WALSH BIOTYPE QUESTIONS

Walsh Biotypes Questionnaire

* If a question does not apply to you, simply skip it and move on to the next question.

First Name

Last Name

Patient Gender

Patient Age

How would you describe your mood pattern regarding depression?

My mood is unpredictable — I can feel fine for a while, then suddenly fall into depression.

I have long periods of stability, but when depression hits, it is severe and lasts for weeks or months.

I experience constant depression rather than going through cycles.

My depression tends to worsen after hormonal changes, such as puberty, pregnancy, or menopause.

In the last 6 months, how has depression affected you, and what seems to trigger it?

It comes and goes, often triggered by stress or emotional overwhelm.

It comes and goes, often linked to pressure, perfectionism, or high expectations.

It fluctuates without a clear cause — sometimes better, sometimes worse.

It has been persistent nearly every day, with little or no relief.

Over the last 6–12 months, which has been the bigger issue for you?

Persistent, unrelenting depression, not tied to external events.

Depression that comes and goes, often linked to perfectionism or high achievement.

Depression mainly triggered by stress or major life events, but improves when stress reduces.

Anxiety has been my main issue, driven by emotional hypersensitivity and overthinking.

Anxiety has been my main issue, particularly due to high inner tension and difficulty managing stress.

When you experience depression, are you able to continue working?

Yes, I can continue working with little difficulty.

I can work, but it takes significant effort to stay focused.

I struggle to work when depressed and often need to take breaks or reduce workload.

I am unable to work when depression hits and must completely stop working.

At what age did you first experience symptoms of depression?

My depression started in early childhood (before puberty).

My depression started in adolescence or early adulthood.

My depression started in adulthood, often linked to high expectations, career stress, or burnout.

My depression appeared suddenly at some point in life and has never fully gone away.

Have your anxiety or depression symptoms worsened over the last few years?

Yes, my symptoms have gradually worsened over time.

Yes, my symptoms fluctuate but overall seem to be getting worse.

Yes, my symptoms have become significantly worse, and I can’t pinpoint a clear cause.

Yes, I feel increasingly emotionally sensitive and unstable over time.

Have SSRIs (or other antidepressants) helped with your depression?

Yes, they have significantly improved my symptoms.

They have helped somewhat, but I still struggle with symptoms.

No, they have not helped or made little difference.

No, they made my symptoms worse.

Have you ever had thoughts of suicide or engaged in self-harm?

I have occasionally felt like I didn’t want to exist, but I have never seriously thought about suicide.

I have frequently had suicidal thoughts but never acted on them.

I have engaged in self-harm (cutting, burning, or other forms) but never attempted suicide.

I have attempted suicide in the past.

If you could push a button to permanently remove either depression or anxiety, which would you choose?

I would remove anxiety – it affects me much more than depression.

I would remove depression – it affects me much more than anxiety.

I would remove both equally, as they impact me in the same way.

How would you describe your overall mood, outlook, and thought patterns?

I often struggle with feeling happy and frequently feel weighed down.

I feel like life is a constant struggle, and I rarely feel optimistic.

I frequently find myself stuck in negative thought patterns or pessimism.

I dwell on past mistakes and replay negative experiences in my mind.

My emotions feel unstable, and I often shift between feeling positive and deeply negative.

When do you feel the happiest?

I feel happiest when I accomplish goals and succeed in structured tasks.

I feel happiest when I’m engaged in creative activities or immersed in sensory experiences (e.g., music, art, nature).

I feel happiest when I’m in a calm and supportive environment with close friends or family.

I struggle to feel happiness and rarely experience joy, even in positive situations.

Do you experience anxiety as a significant part of your depression?

I frequently feel anxious and worry a lot.

Anxiety is a major issue for me and sometimes overwhelming.

I experience both depression and anxiety equally.

Have you ever had a full-blown panic attack, so severe you considered going to the ER?

I have experienced panic attacks, but they are infrequent and manageable.

I have frequent panic attacks, and they can be intense.

I have had panic attacks so severe that I considered going to the ER.

I experience panic attacks with severe physical symptoms that feel life-threatening.

How do you typically respond to stress, worry, and fears?

I generally handle stress well and recover quickly.

I feel easily overwhelmed by stress and struggle to cope.

I am often fearful, cautious, or overly worried.

I experience frequent fears or phobias that interfere with daily life.

Would you describe yourself as having inner calm or inner tension?

I seem calm on the outside, but I feel a lot of tension inside.

I often feel anxious, restless, or like my mind is racing.

I feel a lot of inner tension and struggle to manage stress.

Do you experience headaches or migraines?

I frequently get headaches, especially during times of stress or tension.

I frequently experience migraines, often with sensitivity to bright lights or loud noises.

I have chronic migraines or severe headaches that significantly impact my daily life.

How would you describe your energy levels during the day?

I often feel tired during the day and may need naps or rest.

I tend to be hyperactive or restless, with bursts of energy but difficulty calming down.

I usually feel low in energy, sluggish, or lacking motivation.

Do you have difficulty with concentration, focus, or inattention?

I frequently struggle to concentrate and stay on task, especially when I’m not interested in something.

I often feel restless, scattered, or easily distracted, particularly in stimulating environments.

I experience mental fog, forgetfulness, or trouble staying engaged in tasks.

I get easily overwhelmed by stress, which makes it hard to concentrate or follow through.

How would you describe your short-term memory?

I frequently struggle to retain new information and need to reread or repeat things multiple times.

I often experience brain fog, forget conversations, and struggle to recall recent events.

I have significant memory problems that affect my daily life and ability to function.

Do you remember your dreams, and if so, what are they usually like?

I rarely or never remember my dreams.

I frequently recall my dreams, and they are intense or highly vivid, often emotionally charged.

I often have distressing or negative dreams, but they don’t interfere with my sleep.

I experience frequent nightmares or disturbing dreams that disrupt my sleep.

Do you experience difficulties with sleep (falling asleep, staying asleep, or waking during the night)?

I have trouble falling asleep and often lie awake for a long time.

I wake up frequently during the night and struggle to get back to sleep.

I sleep very lightly, wake often, and rarely feel rested.

How do you typically respond when you feel angry or frustrated?

I usually stay calm and internalize my feelings rather than showing them outwardly.

I become irritable or short-tempered but don’t lose full control.

I can have intense emotional outbursts or meltdowns when angered.

I sometimes react physically (e.g., hitting, throwing objects, slamming doors).

Do you have a history of addiction or substance use?

I have struggled with addiction in the past but have it under control.

I have an ongoing struggle with addiction or compulsive behaviors.

How do you respond to authority figures, medical advice, or diagnoses?

I tend to question authority and prefer to do things my own way.

I often resist authority or struggle to follow medical advice or treatment plans.

I find it hard to accept a diagnosis or medical opinion, and may react with strong emotions.

How would you describe your approach to organization, detail, and perfectionism?

I am very detail-oriented and prefer things to be precise.

I need things to be just right and can get frustrated if they’re not perfect.

I am highly organized and methodical, especially with finances or structured tasks.

I struggle to stay organized and often find myself in a mess, including with finances or planning.

How do you respond to authority figures, medical advice, or diagnoses?

I tend to question authority and prefer to do things my own way.

I often resist authority or struggle to follow medical advice or treatment plans.

Would you describe yourself as easy-going or rigid/strong-willed?

I am strong-willed but can be flexible when necessary.

I am very strong-willed and rarely change my mind.

I am rigid in my thinking and struggle with change, even when needed.

Do you engage in ritualistic behaviors or routines?

I like to stick to specific routines and feel uncomfortable when they change.

I have strong ritualistic behaviors and find it difficult to break my routines.

Have you ever been diagnosed with autism or exhibited autistic traits?

I have some autistic traits (e.g., sensory sensitivity, social difficulties) but no formal diagnosis.

I have been diagnosed with autism or suspect I am on the spectrum.

Were you diagnosed with learning disabilities or ADHD as a child?

Yes, I was diagnosed with ADHD.

Yes, I was diagnosed with a learning disability.

Yes, I was diagnosed with both ADHD and a learning disability.

Do you experience histrionic behavior, such as dramatic or emotional reactions to situations?

Yes, I sometimes react strongly to situations, but it doesn't interfere with my daily life.

Yes, I frequently have dramatic emotional reactions that affect my behavior or relationships.

Do you have a long-term reaction to folic acid?

Over the long term, folic acid makes me feel noticeably worse.

Over the long term, folic acid has improved my symptoms and made me feel better.

Do you frequently experience constipation?

I frequently experience constipation and struggle with digestion.

I have chronic constipation that significantly affects my daily life and doesn’t improve easily.

How would you describe your weight patterns?

I do not gain weight easily and tend to maintain a stable body weight.

I tend to gain weight easily, especially around the abdomen.

I tend to gain weight easily, particularly around the hips and thighs.

My weight fluctuates significantly and is difficult to manage.

Do you have any restrictions in the types of foods you eat, either due to preference or sensitivities?

I prefer to stick to a few select foods and feel uncomfortable trying new ones.

I avoid certain foods because they cause allergies or sensitivities.

I have strong food sensitivities or intolerances that significantly affect my diet.

Do you have a preference for salty or spicy foods?

I frequently prefer or crave salty foods.

I frequently prefer or crave spicy foods.

I frequently prefer or crave both salty and spicy foods.

35. How would you describe your immune function and history with immune-related conditions?

I tend to get sick often but recover at a normal rate.

I get sick often and it takes me longer than usual to recover.

I have been diagnosed with an autoimmune disorder (e.g., rheumatoid arthritis, lupus, multiple sclerosis, Hashimoto’s thyroiditis).

I have symptoms suggestive of an autoimmune disorder but have not been formally diagnosed.

In school, how would you describe your academic experience?

I excelled in most subjects and found learning easy.

I found schoolwork difficult and struggled with concentration or staying on task.

I found schoolwork difficult due to reading, memory, or comprehension issues.

I disliked school and often felt overwhelmed by the workload.

How would you describe your motivation and drive in school?

I was highly motivated and performed well academically.

I had trouble focusing and struggled with learning but tried to keep up.

I disliked school, had little motivation, and found it hard to concentrate.

How would you describe your social interactions and participation in school?

I was very social, made friends easily, and enjoyed being around people.

I preferred to keep to myself but had a couple of close friends.

I was highly focused on school or sports, which limited my social interactions.

I enjoyed group activities and was actively involved in clubs or teams.

I preferred artistic, musical, or creative groups rather than competitive ones.

I struggled with socializing and often felt isolated, avoiding group activities.

Do you prefer socializing with others, or do you feel more comfortable alone?

I love socializing and being around people.

I prefer to be by myself most of the time.

I struggle with social interactions and often avoid them.

Do you have any artistic or musical abilities?

Yes, I have strong artistic or musical abilities and enjoy expressing myself creatively.

Yes, but I struggle with confidence in my abilities or feel self-critical.

Were you competitive in school or sports?

I was highly competitive and always pushed myself to win.

I preferred non-competitive activities and didn’t enjoy competition.

I disliked competition and avoided it whenever possible.

As a child in school did you get into fights, did you ever lose control of your behaviour?

I sometimes got into fights or struggled with impulsivity when frustrated.

I frequently got into fights and had trouble controlling my emotions.

I had serious behavioral issues, often getting into fights or trouble with authority.

I had severe emotional and behavioral problems, with uncontrollable anger and outbursts.

Were you self-motivated in school without needing encouragement?

No, I needed a lot of encouragement to stay focused and motivated.

Yes, I was self-motivated and driven to succeed without much encouragement.

Yes, I was extremely self-driven, competitive, and set high expectations for myself.

Do you experience pain or physical sensitivity?

I have a low pain threshold and am very sensitive to discomfort.

I tolerate pain fairly well and don’t notice it much unless it’s severe.

I frequently experience joint pain, stiffness, or body aches.

Do you have sensitivity to bright lights or loud noises?

I have strong sensitivity to bright lights and often need to wear sunglasses outside.

I find loud noises overwhelming or distressing.

I am highly sensitive to both bright lights and loud noises, and it affects my daily life.

Are you bothered by rough fabrics, clothing tags, or tight clothing?

I often find rough fabrics, tight clothing, or tags irritating and prefer soft, loose clothing.

I have significant sensitivity to fabrics, tight clothing, or tags and always cut them off my clothing.

I have extreme skin sensitivity to textures, and certain fabrics or tight clothing feel unbearable against my skin.

Do you experience ringing in the ears (tinnitus)?

I occasionally experience mild ringing in my ears, but it’s not bothersome.

I frequently experience ringing in my ears, but it’s manageable.

I have persistent ringing in my ears that affects my daily life.

I have severe ringing in my ears, often accompanied by sensitivity to sounds.

I have unrelenting tinnitus that does not improve and is resistant to treatment.

Do you have dry eyes or tear up easily?

I often have dry eyes and don’t tear up easily.

I tear up very easily, sometimes even without strong emotions.

Do you feel nausea in the morning?

I often feel mild nausea in the morning but it passes quickly.

I frequently experience strong nausea in the morning and struggle to eat.

I have extreme morning nausea and often feel sick until later in the day.

Do you tend to sunburn or tan?

I burn easily but eventually develop a slight tan.

I burn easily and rarely develop a tan

I have very pale skin and almost always burn in the sun.

Do you have restless legs or feel the need to pace?

I often feel the need to move, pace, or shake my legs when sitting still.

I experience restless legs, particularly at night or when trying to relax.

Do you experience any issues with your skin, hair, or connective tissue?

I often have dry skin.

I have noticeable stretch marks, even without significant weight changes.

I have experienced psoriasis or other skin conditions.

I have noticed premature greying of my hair.

Would you describe your facial features as delicate or fine?

Yes, my facial features are delicate or finely structured.

Do you ever notice white spots on your fingernails?

I frequently have white spots on my fingernails.

I have many white spots on my fingernails at any given time.

55. Have you experienced noticeable hair loss?

Yes, my hair has slightly thinned over time, but nothing extreme.

Yes, I have experienced noticeable hair thinning or patchy hair loss.

Yes, my hair is falling out rapidly or in large amounts.

Are you naturally slender or thin?

I have always been naturally thin and find it difficult to gain weight.

I am naturally thin and struggle with maintaining muscle mass.

How would you describe your physical growth and early development (speech, walking, puberty)?

I was slightly delayed in early development (walking/talking), but I caught up later.

I experienced a noticeable growth spurt earlier than my peers.

I had a delayed growth spurt and developed later than my peers.

I had noticeably slow growth and struggled with muscle development.

How would you describe your muscle development?

I struggle to gain muscle, and my body has always felt weaker than average.

I have extremely low muscle mass and find it very hard to build strength.

Would you describe your sex drive as high or low?

I have a low sex drive and little interest in sex.

I have a very high sex drive.

My sex drive fluctuates a lot, depending on stress or mood.

I used to have a normal sex drive, but it has decreased significantly over time.

Do you tend to speak infrequently or give short responses in conversations?

I tend to be reserved and often give short or infrequent responses.

I rarely speak unless necessary and prefer minimal verbal interaction.

Do you have naturally sparse or reduced body hair (on arms, legs, or chest)?

I have naturally sparse or very fine body hair.

I have noticed a gradual reduction in my body hair over time.

I have significantly reduced or nearly absent body hair.

Do you tend to have intense religious beliefs or profound spiritual experiences?

I tend to have strong religious or spiritual beliefs and find deep meaning in them.

I have had mystical or profound spiritual experiences that felt deeply real and transformative.

Have you ever experienced perceptual disturbances, such as hearing or seeing things others could not?

I have occasionally heard faint voices, whispers, or noises others could not hear.

I have clearly heard voices or sounds others could not, or have seen things that weren’t really there.

I have experienced persistent or intrusive hallucinations that have interfered with daily life.

Have you ever experienced unusual or disturbed thinking, such as paranoia, grandiosity, or delusional beliefs?

I have sometimes felt unusually suspicious or distrustful of others.

I have strongly believed something to be true, later realizing it was false (delusional belief).

I have experienced exaggerated confidence, special powers, or invincibility.

I have had persistent paranoia or delusional thinking that severely affected my functioning.

Have you ever had severe episodes during which you could not move or respond (catatonia)?

I have briefly frozen or become unresponsive under extreme stress.

I have had short episodes where I could not move or respond, even when conscious.

I have experienced prolonged catatonic states that required help or intervention.

Have you been told you have low blood histamine levels?

Yes, I have been told I have low blood histamine levels.

Were your basophils (white blood cells) low on lab tests?

Yes, my basophil levels were low on lab tests.

Do you have a 'fruity' breath or body odor?

Yes, I occasionally notice a fruity breath or body odor.

Yes, I frequently experience fruity breath or body odor.

Do you have any piercings, and can you tolerate cheap metal?

I have piercings but avoid cheap metal due to irritation or reactions.

I have strong reactions to cheap metal (rash, itching, discomfort).

I have multiple sensitivities to metals, jewelry, or environmental substances.

Do antihistamines such as Zyrtec help with your symptoms?

Yes, they significantly improve my symptoms.

They provide mild relief but do not fully resolve my symptoms.

No, they do not seem to help at all.

No, I have a negative reaction to antihistamines.

Have you ever taken lithium, and how did it affect you?

Yes, and it significantly improved my symptoms.

Yes, and it provided mild relief, but not complete improvement.

Yes, but it made me feel worse.

Have you ever taken benzodiazepines (such as Valium, Xanax, or Ativan), and how did they affect you?

Yes, and they worked well for my symptoms.

Yes, and they helped somewhat, but I still had issues.

Yes, and they made me feel worse.

Yes, and they had no noticeable effect on me.

Have you used birth control pills, and how did they affect you?

I have taken birth control pills but experienced mild side effects.

I have taken birth control pills and experienced significant negative effects (e.g., mood swings, anxiety, depression, weight gain).

I stopped taking birth control pills due to severe side effects.

Have you experienced significant PMS symptoms (mood swings, bloating, cramps, irritability)?

I experience strong PMS symptoms that affect my mood and daily life.

I experience severe PMS symptoms, including anxiety or depression

After giving birth, did you experience postpartum depression?

I experienced moderate postpartum depression but recovered within a few months.

I experienced severe postpartum depression that lasted a long time or required treatment.

Did your symptoms start during puberty, pregnancy, or menopause?

My symptoms began during puberty.

My symptoms began during pregnancy.

My symptoms began during menopause.

Have you ever had abnormal or absent menstrual periods?

Yes, I have experienced irregular menstrual cycles, but they still occur.

Yes, I have experienced absent menstrual periods for extended periods of time.

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