• Mood Disorder Questionnaire

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  • The Mood Disorder Questionnaire

    Instructions: Please answer each question to the best of your ability.

    1. Has there ever been a period of time when you were not your usual self and . . .

  • . . . you felt so good or so hyper that other people thought you were not your normal self or you were so hyper that you got into trouble?
  • . . . you were so irritable that you shouted at people or started fights or arguments?
  • . . . you felt much more self-confident than usual?
  • . . . you got much less sleep than usual and found you didn't really miss it?
  • . . . you were much more talkative or spoke much faster than usual?
  • . . . thoughts raced through your head or you couldn't slow your mind down?
  • . . . you were so easily distracted by things around you that you had trouble concentrating or staying on track?
  • . . . you had much more energy than usual?
  • . . . you were much more active or did many more things than usual?
  • . . . you were much more social or outgoing than usual, for example, you telephoned friends in the middle of the night?
  • . . . you were much more interested in sex than usual?
  • . . . you did things that were unusual for you or that other people might have thought were excessive, foolish, or risky?
  • . . . spending money got you or your family into trouble?
  • 2. If you checked YES to more than one of the above, have several of these ever happened during the same period of time?
  • 3. How much of a problem did any of these cause you - like being unable to work; having family; money or legal troubles; getting into arguments or fights?
  • 4. Have any of your blood relatives (i.e. children, siblings, parents, grandparents, aunts, uncles) had manic-depressive illness or bipolar disorder?
  • 5. Has a health professional ever told you that you have manic-depressive illness or bipolar disorder?
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