The 13 measures and how they are scored
Checked against the app on 24 October 2026
Thirteen instruments are built in and scored with severity as you go, including the PHQ-9, GAD-7, PCL-5, ISI and C-SSRS screen, two couples measures given to each partner, and an in-house Session Check.
| Measure | Range and bands | Notes |
|---|---|---|
| PHQ-9 | 0 to 27: minimal, mild, moderate, moderately severe, severe | Item 9 raises a safety flag. Due every 4 sessions by default. |
| GAD-7 | 0 to 21: minimal, mild, moderate, severe | Due every 4 sessions. |
| PHQ-2 | 0 to 6; 3 or more is positive | A positive result suggests giving the PHQ-9. |
| PCL-5 | 0 to 80; 31 or more is probable PTSD | Due every 4 sessions. |
| ISI | 0 to 28: none, subthreshold, moderate, severe | Due every 4 sessions. |
| AUDIT-C | 0 to 12 | |
| MDQ | Positive with 7 or more yes, plus parts 2 and 3 | |
| ASRS (Part A) | 4 or more of 6 is positive | |
| C-SSRS (ideation screen) | No ideation to ideation with plan and intent | Raises safety flags. |
| RSES | 0 to 30: low, normal, above usual | |
| CSI-4 | 0 to 21; below 13.5 is under the cutoff | Each partner separately. |
| HITS | 4 to 20; 11 or more is positive | Each partner separately. Raises no safety flag on its own. |
| Session Check | 0 to 16, higher is better | In-house alliance check, not a validated instrument. Due every 4 sessions. |
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