Heartbreak-Induced Depression Questionnaire

What it is

After a heart-aching breakup, grief can hit anywhere—at work, during errands, in the middle of your day. Sometimes it shows up as emotional shutdown: you sleep 8–10 hours and still wake up exhausted, unmotivated, and heavy.

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The Heartbreak-Induced Depression Questionnaire is a gentle, structured self-assessment created through the Anagenesis Method™ to help you understand what may be happening beneath the fatigue—without shame and without labels.

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What it helps with

• Post-breakup emotional shutdown and exhaustion
  
• Low mood, heaviness, and loss of motivation
  
• Sleep disruption (sleeping more but feeling worse; waking anxious at night)
  
• Attachment trauma patterns (restlessness, numbness, feeling unsafe)
  
• Nervous system dysregulation (why your body won’t “reset”)
  
• Loss of self-worth after rejection, abandonment, or betrayal

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What’s included

• Digital download: PDF self-assessment
  
• Clear instructions for use
  
• Guidance on when to seek professional support
  
  

How it works

This questionnaire helps you identify which symptoms are present and which areas may need support first—your sleep, mood, nervous system regulation, self-worth, or sense of purpose. Instead of spiraling into “What’s wrong with me?” you get clarity and direction for your next steps.

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Important note

This questionnaire is not a diagnostic tool. If symptoms persist for 2+ weeks, significantly impact daily functioning, or you’re having thoughts of self-harm, please seek support from a qualified mental health professional or urgent services immediately.