Self-Assessments

Assessment - BIPOLAR

Has changes in your child’s mood affected them in a negative manner?


Section - General

Please complete this self-assessment if changes in your child’s mood are not directly caused by a general medical condition or any physiological effects of a substance.

 

Over the past two months or longer, how often have you noticed or been concerned about any of the following statements in your child?



Question Almost Never Sometimes Often Very Often
1: My child’s mood and energy levels shift from time to time; from having boundless energy and feeling excessively elated or optimistic at times, to feeling irritable, fatigued, excessively sad, empty or hopeless at other times
2: My child seems significantly more self-confident, capable and carefree than usual
3: My child is rested and full of energy even when he or she gets a lot less sleep that usual (e.g. 3 hours or less per day)
4: At times my child is much more talkative or speaks a lot faster than usual, and may interrupt people while they are talking
5: My child is unable to slow their mind down or thinks faster than what he or she can speak
6: My child has difficulty focusing for prolonged periods or gets easily distracted by outside interference, influences or disruptions
7: My child is much more motivated than usual, works a lot harder, gets many new ideas, or gets very involved with planning or participating in multiple activities, such as work, academics, social or sexual activities
8: My child engages in reckless activities even though these activities may result in very bad consequences for him or her
9: Close friends, relatives, teachers or I have noticed times when my child did not seem like themself or that my child did or said things that were unusual, excessive, risky or annoying
10: The changes in my child’s mood is having a negative impact on certain aspects of their life, school or relationships
11: My child has been hospitalised before because of the negative impact the changes in their mood has caused
12: My child has had a significant loss of interest or pleasure in most things
13: My child has had a reduced appetite or ate far more than usual, or had a significant weight gain or loss
14: My child has trouble falling or staying asleep, or slept much more than usual
15: My child’s movements, speach or mental function seem slow at times, or the opposite, my child feels agitated, irritable and restless
16: My child feels worthless, guilty or negative about himself or herself
17: My child battles to think, concentrate, make decisions or complete tasks
18: My child has expressed that life is not worth living, or has planned or attempted suicide before