> ## Documentation Index > Fetch the complete documentation index at: https://docs.getrivet.ca/llms.txt > Use this file to discover all available pages before exploring further. # Specialized measures — perinatal, emotion regulation, alliance, mindfulness, suicide screen > Five measures that do not fit the broad screening families — EPDS, DERS-18, WAI-SR, MAAS and the ASQ. What each is for and when a general instrument will not do. These five sit apart from the depression-and-anxiety screens because each answers a question a general instrument cannot. They are not a category so much as a set of specific tools for specific moments. ## What each one is for **[EPDS](/clinical-templates/specialized/epds) — perinatal depression.** The PHQ-9 is a poor fit in pregnancy and postpartum, because several of its items (sleep, appetite, fatigue) are confounded by the pregnancy itself. The EPDS was built to avoid exactly that. **[DERS-18](/clinical-templates/specialized/ders-18) — emotion regulation.** Six subscales covering awareness, clarity, non-acceptance, impulse control, goal-directed behaviour and access to strategies. The measure to reach for when the presenting problem is *how* a client responds to distress rather than how much of it there is. **[WAI-SR](/clinical-templates/specialized/wai-sr) — the therapeutic alliance.** Twelve client-rated items on task agreement, goal agreement and bond. The only measure here that is about you rather than the client, and the only one whose result you may not enjoy reading. **[MAAS](/clinical-templates/specialized/maas) — dispositional mindfulness.** Present-moment attention as a trait. Useful as a pre/post around mindfulness-based work, and it uses an inverted response scale — read the scoring note before interpreting a high number. **[ASQ](/clinical-templates/specialized/asq) — suicide screen.** NIMH's brief four-item screen with an acute-risk follow-up. Short enough to use as a routine screen rather than only when you already suspect risk. ## The alliance measure is worth using more than it is Of the five, the WAI-SR is the one most likely to change what you do next session, and the one most often skipped. A rupture usually shows up in the goal and task subscales before it shows up in the room. ## When a general measure will do instead Do not reach here first. If the question is "how depressed is this client", the [PHQ-9](/clinical-templates/screening/phq-9) is the answer. If it is "how anxious", the [GAD-7](/clinical-templates/screening/gad-7). These five earn their place when the general instrument would be confounded, or would miss the thing you are actually tracking. ## The five measures Perinatal depression — validated through pregnancy and the first postpartum year. Emotion-regulation difficulties across six subscales. The DBT tracking standard. The therapeutic alliance, rated by the client. Task, goal and bond. Dispositional mindfulness. Note the inverted response scale. NIMH's four-item suicide screen, with an acute-risk follow-up. ## Related articles All seventy-one templates, and how they are organised. Safety planning and protective factors, where risk is the presenting concern.