Activate the Cat Mood State Rubric:
For evaluating Residents State of Mood.
Date form completed:
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Month
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Day
Year
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Name Of Resident
First Name
Last Name
Room Number
For Group sessions those present were:
Predominant Internal State is:
Rows
Disagree
Agree
Euthymic.( A normal non-depressed, reasonably positive mood
Dysphoric.( An unpleasant or uncomfortable mood.)
Euphoric. (A profound sense of well-being.)
Angry. (having been offended, wronged or denied)
Anxious. ('to vex or trouble';)
Apathetic. ( Is a state of indifference)
Anhedonia. (inability to experience pleasure from activities formerly found enjoyable eg Hobbies)
Alexithymic. (describes a state of deficiency in understanding Emotions)
Give a rating as to how accurate you think this is:
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AFFECT labels the apparent emotion conveyed as the person's nonverbal behavior (anxious, sad etc.),
Rows
No
Yes
Appropriateness. (Justification of Effect)
Intensity. (Is it the Correct Amount)
Range. (Is It the Correct Amount)
Reactivity ( Is It Normaly this?)
Mobility. (The extent to which affect, mood, changes during an Episode)
Blunted affect (Schizophrenia, depression or post-traumatic stress disorder)
Heightened affect.= (Mania, and an overly dramatic
Exaggerated affect.= (Personality disorders)
Give a rating as to how accurate you think this is:
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The resident/s, are particularly prone to these Mood states at this time.
persistent feelings of sadness
feeling hopeless or helpless
having low self-esteme
feeling inadequate
excessive guilt
feelings of wanting to die
loss of interest
difficaulty with relationships
sleep disterbencies
changes in appetite or weight
decrease energy
difficaulty concentrating
decrease in ability to make decisions
suicidel thoughts or attempts
frequent physical complaints
running away or trying to leave
hypersensibility to failure
irritability, hostility, aggression
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