Type 1 diabetes is one of the most common chronic diseases among adolescents, caused by destruction of the insulin-producing beta cells in the pancreas. Chronic diseases are associated with stressors related to disease burden. For type 1 diabetics, stressors are related to fear of high or low blood sugars, monitoring their blood glucose multiple times a day, and maintaining a healthy diet and exercise regimen. Individuals with Type 1 diabetes also worry about the effect that the disease will have on their future health. Adolescents are already struggling with the transition from childhood to adulthood, searching to find their identity and navigate peer pressure, with the added pressure of managing a chronic disease. The PHQ9:Modified for Teens is a commonly used and validated tool used to screen for depression and anxiety as well as risk for self-harm behaviors. This took is currently used in the UBMD Pediatric Diabetes clinics to evaluate adolescents for mood disorders. However, this tool may not be thorough enough to evaluate other aspects of diabetes distress in the clinic setting. We plan to administer the PAID-T survey to evaluate specifically for diabetes related distress and compare the findings from both tools to assess the relationship between mood disorders, diabetes distress, and glycemic control.