Certificate of Mental Health Signs Bureau of Mental Health
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Certificate of Mental Health Signs

to be completed in your own hand

Processing time: 5 min Items: 21

No sign-up. Issued the same day.

This certificate is issued after 21 short items are answered in order, three per area, across seven recognized areas of everyday experience; on completion, the bearer receives a classification, a profile across all seven areas, and a seal. Processing time: about 5 minutes.

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Lately, does a low mood stick around no matter what's actually going well?
Once worry starts, does it jump between topics and stay hard to switch off?
Have you had a stretch of unusually high energy that clearly stood out?
Does a specific thought keep returning uninvited, even when it doesn't fully make sense?
Have you noticed a sound, shape, or presence that people nearby didn't seem to?
Tasks that don't hold your interest — do they often stall or go unfinished?
Have your mood and energy stayed roughly steady these past few weeks?
Things that used to feel enjoyable — do they still pull you the same way?
Does a keyed-up, on-edge feeling show up even when nothing's actually happening?
Does your mood swing between a clear 'up' stretch and a clear 'down' one?
Do you feel driven to repeat an action until it feels 'right,' even right after doing it?
Has a conviction that people are watching or targeting you been hard to shake?
Time, items, or appointments — do you lose track of them more than others?
Have sleep, appetite, and daily routine stayed close to their usual pattern?
Have your sleep or appetite settled into a pattern you didn't choose?
Expecting things to go wrong more than the situation calls for — does that sound familiar?
During a high-energy stretch, do you take on more or sleep less without feeling worn down?
Beyond liking things tidy, do repeated checks or rituals cost real time or distress?
Ever notice your thoughts feeling unusually loud or not fully your own?
Does your mind jump ahead faster than you can act on any one thing?
When a bad stretch shows up, does it stay tied to its own clear cause?

The certificate will be issued in this name. Leave it blank to issue it to the bearer.

About This Certificate

How self-reported everyday signs cluster across six recognized areas of psychological distress plus a seventh, steadier pattern, with whichever area the answers lean into most named as the finding.

Test author Editorial Staff

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Attachments

Attachment 1. Methodology

This certificate is based on the approach of research that treats psychological distress as a set of separable, correlated areas rather than one general severity score. Twenty-one items feed seven such areas, three items apiece: six drawn from well-studied domains of everyday distress, and one more standing in for an ordinary run of weeks with nothing notable in it. Whichever area the responses lean into most is named as the finding, with all seven kept on file as a profile rather than discarded.

What gets named is where today's twenty-one answers landed, not a fixed label. A different stretch of weeks could point somewhere else, since self-reported patterns like these are known to shift over time. No area on file outranks another, and the finding stops short of naming a cause, a course, or any particular treatment.

Like most measures of this kind, this one runs entirely on self-description — the bearer's own read of a recent stretch, not an outside, independently verified assessment. That comes with a known limit: a brief self-report can point toward an area worth a closer look, but it cannot rule anything in or out on its own.

General background on these seven areas is available here, and guidance on where to go for an actual evaluation is available here.

This certificate is not a diagnostic instrument. It does not replace an evaluation by a licensed mental health professional, and only such a professional can determine whether a diagnosis applies to any of the areas named above.

Attachment 2. Frequently Asked Questions

Can an online quiz diagnose a mental illness?

No. All this test does is point to whichever of its seven areas the day's responses lined up with most closely — that's a different thing from a diagnosis. Diagnosing an actual condition is something only a licensed mental health professional can do, and only through a full clinical evaluation. If the area named here feels like it matters, having that conversation with a professional is the real next step, not running the quiz again.

How accurate are online mental health screenings?

Not especially, if "accurate" means something a diagnosis could rest on. A short set of self-report questions like this one is better thought of as a first pass than as a clinical measuring instrument — useful for flagging an area that might be worth a second look, but not capable of confirming or ruling out anything on its own. A full evaluation catches things a quiz this size simply isn't built to catch.

What does a "Signs Not Pronounced" result mean?

It means that, out of the six named areas this test asks about, no single one pulled ahead of the rest this time. On a self-report scale built this way, that's a common, unremarkable result, not some rare leftover bucket invented for when nothing else fits — it simply reflects that today's answers didn't lean hard toward any one of them, not that they never will.

Does having some of these experiences mean I'm going crazy?

No. Each of the seven areas covered here describes a common, familiar kind of experience that plenty of people deal with and manage — none of it amounts to a judgment about anyone's basic sanity. Putting a name to the area that stood out is meant to help someone connect the dots on what they've already been noticing, not to slap a label on them.

Attachment 3. References
  1. Kotov, R., Krueger, R. F., Watson, D., Achenbach, T. M., Althoff, R. R., Bagby, R. M., et al. (2017). The Hierarchical Taxonomy of Psychopathology (HiTOP): A dimensional alternative to traditional nosologies. Journal of Abnormal Psychology, 126(4), 454–477. doi:10.1037/abn0000258.
  2. Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16(9), 606–613. doi:10.1046/j.1525-1497.2001.016009606.x.
  3. Kocalevent, R.-D., Hinz, A., & Brähler, E. (2013). Standardization of the depression screener Patient Health Questionnaire (PHQ-9) in the general population. General Hospital Psychiatry, 35(5), 551–555. doi:10.1016/j.genhosppsych.2013.04.006.