MDQ Bipolar Screening
Inland Empire Behavioral Group Nursing Corp.
A brief screening tool that helps your provider explore mood patterns. Your responses are a starting point for a fuller conversation, not a diagnosis.
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1. Has there ever been a period of time when you were not your usual self and...
For each statement below, mark Yes or No.
...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?
...You were so irritable that you shouted at people or started fights or arguments?
...You felt much more self-confident than usual?
...You got much less sleep than usual and found you didn't really miss it?
...You were much more talkative or spoke faster than usual?
...Thoughts raced through your head, or you couldn't slow your mind down?
...You were so easily distracted by things around you that you had trouble concentrating or staying on track?
...You had much more energy than usual?
...You were much more active or did many more things than usual?
...You were much more social or outgoing than usual, for example, you telephoned friends in the middle of the night?
...You were much more interested in sex than usual?
...You did things that were unusual for you, or that other people might have thought were excessive, foolish, or risky?
...Spending money got you or your family in trouble?
2. If you marked Yes to more than one of the above, did several of them happen during the same period of time?
3. How much of a problem did any of these cause you (work, family, money, legal trouble, arguments)?
4. Have any of your blood relatives ever had manic-depressive illness or bipolar disorder?
5. Has a healthcare professional ever told you that you have manic-depressive illness or bipolar disorder?
This screening is a starting point, not a diagnosis. Your provider will go over the results with you.
Having trouble with the form? Give us a call at (909) 300-0661. We're happy to help.
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