> ‘... And how often have you felt worthless in the last 4 weeks?’ > > He struggled to hold back a tear, as he said ‘Well. Most ... All ... all the time really.’ > > ‘You’ve scored 36 points!’ In what parallel world is that the right response to someone saying they feel worthless? Well, in our world of valid, reliable scoring charts. You’ll recognise that question as the last question on the K-10 questionnaire which measures mental distress. Its intended outcome is a number. It’s very hard to feel for someone who is ‘36’ but the patient doesn’t feel ‘36,’ the patient feels worthless. Another patient, let’s call him Frank, another discussion. …