DUMAS Scale

“Self-report or self-deceive. Your call.” You can only get the help based on the truthful information you provide. Only providing 50% truth can only get 50% help…

Two quick ratings: First your body, then your brain = “ what level of i’m good? “ score 

Physical Pain and Discomfort Scale (1–5)

(1 = Worst pain / 5 = No pain)

1 – Severe or Debilitating Pain

Head pounding. Shoulders locked. Ears ringing like alarms. Pain is calling the shots — you need relief now.  Hey Doc, changing socks and drinking water did not work. 

2 – Significant Pain

Pain is interfering with focus or mood. You’re stretching, taking meds, or thinking about skipping things. Stress is showing up loud and clear.  Tinnitus is increasing in volume or different pitch. 

3 – Moderate Discomfort

You’re aware of physical stress — tight shoulders, low back pain, tinnitus humming in the background. Not urgent, but it’s wearing on you. Take Mortrin, change socks and drink water.

4 – Mild Discomfort

You notice some tension or minor irritation — maybe light jaw clenching, a stiff neck, or faint ringing in your ears. Manageable and not slowing you down.

5 – No Physical Pain

Body feels calm. Muscles are loose, no tension. Tinnitus is quiet or gone. Sleep and hydration are probably on point.

Emotional State Scale (1–10)

(1 = Suicidal / 10 = Euphoric or Manic)

1 – Actively Suicidal

You’ve got a plan. You’re in the pit and decorating it. This is a red line — call in backup.

2 – Barely Holding On

You don’t want to be here, but you’re still technically here. Hope feels like a bad joke. You’re exhausted and depleted.

3 – Dissociating and Disengaged

You’re checked out. Daily chores and routine disorganized. Everything inside feels… muffled.  Tinnitus showed up with a mariachi band.  Nightmares are persistent.

4 – Struggling Quietly

You’re functional, but it’s all duct tape and muscle memory. Intrusive thoughts, irritability, or old habits might be creeping in.  Just going through the motions. 

5 – Coping Under Fire

“The nightmares are back, but I’m managing.” You’re aware of your patterns and sticking with the process — even when it’s hard.  Constant tinnitus or pitch change

6 – Alert but Stable

You feel the tension, but your coping tools are engaged. You’re surviving on purpose.   

7 – Genuinely Okay (for now)

You’re grounded. No mask. Could be a support to others today — if asked. You’re in the present.  

8 – Motivated and Connected

You’re showing up for yourself and others. Purpose, laughter, and momentum are online. You’re in the present and pleasant to be around

9 – Clear-Headed and Grateful 

You’re in the present. The past isn’t steering the wheel. Gratitude feels real and earned. 

10 – Euphoric or Manic

You feel unstoppable — maybe too unstoppable. Could be authentic joy, or a red flag. Check sleep, energy and decision-making.