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Home
Working with me
Courses
Become A Specialist
Short Courses
Vondas Picks
Blog
Media
Contact
Sign In
My Account
Name
*
First Name
Last Name
Email Address
*
Are you 'moody'? Do your negative moods come and go somewhat unpredictably, and not always in reaction to a particular interaction or event?
YES
NO
Do your mood changes occur only when you skip meals, eat poorly, in winter, or before your menstrual period?
YES
NO
Do your moods vary quite a bit?
YES
NO
If yes, please explain.
Do your moods change significantly during a single day?
YES
NO
If yes, how often?
Do they change significantly during a week?
YES
NO
How many times per week?
Do they change significantly during the month?
YES
NO
How many times per month?
Do they change significantly during the year?
YES
NO
How many times per year?
How many episodes of depression have you had in your lifetime?
Do you have episodes of anxiety
YES
NO
Do you have episodes of agitation?
YES
NO
Do you have episodes of anger/ irritability?
YES
NO
How old were you when you began to have mood swings, episodes of depression, or other mood or sleep problems?
Is your mental energy very high most of the time?
YES
NO
Is your physical energy very high most of the time?
YES
NO
Do others say you talk too much?
YES
NO
Do you have periods when you feel...
Check all that apply.
"High"
Sleepless
Very creative
Angry
Irritable
Mind races
Over-energized
Manic
Oversexed
Do any of these occur frequently?
Do you have a hard time controlling your mood?
YES
NO
Do you have a hard time controlling your spending?
YES
NO
Do other people complain about your changing moods?
YES
NO
Have any of your family members had any of the symptoms from the above questions?
YES
NO
Have any of the above symptoms started, changed, or intensified after you started to take an antidepressant drug?
YES
NO
Have you ever been suicidal?
YES
NO
Attempts?
YES
NO
Has anyone in your family been suicidal?
YES
NO
Attempts?
YES
NO
Have you ever had a psychiatric hospitalization?
YES
NO
Has a family member ever had a psychiatric hospitalization?
YES
NO
Have you been/are you currently on mood 'stabilizing' medications?
Check any of the following.
Lamictal
Depakote
Lithium
Geodon
Seroquel
Abilify
Other
If other, which medication?
Thank you!
