dr9ohm · Mental Health Urgency Score

Palpitations, insomnia, one-sided numbness
Mental-health layer and urgent signals

Quick answer (BLUF): A 0–15 density score for worry, panic, and insomnia. Not a diagnosis. One-sided numbness, slurred speech, or self-harm thoughts: call emergency / crisis lines now — do not wait for a score.

5 core items (0–3) + profile + urgent — not a diagnosis

How to answer

Symptoms: 0/1/2/3 · Other: Yes/No. Urgent Yes → care/crisis lines now.

NIMH — Panic disorder · NIA — Sleep · Thailand mental-health hotline 1323 / emergency 1669 · Asst. Prof. Dr. Norawit Raatpiboon

Symptom score (Raw Score)

0 / 15

Symptoms answered 0/5 · Profile 0/5 · Urgent 0/5

Part 1 — Core symptoms (scored)

Q1: Palpitations / panic

In the past 2 weeks, how intense were palpitations, air hunger, or panic surges?

0 — None / rare
1 — Some weeks, not work-disrupting
2 — Most weeks, disrupts sleep or work
3 — Almost daily or severe enough to stop activities

Q2: Low mood / anhedonia

How low is interest in usual activities or mood?

0 — None / rare
1 — Some weeks, not work-disrupting
2 — Most weeks, disrupts sleep or work
3 — Almost daily or severe enough to stop activities

Q3: Insomnia from rumination

How disruptive is sleep from racing thoughts?

0 — None / rare
1 — Some weeks, not work-disrupting
2 — Most weeks, disrupts sleep or work
3 — Almost daily or severe enough to stop activities

Q4: Work or self-care capacity

How much do symptoms delay work, finances, or childcare?

0 — None / rare
1 — Some weeks, not work-disrupting
2 — Most weeks, disrupts sleep or work
3 — Almost daily or severe enough to stop activities

Q5: Self-reliance on sleep/anxiety meds or alcohol

How much do you rely on sleep medicines, anxiolytics, or alcohol to sleep?

0 — Not self-medicating
1 — Occasional use as prescribed
2 — Increasing dose yourself or nightly use without a clinician plan
3 — Stopped psychiatric medicines yourself, or mixing alcohol with sleep medicines

Part 2 — Profile (not in the 15)

1. Symptoms come with mid-chest burn or sour regurgitation so you suspect reflux

Yes
No

2. Fear of contrast injection / MRI / dentistry is delaying needed tests

Yes
No

3. Domestic violence or financial coercion at home

Yes
No

4. Long-distance toxic relationship/parenting dynamics, or recent bereavement

Yes
No

5. One-sided numbness, slurred speech, or facial droop for minutes without calling 1669

Yes
No

Part 3 — Urgent symptoms (not in the 15)

1. Thoughts of self-harm or a suicide plan

Yes — see a doctor now
No

2. One-sided numbness, slurred speech, facial droop, or sudden limb weakness

Yes — see a doctor now
No

3. Chest pain radiating to the arm, sweating, air hunger

Yes — see a doctor now
No

4. Being assaulted or currently unsafe

Yes — see a doctor now
No

5. Not eating/drinking or not sleeping for >2 nights with confusion

Yes — see a doctor now
No

0 points

Start assessment

When complete, the score updates — a high score is not a diagnosis

Important notes (Red Flags)

Self-harm thoughts → call 1323. One-sided numbness or chest pain → call 1669 now. This score does not replace emergency care.

What a 0–15 score means

Symptom-density bands — not a diagnosis

Score	Band	Meaning	What not to do
0–4	Not dense yet	Keep tracking; do not skip red-flag signals	Do not delay exams because of ads
5–7	Starting to recur	Plan to see a clinician for this system	Do not add supplements on your own
8–10	Clearly disruptive	Do not ignore — book a visit	Do not use a quiz instead of a clinic visit
11–15	High density	Check Red Flags now	Do not treat this as a diagnosis

Frequently asked questions

Does this score diagnose panic disorder?

No. It is a symptom-density index for how urgently to seek care or hotlines.

Must I finish the quiz before calling 1669 for one-sided numbness?

No. Weakness, slurred speech, or facial droop → call 1669 first always.

Nightly sleep meds with a low total — safe?

No. Self-medication is in item 5 and can be dangerous even if the total is not high.

If I also suspect reflux, which score?

You can do the GERD Severity Score too — different layer. Do not use acid reducers instead of evaluating heart symptoms.

What are Thailand hotlines?

Mental health 1323; medical emergency 1669.

Medical Disclaimer: For general education only — not personalized medical advice. Not a panic-disorder or depression diagnosis.
Seek care immediately for dangerous signals · Asst. Prof. Dr. Norawit Raatpiboon
· Thai twin: https://dr9ohm.com/mental-health-urgency-score/

Palpitations, insomnia, one-sided numbnessMental-health layer and urgent signals

Part 1 — Core symptoms (scored)

Part 2 — Profile (not in the 15)

Part 3 — Urgent symptoms (not in the 15)

Important notes (Red Flags)

What a 0–15 score means

Frequently asked questions

Does this score diagnose panic disorder?

Must I finish the quiz before calling 1669 for one-sided numbness?

Nightly sleep meds with a low total — safe?

If I also suspect reflux, which score?

What are Thailand hotlines?

Palpitations, insomnia, one-sided numbness
Mental-health layer and urgent signals