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The Mood Disorder Questionnaire: Instructions

The Mood Disorder Questionnaire is a screening tool designed to assess symptoms related to mood disorders, particularly manic-depressive illness or bipolar disorder. It includes a series of yes/no questions about mood changes, behavior, and familial history of mood disorders. The questionnaire is not intended for diagnostic purposes and should be used solely for screening.

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26 views1 page

The Mood Disorder Questionnaire: Instructions

The Mood Disorder Questionnaire is a screening tool designed to assess symptoms related to mood disorders, particularly manic-depressive illness or bipolar disorder. It includes a series of yes/no questions about mood changes, behavior, and familial history of mood disorders. The questionnaire is not intended for diagnostic purposes and should be used solely for screening.

Uploaded by

viktoryia.dziska
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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THE MOOD DISORDER QUESTIONNAIRE

Instructions: Please answer each question to the best of your ability.

YES NO
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?
...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 much 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 into trouble? " "

2. If you checked YES to more than one of the above, have several of these " "
ever happened during the same period of time?

3. 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?
Please circle one response only.
No Problem Minor Problem Moderate Problem Serious Problem

4. Have any of your blood relatives (i.e. children, siblings, parents, grandparents, " "
aunts, uncles) had manic-depressive illness or bipolar disorder?

5. Has a health professional ever told you that you have manic-depressive illness " "
or bipolar disorder?

© 2000 by The University of Texas Medical Branch. Reprinted with permission. This instrument is designed for screening purposes only and is not to be used as a diagnostic tool.

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