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BIPOLAR TEST
This test will help our psychologist determine if you are dealing with Bipolar Disorder and how we can help.
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1. Has there ever been a period of time when you were not your usual self and you felt so good or hyper that other people thought you were not your normal self or were so hyper that you got into trouble?
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Yes
No
2. Has there ever been a period of time when you were so irritable that you shouted at people or started fights or arguments?
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Yes
No
3. Has there ever been a period of time when you felt much more self-confident than usual?
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Yes
No
4. Has there ever been a period of time when you got much less sleep than usual and found you didn’t really miss it?
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Yes
No
5. Has there ever been a period of time when you were much more talkative or spoke much faster than usual?
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Yes
No
6. Has there ever been a period of time when thoughts raced through your head or you couldn’t slow your mind down?
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Yes
No
7. Has there ever been a period of time when you were so easily distracted by things around you that you had trouble concentrating or staying on track?
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Yes
No
8. Has there ever been a period of time when you had much more energy than usual?
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Yes
No
9. Has there ever been a period of time when you were much more social or outgoing than usual, for example, you telephoned friends in the middle of the night?
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Yes
No
10. Has there ever been a period of time when you were much more interested in sex than usual?
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Yes
No
11. Has there ever been a period of time when you did things that were unusual for you or that other people might have thought were excessive, foolish, or risky?
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Yes
No
12. Has there ever been a period of time when spending money got you or your family into trouble?
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Yes
No
13. If you checked YES to more than one of the above, have several of these ever happened during the same period of time?
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Yes
No
14. 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?
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NO PROBLEM
MINOR PROBLEMS
MODERATE PROBLEMS
SERIOUS PROBLEMS
Required
15. Have any of your blood relatives had manic-depressive illness or bipolar disorder? i.e. Children, siblings, parents, grandparents, aunts, and uncles.
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Yes
No
Would you like our psychologist to contact you after this test for further evaluation and free mental health services? We provide FREE counselling services to members of the community with emotional, sexual, behavioural or any psychological issues, through either on one or group therapy sessions.
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Yes
No
If you answered yes above, please provide a phone number we can reach you on.
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