <.Location.>| | Veteran: <.Patient_Name_Last_First.>| SSN:
Limited access to emotion regulation strategies(STRATEGIES) = <-STRATEGIES->|
Lack of emotional awareness (AWARENESS) = <-AWARENESS->|
Lack of emotional clarity(CLARITY) = <-CLARITY->|
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Higher scores suggest greater problems with emotion regulation.
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Questions and Answers|
1. I am clear about my feelings.| <*Answer_7023*>|
2. I pay attention to how I feel.| <*Answer_7024*>|
<.Patient_SSN.>| DOB: <.Patient_Date_Of_Birth.> (<.Patient_Age.>)| Gender: <.Patient_Gender.>| |
3. I experience my emotions as overwhelming and out of control.| <*Answer_7025*>|
4. I have no idea how I am feeling.| <*Answer_7026*>|
5. I have difficulty making sense out of my feelings.| <*Answer_7027*>|
6. I am attentive to my feelings.| <*Answer_7028*>|
7. I know exactly how I am feeling.| <*Answer_7029*>|
8. I care about what I am feeling.| <*Answer_7030*>|
9. I am confused about how I feel.| <*Answer_7031*>|
10. When I'm upset, I acknowledge my emotions.| <*Answer_7032*>|
11. When I'm upset, I become angry with myself for feeling that way.| <*Answer_7033*>|
12. When I'm upset, I become embarrassed for feeling that way.| <*Answer_7034*>| 13. When I'm upset, I have difficulty getting work done.| <*Answer_7035*>|
14. When I'm upset, I become out of control.| <*Answer_7036*>|
15. When I'm upset, I believe that I will remain that way for a long time.| <*Answer_7037*>|
16. When I'm upset, I believe that I'll end up feeling very depressed.| <*Answer_7038*>|
17. When I'm upset, I believe that my feelings are valid and important.| <*Answer_7039*>|
18. When I'm upset, I have difficulty focusing on other things.| <*Answer_7040*>|
19. When I'm upset, I feel out of control.| <*Answer_7041*>|
20. When I'm upset, I can still get things done.| <*Answer_7042*>|
21. When I'm upset, I feel ashamed with myself for feeling that way.| <*Answer_7043*>|
22. When I'm upset, I know that I can find a way to eventually feel better.| <*Answer_7044*>|
23. When I'm upset, I feel like I am weak.| <*Answer_7045*>|
DERS TOTAL SCORE = <-TOTAL->|
24. When I'm upset, I feel like I can remain in control of my behaviors.| <*Answer_7046*>|
25. When I'm upset, I feel guilty for feeling that way.| <*Answer_7047*>|
26. When I'm upset, I have difficulty concentrating.| <*Answer_7048*>|
27. When I'm upset, I have difficulty controlling my behaviors.| <*Answer_7049*>|
28. When I'm upset, I believe there is nothing I can do to make myself feel better.| <*Answer_7050*>|
29. When I'm upset, I become irritated with myself for feeling that way.| <*Answer_7051*>|
30. When I'm upset, I start to feel very bad about myself.| <*Answer_7052*>|
31. When I'm upset, I believe that wallowing in it is all I can do.| <*Answer_7053*>|
32. When I'm upset, I lose control over my behaviors.| <*Answer_7054*>|
33. When I'm upset, I have difficulty thinking about anything else.| <*Answer_7055*>|
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34. When I'm upset, I take time to figure out what I'm really feeling.| <*Answer_7056*>|
35. When I'm upset, it takes me a long time to feel better.| <*Answer_7057*>|
36. When I'm upset, my emotions feel overwhelming.| <*Answer_7058*>| | |
Information contained in this note is based on a self-report assessment and is not sufficient to use alone for diagnostic purposes. Assessment results should be verified for accuracy and used in conjunction with other diagnostic activities.|
$~
SUBSCALE SCORES: |
Non-acceptance of emotional responses(NONACCEPT) = <-NONACCEPT->|
Difficulties engaging in goal-directed behavior(GOALS) = <-GOALS->|
Impulse control difficulties(IMPULSE) = <-IMPULSE->|
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