Mental Health Assessment:
What Our 20 Tests Reveal
23 clinical-grade tests across 4 psychological layers. From surface symptoms to hidden patterns, we map your complete mental landscape.
Our completely anonymous assessment ensures your privacy. After completion, you can optionally connect with a therapist who receives your complete profile. View pricing options.
The 4-Layer Framework
Unlike traditional assessments that only scratch the surface, we dive deep into every aspect of your psychological profile.
Layer 1: Symptoms & Current State
What you're experiencing right now
11 tests measuring current symptoms across the full mental health spectrum—from depression and anxiety to trauma and sleep issues.
Layer 2: Core Foundation
Who you are at your core
4 tests revealing your personality structure, core beliefs, and neurodevelopmental patterns that shape how you think and relate to others.
Layer 3: Processes & Habits
How you operate daily
5 tests mapping the patterns that keep you stuck—or help you thrive. Understanding your emotional regulation and thought processes.
Layer 4: Growth & Meaning
Where you're headed
2 tests measuring meaning, purpose, and overall well-being. Your existing strengths and specific areas for targeted growth.
Layer 1: The Symptom Check
11 tests measuring current symptoms across the full mental health spectrum
PHQ-9 (Depression Severity)
9 questions measuring depression severity and specific symptom patterns
GAD-7 (Generalized Anxiety)
7 questions assessing anxiety severity and cognitive worry patterns
PCL-5 (Post-Traumatic Stress)
20 questions evaluating PTSD symptoms across four clinical clusters
MDQ (Bipolar Spectrum)
13 questions screening for manic/hypomanic episodes
DOCS (Obsessive-Compulsive Disorder)
20 questions measuring OCD symptoms across four dimensions
DSS-B (Dissociation Scale)
8 questions measuring dissociative experiences
WERCAP (Psychosis Risk Screen)
16 questions screening for psychotic symptoms
EDE-QS (Eating Disorder Examination)
12 questions assessing eating disorder symptoms
TAPS (Substance Use Screening)
4 questions screening for substance use and consequences
PROMIS Sleep Disturbance 8a
8 questions measuring sleep quality and disturbance
CBI (Copenhagen Burnout Inventory)
7 questions measuring burnout across multiple domains
Layer 2: The Core Foundation
4 tests revealing your personality structure, core beliefs, and neurodevelopmental patterns
IPIP-NEO (Big Five Personality)
50 questions comprehensively assessing the five major personality dimensions
PBQ-SF (Personality Belief Questionnaire)
65 questions measuring maladaptive core beliefs across personality dimensions
ASRS-v1.1 (Adult ADHD)
6 questions screening for attention deficit hyperactivity disorder in adults
Layer 3: Processes & Habits
5 tests mapping the daily patterns that keep you stuck—or help you thrive
ERQ-S (Emotion Regulation Strategies)
6 questions assessing how you manage and cope with emotions
PTQ (Perseverative Thinking Questionnaire)
15 questions measuring repetitive negative thinking patterns
UCLA Loneliness Scale
10 questions measuring subjective sense of loneliness and isolation
RQ (Relationship Questionnaire - Attachment)
4 questions measuring adult attachment style patterns
Layer 4: Growth & Meaning
2 tests measuring meaning, purpose, and overall well-being
MLQ (Meaning in Life Questionnaire)
10 questions measuring two dimensions of existential well-being
ONS-4 (Well-being Scale)
4 questions measuring subjective well-being across multiple domains
Beyond Individual Tests:
Pattern Discovery
Advanced cross-layer analysis reveals hidden connections that traditional assessments miss
Depression Phenotypes
Different depression subtypes require fundamentally different treatments
Why This Matters:
Somatic depression (biological) responds to medication and sleep hygiene, while burnout depression needs rest and boundary-setting. Anxious depression requires integrated anxiety treatment. Obsessive depression may need OCD-specific approaches. Treating the wrong depression subtype delays recovery.
Anxiety Architecture
Understanding anxiety's root changes the entire treatment approach
Why This Matters:
Trait anxiety (high neuroticism) needs long-term emotion regulation skills. Trauma-driven anxiety requires trauma processing, not just anxiety management. Perfectionistic anxiety stems from control needs. Rumination anxiety needs cognitive defusion, not just relaxation. Each requires different interventions.
ADHD vs. Look-Alikes (Critical Differential)
Misdiagnosis leads to wrong medication and worsening symptoms
Why This Matters:
Stimulants may help ADHD-consistent patterns but can worsen anxiety-driven inattention. Trauma-related patterns may need processing, not stimulants. Depression-linked attention patterns may resolve when depression is addressed. Sleep deprivation mimics ADHD but needs sleep intervention. Getting this wrong can be counterproductive—this pattern differentiation helps prevent a mismatch.
Burnout vs. Depression (The Critical Distinction)
Two conditions that look similar but require opposite interventions
Why This Matters:
Burnout needs rest, boundaries, and values realignment. Depression needs activation and clinical treatment. Burnout-driven depression resolves with work changes; depression-driven burnout needs psychiatric care first. Confusing them delays recovery by months.
Trauma Impact Patterns
Simple PTSD vs. Complex PTSD requires different treatment approaches and timelines
Why This Matters:
Simple PTSD (single trauma, no dissociation) has good prognosis with standard exposure therapy. Complex PTSD (developmental trauma, dissociation, attachment disruption) needs phase-based treatment over years. Dissociative subtype requires stabilization before trauma processing. Treatment length and approach depend on pattern.
Emotional Regulation Profiles
Three distinct patterns of how people manage emotions, each needing different skills
Why This Matters:
The Suppressor (hiding emotions) needs emotional awareness training. The Ruminator (overthinking) needs cognitive defusion and acceptance. The Adaptive Regulator already has skills. Teaching suppression skills to a ruminator or rumination skills to a suppressor makes things worse.
Loneliness Drivers
Four different reasons for isolation requiring four different solutions
Why This Matters:
Social skill deficit needs social skills training. Depression-driven isolation needs depression treatment first. Attachment-driven loneliness needs attachment therapy. Rejection sensitivity needs schema work. Generic 'join a club' advice fails when the root cause isn't addressed.
Personality Disorder Risk Patterns
Identifying personality features that shape all treatment approaches
Why This Matters:
Borderline features (emotion dysregulation, abandonment fears) need DBT skills. Avoidant features need gradual exposure and schema therapy. Obsessive-compulsive features need flexibility work. Recognizing these patterns prevents treatment rupture and therapist burnout.
Substance Use Patterns
Coping-through-substance vs. impulsive use requires completely different interventions
Why This Matters:
Coping-through-substance pattern (using to cope with depression/anxiety) needs psychiatric support first—sobriety without addressing underlying symptoms fails. Impulsive use (sensation-seeking) needs harm reduction and impulse control. Stress-driven use needs burnout intervention. Wrong approach increases relapse risk.
Sleep as Detection Hub
Sleep patterns differentiate between disorders when symptoms overlap
Why This Matters:
Depression causes early morning awakening. Anxiety causes sleep onset insomnia (can't shut off mind). PTSD causes nightmares and hypervigilance. Mania causes decreased need for sleep. ADHD causes delayed sleep phase. Same complaint (poor sleep), different root causes, different treatments. Sleep pattern helps differentiate when multiple conditions are possible.
The Conscientiousness Paradox
When your greatest strength becomes your greatest vulnerability
Why This Matters:
High conscientiousness predicts success—unless paired with high neuroticism and perfectionism, creating perfectionistic distress syndrome. These individuals burn out from self-imposed standards. Treatment isn't 'work harder' or 'care less'—it's learning flexible conscientiousness. Recognizing this prevents misguided interventions.
Chronic Hyperarousal Cluster
Nervous system dysregulation affecting attention, sleep, and baseline anxiety simultaneously
Why This Matters:
When trauma hyperarousal is chronic, it disrupts sleep, creates constant anxiety, and impairs attention—mimicking three separate disorders. Treating 'ADHD' with stimulants worsens anxiety and sleep. Address nervous system regulation first (vagal tone, somatic work) before diagnosing separate conditions. This pattern prevents harmful over-medication.
Cognitive Overload Profile
Mental hyperactivity from multiple sources creating attention problems
Why This Matters:
High openness + rumination + worry + creative ideas = mental traffic jam. Looks like ADHD but stimulants worsen the overload. Needs mindfulness, cognitive defusion, and creative outlets—not more mental activation. This pattern identifies when 'inattention' is actually attention overwhelm.
Emotional Blunting Pattern
Chronic emotional shutdown as defense against overwhelm
Why This Matters:
High anhedonia + depersonalization + emotion suppression + dismissive attachment = years of emotional shutdown. Not just depression—trauma defense mechanism. Antidepressants alone often fail. Needs trauma-informed gentle re-activation, somatic work, and safe relationship building. Without recognizing this pattern, treatment can re-traumatize.
The Achievement Trap
Succeeding at goals that don't align with your values
Why This Matters:
Highly conscientious introverts achieve external success but feel empty and burned out. Not lazy or unmotivated—working hard at wrong goals. Needs values clarification, not productivity hacks. Career counseling, not more self-discipline. This pattern prevents years of grinding toward someone else's definition of success.
Rejection Sensitivity Constellation
Fear of rejection becomes self-fulfilling prophecy through interpersonal patterns
Why This Matters:
Anxious attachment + suspiciousness + neuroticism = constantly scanning for rejection, finding it everywhere, pushing people away defensively, confirming belief that 'everyone leaves.' Creates isolation and depression. Needs attachment therapy and schema work on rejection beliefs, not just social skills training.
Traditional Assessment vs. Rilev
See exactly what makes our $49.99 assessment worth the investment
| Feature | Traditional Assessment | Rilev Assessment |
|---|---|---|
| Number of tests | 3-5 tests | 20 tests |
| Cross-test patterns | ❌ None | ✅ 15+ insights |
| Personality analysis | ❌ Rarely included | ✅ Big Five + Core beliefs |
| Pattern differentiation | ⚠️ Single disorder focus | ✅ ADHD vs. anxiety vs. trauma |
| Time to results | Days to weeks | Instant |
| Clinical sophistication | Basic symptom checklist | Pattern recognition AI |
| Cost | $0-$200 | $49.99 |
"The pattern insights were mind-blowing. My therapist said this was the most comprehensive assessment she'd ever seen in 15 years of practice."
— Sarah K., Licensed Therapist
Verified clinical professional
From Data to Discovery:
Your Unique Profile
All these tests and patterns combine to create your integrated psychological formulation. This comprehensive profile helps therapists provide targeted, evidence-based treatment.
1. Primary Clinical Concerns (Layer 1)
What symptoms you're experiencing right now and their severity
2. Root Causes & Personality Context (Layer 2)
Why these patterns exist based on your personality, core beliefs, and neurodevelopment
3. Maintaining Factors (Layer 3)
What keeps problems going: emotion regulation, rumination, loneliness, attachment patterns
4. Growth Opportunities (Layer 4)
Your existing strengths and meaning-making potential
5. Integrated Formulation
A narrative explaining your unique pattern, why you're stuck, and your personalized path forward
Example Formulation:
"You have Anxious-Perfectionistic Depression with Burnout Features. Your high conscientiousness and achievement drive (personality) combined with maladaptive beliefs about needing to be perfect (core schemas) have led you to overwork to the point of exhaustion (burnout). The lack of meaning in your work (values misalignment) has triggered depressive symptoms, which you've tried to manage through rumination and emotional suppression (maladaptive coping). Your fearful-avoidant attachment style makes it hard to reach out for support, deepening your isolation and loneliness.
Your path forward: Address burnout through boundary-setting and values work, develop emotion regulation skills (cognitive reappraisal), challenge perfectionistic beliefs in therapy, and gradually build secure attachments. Your high conscientiousness is a strength—we'll redirect it toward meaningful goals aligned with your values."
The Difference Between
Guessing and Knowing
→ Therapist asks "What brings you in?"
→ You describe recent struggles
→ Therapist makes best guess at diagnosis
→ Treatment is trial-and-error
→ Months wasted if diagnosis is wrong
→ Comprehensive assessment maps your complete landscape
→ Reveals patterns you couldn't see on your own
→ Identifies specific treatment targets
→ Therapist starts with your complete map, not a guess
→ Faster progress with targeted interventions
Ready to See Your Complete Map?
30-minute assessment • 23 clinical-grade tests • Instant comprehensive report
$49.99 one-time | Free with therapy | Anonymous by design