This form is not a diagnostic instrument and is only to be used within the context of your medical treatment and by you if you are greater than 18 years old. Share your checklist responses and assessment with your physician or other health care provider. The maker and provider of this form disclaims any liability, loss, or risk incurred as a consequence, directly or indirectly, from the use and application of any of this material.

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For Healthcare Professionals

How was the M3 Checklist validated?

A research group from the University of North Carolina, headed by Dr. Bradley Gaynes, assisted by Joanne DeVeaugh-Geiss, MA, LPA, conducted a study of 650 patients at the UNC Family Practice Clinic. This study confirmed the validity of the M3 Checklist as a diagnostic tool, utilizing the Mini International Neuropsychiatric Interview as a standard.

Do other tools similar to the M3 already exist?

Several tests exist that contain certain aspects of the M3. However, to our knowledge, the M3 is the only self-administered clinical tool that integrates patient self-rating of symptoms covering all of the major mood and anxiety disorders. It is the first such instrument that includes patient education, and progress and side-effects measurements covering the full course of treatment.

How will the physician know if or when referring the patient to a specialist is indicated?

The M3 enables physicians to better understand mood and anxiety disorders and to properly treat patients suffering from such conditions. This treatment may include further evaluation and treatment by a psychiatric specialist. For equivocal, subtle, or otherwise complex cases the physician is directed to seek consultation with a psychiatric specialist. The online assessment provides prompts to the patient with acute or severe symptoms (including the suicidal patients) to reach out for help.

Does the M3 provide a single rating of general mental wellness?

Based on their M3 responses each patient is also assigned a single number, (the M3 Score), which represents the likelihood that the symptoms disclosed reflect a clinically significant disorder. A University of North Carolina study of the M3 has shown that among patients with no diagnosis, 83% receive an M3 Score below 33, whereas 81% of those with confirmed diagnoses fall above this threshold. The higher the M3 Score the more likely the patient's responses are clinically significant and the symptoms reported are having a real impact on quality of life. Therefore, the M3 Score could be viewed as a general mental wellness grade, with lower scores indicative of good mental health. For those receiving treatment it provides a target for treatment success.

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This form is not a diagnostic instrument and is to be used solely within the context of your medical treatment with your physician or other health care provider. The maker and provider of this form disclaims any liability, loss, or risk incurred as a consequence, directly or indirectly, from the use and application of any of this material.


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This form is not a diagnostic instrument and is to be used solely within the context of your medical treatment with your physician or other health care provider. The maker and provider of this form disclaims any liability, loss, or risk incurred as a consequence, directly or indirectly, from the use and application of any of this material.

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This form is not a diagnostic instrument and is to be used solely within the context of your medical treatment with your physician or other health care provider. The maker and provider of this form disclaims any liability, loss, or risk incurred as a consequence, directly or indirectly, from the use and application of any of this material. My Mood Monitor™ V.03.06 Copyright © 2002-2012 by M3 Information™, The M-3 Checklist and Mymoodmonitor.com are free for personal home use. For any other uses, including clinical., educational, non-profit, hospital research, or for-profit settings please contact mail@m-3information.com. No further reproduction or distribution, or reverse engineering is permitted without written permission from M3 Information. Patent Pending.