Skip to main content
Hit enter to search or ESC to close
Close Search
Menu
Home
About
Psychiatry
Services
Pricing
Contact Us
Patient Login
MDQ
Please enable JavaScript in your browser to complete this form.
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?
Yes
No
you were so irritable that you shouted at people or started fights or arguments?
Yes
No
you felt much more self-confident than usual?
Yes
No
you got much less sleep than usual and found you didn’t really miss it?
Yes
No
you were much more talkative or spoke faster than usual?
Yes
No
thoughts raced through your head or you couldn’t slow your mind down?
Yes
No
you were so easily distracted by things around you that you had trouble concentrating or staying on track?
Yes
No
you had much more energy than usual?
Yes
No
you were much more active or did many more things than usual?
Yes
No
you were much more social or outgoing than usual, for example, you telephoned friends in the middle of the night?
Yes
No
you were much more interested in sex than usual?
Yes
No
you did things that were unusual for you or that other people might have thought were excessive, foolish, or risky?
Yes
No
spending money got you or your family in trouble?
Yes
No
If you checked YES to more than one of the above, have several of these ever happened during the same period of time?
Yes
No
If you checked YES to more than one of the above, have several of these ever happened during the same period of time? (copy)
Yes
No
PLEASE SELECT ONE CHOICE BELOW
No Problem
Minor Problem
Moderate problem
Serious Problem
PLEASE EXPLAIN BELOW
EXPLAIN
Have any of your blood relatives (ie, children, siblings, parents, grandparents, aunts, uncles) had manic-depressive illness or bipolar disorder?
Yes
No
If so, who?
Has a health professional ever told you that you have manic-depressive illness or bipolar disorder?
Yes
No
If so, when and where were you evaluated for this?
How to Score
Answers Yes to 7 or more of the events in question #1
Answers Yes to question #2
Answers Moderate problem or Serious problem to question #3
Further medical assessment for bipolar disorder is clearly warranted if patient:
Submit
Close Menu
Home
About
Psychiatry
Services
Pricing
Contact Us
Patient Login
schedule your appointment
deneme bonusu veren siteler
deneme bonusu
bonus veren siteler
deneme bonus siteleri
porn