The Mood Disorder Questionnaire

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?

NO

YES
 

2. Has there ever been a period of time when you were not your usual self... and you were so irritable that you shouted at people or started fights or arguments?

NO

YES
 

3. Has there ever been a period of time when you were not your usual self... and you felt much more self-confident than usual?

NO

YES
 

4. Has there ever been a period of time when you were not your usual self... and you got much less sleep than usual and found you didn\92t really miss it?

NO

YES
 

5. Has there ever been a period of time when you were not your usual self... and you were much more talkative or spoke much faster than usual?

NO

YES
 

6. Has there ever been a period of time when you were not your usual self... and thoughts raced through your head or you couldn\92t slow your mind down?

NO

YES
 

7. Has there ever been a period of time when you were not your usual self... and you were so easily distracted by things around you that you had trouble concentrating or staying on track?

NO

YES
 

8. Has there ever been a period of time when you were not your usual self... and you had much more energy than usual?

NO

YES
 

9. Has there ever been a period of time when you were not your usual self... and you were much more active or did many more things than usual?

NO

YES
 

10. Has there ever been a period of time when you were not your usual self... and you were much more social or outgoing than usual, for example, you telephoned friends in the middle of the night?

NO

YES
 

11. Has there ever been a period of time when you were not your usual self... and you were much more interested in sex than usual?

NO

YES
 

12. Has there ever been a period of time when you were not your usual self... and you did things that were unusual for you or that other people might have thought were excessive, foolish, or risky?

NO

YES
 

13. Has there ever been a period of time when you were not your usual self... and spending money got you or your family into trouble?

NO

YES
 

14. Did you ever experience several of these above mentioned questions and statements during the same period of time.

NO

YES
 

15. 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?

No Problem

Minor Problem Moderate Problem Serious Problem

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