Bipolar Self-assesment Questionnaire

1. Have you had episodes of clinical depression - involving a period of at least two weeks where you were significantly depressed and unable to work or only able to work with difficulty - and had at least four of the following?:

  • Loss of interest and pleasure in most things
  • Appetite or weight change
  • Sleep disturbance
  • Physical slowing or agitation
  • Fatigue or low energy
  • feeling hopeless or helpless
  • Poor concentration
  • Suicidal thoughts
  • NO

    YES
     

    2. Do you have times when your mood 'cycles', that is, do you experience ups as well as depressive episodes?

    NO

    YES
     

    3. During these ups do you feel more wired and hyper than you would experience during times of normal happiness?

    No more than usual

    Somewhat more than usual Much more than usual
     

    4. During these up times did you... feel more confident and capable than usual?

    No more than usual

    Somewhat more than usual Much more than usual
     

    5. During these up times did you... see things in a new and exciting light?

    No more than usual

    Somewhat more than usual Much more than usual
     

    6. During these up times did you... feel very creative with lots of ideas and plans?

    No more than usual

    Somewhat more than usual Much more than usual
     

    7. During these up times did you... become over-involved in new plans and projects?

    No more than usual

    Somewhat more than usual Much more than usual
     

    8. During these up times did you... become totally confident that everything you do will succeed?

    No more than usual

    Somewhat more than usual Much more than usual
     

    9. During these up times did you... feel that things are very vivid and crystal clear?

    No more than usual

    Somewhat more than usual Much more than usual
     

    10. During these up times did you... spend or whish to spend significant amounts of money?

    No more than usual

    Somewhat more than usual Much more than usual
     

    11. During these up times did you... find that your thoughts race?

    No more than usual

    Somewhat more than usual Much more than usual
     

    12. During these up times did you... notice lots of coincidences occurring?

    No more than usual

    Somewhat more than usual Much more than usual
     

    13. During these up times did you... note that your senses are heightened and your emotions intensified?

    No more than usual

    Somewhat more than usual Much more than usual
     

    14. During these up times did you... work harder, being much more motivated?

    No more than usual

    Somewhat more than usual Much more than usual
     

    15. During these up times did you... feel one with the world and nature?

    No more than usual

    Somewhat more than usual Much more than usual
     

    16. During these up times did you... believe that things possess a special meaning?

    No more than usual

    Somewhat more than usual Much more than usual
     

    17. During these up times did you... say quite outrageous things?

    No more than usual

    Somewhat more than usual Much more than usual
     

    18. During these up times did you... feel \91high as a kite\92, elated, ecstatic and \91the best ever\92?

    No more than usual

    Somewhat more than usual Much more than usual
     

    19. During these up times did you... feel irritated?

    No more than usual

    Somewhat more than usual Much more than usual
     

    20. During these up times did you... feel quite carefree, not worried about anything?

    No more than usual

    Somewhat more than usual Much more than usual
     

    21. During these up times did you... have much increased interest in sex? (In thought and/or action)

    No more than usual

    Somewhat more than usual Much more than usual
     

    22. During these up times did you... feel very impatient with people?

    No more than usual

    Somewhat more than usual Much more than usual
     

    23. During these up times did you... laugh more and find lots of things humorous?

    No more than usual

    Somewhat more than usual Much more than usual
     

    24. During these up times did you... read special significance into things?

    No more than usual

    Somewhat more than usual Much more than usual
     

    25. During these up times did you... talk over people?

    No more than usual

    Somewhat more than usual Much more than usual
     

    26. During these up times did you... have quite mystical experiences?

    No more than usual

    Somewhat more than usual Much more than usual
     

    27. During these up times did you... do fairly outrageous things?

    No more than usual

    Somewhat more than usual Much more than usual
     

    28. During these up times did you... sleep less and not feel tired?

    No more than usual

    Somewhat more than usual Much more than usual
     

    29. During these up times did you... sing or whistle?

    No more than usual

    Somewhat more than usual Much more than usual
     

    30. During these up times did you... feel angry?

    No more than usual

    Somewhat more than usual Much more than usual
     

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