If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people? Not difficult at all Somewhat difficult Very difficult Extremely difficult PHQ-9 Score Depression Severity Proposed Treatment Actions 0 to 4 None to Minimal None 5 to 9 Mild Watchful waiting; repeat PDQ-9 at follow-up 10 to 14 Moderate Treatment plan, consider counseling, follow up and/or pharmacotherapy 15 to 19 Moderately Severe Active treatment with pharmacotherapy and/or psychotherapy 20 to 27 Severe Immediate imitation of pharmacotherapy and, if severe impairment or poor response to therapy, expedited referral to a mental health specialist for psychotherapy and/or collaborative management How long might it take Alejandro to notice any improvement in his depressive symptoms after he started taking medication