Online Mental Health Quizzes vs. Validated Screenings: Use Real Tools

Are Online Mental Health Quizzes Accurate?

Online mental health quizzes are everywhere, and now AI tools like ChatGPT will even tell you that you have a diagnosis. Most of these internet quizzes aren’t validated, however, and an AI output is not a medical opinion. In this article, I separate entertainment from evidence, highlight the validated screening tools clinicians actually use, like the PHQ-9, GAD-7, MDQ, ASRS, PCL-5, AUDIT, and more, and show you how to use them safely as a starting point, not a diagnosis. You’ll see what each screen measures, common pitfalls (false positives, comorbidities, score misuse), and exactly when to take results to a qualified professional. If you want clarity, skip the gimmicks and lean on science-backed screens.

Short on time? Check out:

• TL;DR
• FAQ
• Watch the video
• The list of scientifically validated mental health screenings

Why Are There So Many Mental Health Quizzes? Why Do People Use AI to Diagnose Mental Illness?

Mental health quizzes attract eyeballs (read: traffic for advertisers); that is why you find them on every site. People love the idea that all they have to do is answer a few questions, and then they’ll know if they have a mental illness. Sites basically gamify the experience. After you’ve discovered if you’re a “fall person,” the next step is obviously to find out if you have attention-deficit/hyperactivity disorder (ADHD), right?

People use AI tools the same way. People “talk” to ChatGPT, Grok, or Perplexity, and then assume that because an AI has “diagnosed” them with a mental illness, it must be true.

People also assume that if they take many online mental health quizzes or check with multiple AIs, the answer is more valid.

But just because “every online mental illness test” says you have bipolar, that doesn’t mean you have bipolar. Diagnosis is much more complicated than that.

Why Online Quizzes and AI ‘Diagnoses’ Mislead

Most internet mental health quizzes aren’t validated and can mislead. Finding out if you’re a “fall person” isn’t a big deal, but the problem with mental health quizzes is that they have implications beyond ordering a pumpkin spice latte. Here’s why mental health quiz pretend diagnoses matter. Often, people who take online mental health quizzes or believe in an AI diagnosis:

• Don’t get help for problems that require it
• Insist on a specific diagnosis, even if it’s incorrect, thinking that somehow mental health quizzes or ChatGPT trumps a professional
• Assume they know they have a diagnosis and use self-help tools designed for people with that diagnosis — even if they are inappropriate
• Insinuate themselves into mental health communities for people with that diagnosis, even if they don’t have it

These things aren’t done with sinister intentions. It’s that people put faith in what they have experienced online more than in doctors (especially if they have had bad experiences with doctors in the past). Artificial intelligence tools are particularly sneaky about this. People start to think that AIs are “smart” and “know them.” No. AIs are just computer programs making an estimate and are no better than their training data (which can create confident-sounding, suspect advice at any time).

On top of all this, mental health quizzes may be written with no science in mind at all. You can’t just ask about some mental illness symptoms in any old wording and diagnose people. That is not how it works.

For more of my thoughts on why online mental health quizzes are problematic, see here.

Screening ≠ Diagnosis: What’s the Difference?

So, when you see an online mental health quiz, especially if it’s on a site not known for quality mental health material, please just pass it by. Or treat it like a game. Because that’s what it is. It’s a game to attract your attention and keep you on a site — nothing more.

And if you want to ask an AI about your mental health, you can, but realize that it doesn’t know the right questions to ask you, and you don’t know all the relevant data to give it. And even if you and it did know that much, AI still doesn’t outrank a human being.

Realize this: even if the online mental health quiz you’re taking is the greatest in the world or even if your AI seems brilliant, it still can’t diagnose you. You can take every quiz in the world, consult every AI in the world, and still not be sure about a diagnosis. This is because a real, live human will take into account your personal circumstances, history, and complicating factors. For example, many people have comorbid conditions — in other words, they have more than one mental illness. Generic quizzes aren’t able to suss that out.

The Right Mental Health Quizzes and Scales to Use Instead

All that being said, I know that people are dying for self-directed information, and there is a place for that in treatment. If you treat any information you find online as a starting point and not a destination, it can be healthy and useful.

Doctors actually use mental health scales to “rate” a person’s symptoms and indicate a diagnosis. As I’ve said above, it’s not the whole picture, so they alone can’t diagnose you, but what they can do is help you get some accurate information to a trained mental health professional.

I’ve found a compendium of mental health scales that may be able to help you identify areas in which you require additional information and possibly treatment.

Science-Based Mental Health Tools that Doctors Use

These are scientifically validated mental health screening scales. They are not BuzzFeed quizzes. (By the way, if you knew the name of the mental health condition scale, an AI would likely be able to walk you through it. However, considering AI’s penchant for hallucinations, I would trust the scales put up by a doctor’s office before I would trust an AI on something so important.)

The available scales are:

ACE-Q	Adverse Childhood Experiences Questionnaire
AQ	Autism-Spectrum Quotient — Adult
ASRM	Altman Self-Rating Mania Scale
ASRS-v1.1	Adult ADHD Self-Report Scale
AUDIT	Alcohol Use Disorders Identification Test
BIQ	Body Image Questionnaire Weekly
DAST-10	Drug Abuse Screening Test
DES-II	Dissociative Experiences Scale — II
ESS	Epworth Sleepiness Scale
GAD-7	Generalized Anxiety Disorder — 7 Item
HAI	Health Anxiety Inventory
MDQ	Mood Disorder Questionnaire
OCI-R	Obsessive-Compulsive Inventory — Revised
PCL-5	PTSD Checklist
PDSS-SR	Panic Disorder Severity Scale Self-Report
PHQ-15	Patient Health Questionnaire — Physical Symptoms
PHQ-9	Patient Health Questionnaire — 9 Item
SAST-R	Sexual Addictions Screening Test — Revised
SIAS	Social Interaction Anxiety Scale
WFIRS-S	Weiss Functional Impairment Rating Scale — Self-Report
WSAS	Work and Social Adjustment Scale
WSR-II	Weiss Symptom Record II (rates symptoms from various conditions)
WURS-25	Wender Utah Rating Scale — 25 Item (assesses childhood symptoms that may indicate adult ADHD)
YMRS	Young Mania Rating Scale

Tool	Full name	Screens for	Items	Typical time	What a higher score suggests
ACE-Q	Adverse Childhood Experiences Questionnaire	Childhood adversity risk factors	10	3–5 min	More adversity; discuss context with a clinician.
AQ	Autism-Spectrum Quotient — Adult	Autistic traits in adults	50	10–15 min	More autistic traits; seek formal assessment.
ASRM	Altman Self-Rating Mania Scale	Mania/hypomania symptoms	5	1–2 min	Possible manic symptoms; urgent care if safety concerns.
ASRS-v1.1	Adult ADHD Self-Report Scale	Adult ADHD symptoms	18	5–7 min	Positive screener; seek full clinical assessment.
AUDIT	Alcohol Use Disorders Identification Test	Risky/harmful alcohol use	10	2–3 min	Hazardous/harmful use; discuss with a professional.
BIQ	Body Image Questionnaire Weekly	Body dysmorphic disorder (BDD) concerns	9	3–5 min	BDD features; seek therapeutic help.
DAST-10	Drug Abuse Screening Test	Drug-related problems (non-alcohol)	10	2–3 min	Greater drug-related problems; discuss with a professiojnal.
DES-II	Dissociative Experiences Scale — II	Dissociative experiences	28	5–10 min	More frequent dissociation; seek therapeutic help.
ESS	Epworth Sleepiness Scale	Daytime sleepiness	8	2–3 min	Excessive sleepiness; consider going to a sleep clinic.
GAD-7	Generalized Anxiety Disorder — 7 Item	Anxiety severity	7-8	2–3 min	More severe anxiety; seek therapeutic help.
HAI	Health Anxiety Inventory	Health-related anxiety	36	7 min	Problematic health anxiety; seek care and rule out medical causes.
MDQ	Mood Disorder Questionnaire	Bipolar spectrum	10-12	3–5 min	Suggests bipolar features; clinician interview needed.
OCI-R	Obsessive-Compulsive Inventory — Revised	Obsessive-compulsive disorder symptoms	18	5–10 min	Greater chance of OCD; seek therapeutic help.
PCL-5	Posttraumatic Stress Disorder (PTSD) Checklist	PTSD symptoms	20	5–10 min	PTSD symptom burden; trauma-informed care follow-up.
PDSS-SR	Panic Disorder Severity Scale Self Report	Panic symptom severity	7	3–5 min	More severe panic; get treatment and track response.
PHQ-15	Patient Health Questionnaire — Physical Symptoms	Physical symptom burden	15	3–5 min	Greater physical symptoms; medical evaluation may be needed.
PHQ-9	Patient Health Questionnaire — 9 Item	Depression severity	9-10	2–3 min	More severe depression; get professional help.
SAST-R	Sexual Addictions Screening Test — Revised	Compulsive sexual behavior	45	5–15 min	Positive screen → specialist evaluation.
SIAS	Social Interaction Anxiety Scale	Social interaction anxiety	20	5–10 min	Interaction-focused social anxiety;get therapeutic help.
WFIRS-S	Weiss Functional Impairment Rating Scale — Self-Report	Functional impairment	69	10–15 min	Impact across family, work/school, life skills, etc.; seek professional evaluation.
WSAS	Work and Social Adjustment Scale	Global functional impairment	5	2–3 min	Quick impairment snapshot for any condition.
WSR-II	Weiss Symptom Record II	Broad symptom checklist	123	15–20 min	Organizes concerns before an appointment; seek professional help.
WURS-25	Wender Utah Rating Scale — 25 item	Childhood ADHD (retrospective)	25	4–6 min	Suggestive of childhood ADHD features.
YMRS	Young Mania Rating Scale	Mania severity (typically filled out by a professional)	11	10–20 min	Clinical severity measure; get professional help.

As I’ve said, these tools are educational screens, not diagnoses. Elevated scores are a prompt to discuss with a qualified clinician, especially if you have safety concerns.

What to Know About Mental Health Screening

With these mental health scales, please note that:

• The short form (first column) of the scale is typically how it’s referred to in research and charts. You certainly don’t have to know or remember it.
• No scoring is available for these scales on this site. In other words, there is no magic number that means you “have” a particular condition. The idea with these scales is to estimate the likelihood that you have a disorder.
• Elsewhere, there are published “cut-points” that indicate clinical relevance. You don’t need to worry about this; your doctor does. Your concerns over the results are what matter.
• If you choose to take one of these tests and score highly, you should take that information to a qualified mental health professional (like a psychiatrist or psychologist).
• If a specialized mental health professional isn’t available, try your family doctor. They may be able to refer you if that’s necessary.

Personally, I find scales like this fascinating. I also like that I can take them in the privacy of my own home. That doesn’t mean, however, that they are in any way a substitute for a qualified professional.

How to Use Online Mental Health Quizzes/Screenings Safely

If you choose to take one of these screenings, remember, you need to:

1. Choose an appropriate validated scale.
2. Complete it honestly (hiding reality will help no one).
3. Bring results and any notes you have to an appointment.

What to Do If You Screen Positive

Remember the following things when you’re working with even quality, medical mental health scales:

• Any scale is only part of the picture. Expect any professional to ask additional questions (or even the same question to see how you answer in your own words).
• When you see a doctor, they may give you a different diagnosis than one of the scales suggests. That’s to be expected as they are taking more information into account than one scale. (For example, you might think you have bipolar disorder because of the above scales, but in reality, when a doctor digs into your past, they realize you have posttraumatic stress disorder due to a previous stressor.)

All that being said, the scale you take can give you excellent information about yourself, and that information should not be disposed of, even if it’s uncomfortable. For example, if you score high on the alcohol screening test or the sexual addiction screening test, those are valuable pieces of information. Don’t throw them out just because you don’t like the result. Take that information, however unpleasant, and discuss it with someone qualified. After all, you wouldn’t have taken the mental health test if you weren’t at least somewhat concerned about the topic’s effects on your life.

TL;DR (Read This Before Any Quiz):

• Online quizzes and AI outputs are not diagnoses.
• Use validated screening tools (like the PHQ-9, GAD-7, MDQ, ASRS, etc.) and not random online or AI assessments.
• A positive screen = a reason to talk to a clinician, not a diagnostic label.
• If you’re in crisis, seek immediate help, don’t sit around taking quizzes.
• See the validated quizzes here.

FAQs About Online Mental Health Quizzes vs. Real Screenings

Conclusion: Use Screenings Wisely, Then Get Real Care

Online quizzes and AI feel fast, but fast isn’t clinical. If you want clarity, use validated screens (PHQ-9, GAD-7, MDQ, ASRS, PCL-5, AUDIT, etc.) as data points, not diagnoses. Save your results, note what actually impairs your day, and book time with a qualified clinician. If a score is high or surprising, that’s useful; bring it in and ask why your responses were flagged. In immediate danger? Skip the screens and seek urgent, in-person help now. Screening is the starting line, not the finish line.