Parent Version of the Young Mania Rating Scale (PYMRS)
Patients Name
First Name
Last Name
Patients Date Of Birth
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Mood - Is your child’s mood higher (better) than usual?
*
No
Mildly or possibly increased
Definite elevation- more optimistic, self-confident; cheerful; appropriate to their conversation
Elevated but inappropriate to content; joking, mildly silly
Euphoric; inappropriate laughter; singing/making noises; very silly
Motor Activity/Energy - Does your child’s energy level or motor activity appear to be greater than usual?
*
No
Mildly or possibly increased
More animated; increased gesturing
Energy is excessive; hyperactive at times; restless but can be calmed
Very excited; continuous hyperactivity; cannot be calmed
Sexual Interest - Is your child showing more than usual interest in sexual matters?
*
No
Mildly or possibly increased
Definite increase when the topic arises
Talks spontaneously about sexual matters; gives more detail than usual; more interested in girls/boys than usual
Has shown open sexual behavior- touching others or self inappropriately
Sleep - Has your child’s sleep decreased lately?
*
No
Sleeping less than normal amount by up to one hour
Sleeping less than normal amount by more than one hour
Need for sleep appears decreased; less than four hours
Denies need for sleep; has stayed up one night or more
Irritability - Has your child appeared irritable?
*
No more than usual
More grouchy or crabby
Irritable openly several times throughout the day; recent episodes of anger with family, at school, or with friends
Frequently irritable to point of being rude or withdrawn
Hostile and uncooperative about all the time
Speech (rate and amount) - Is your child talking more quickly or more than usual?
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No change
Seems more talkative
Talking faster or more to say at times
Talking more or faster to point he/she is difficult to interrupt
Continuous speech; unable to interrupt
Thoughts - Has your child shown changes in his/her thought patterns?
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No
Thinking faster; some decrease in concentration; talking “around the issue”
Distractible; loses track of the point; changes topics frequently; thoughts racing
Difficult to follow; goes from one idea to the next; topics do not relate; makes rhymes or repeats words
Not understandable; he/she doesn’t seem to make any sense
Content - Is your child talking about different things than usual?
*
No
He/she has new interests and is making more plans
Making special projects; more religious or interested in God
Thinks more of him/herself; believes he/she has special powers; believes he/she is receiving special messages
Is hearing unreal noises/voices; detects odors no one else smells; feels unusual sensations; has unreal beliefs
Disruptive-Aggressive Behavior - Has your child been more disruptive or aggressive?
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No; he/she is cooperative
Sarcastic; loud; defensive
More demanding; making threats
Has threatened a family member or teacher; shouting; knocking over possessions/furniture or hitting a wall
Has attacked family member, teacher, or peer; destroyed property; cannot be spoken to without violence
Appearance - Has your child’s interest in his/her appearance changed recently?
*
No
A little less or more interest in grooming than usual
Doesn’t care about washing or changing clothes, or is changing clothes more than three time a day
Very messy; needs to be supervised to finish dressing; applying makeup in overly done or poor fashion
Refuses to dress appropriately; wearing bizarre styles
Insight - Does your child think he/she needs help at this time?
*
Yes; admits difficulties and wants treatment
Believes there might be something wrong
Admits to change in behavior but denies he/she needs help
Admits behavior might have changed but denies need for help
Denies there have been any changes in his/her behavior/thinking
Parents Name
First Name
Last Name
Signature
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