135 (135)    MH REPORT (601.93)

Name Value
REPORT NUMBER 135
INSTRUMENT D.ERS
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->|