Children_on_the_horizon
QUESTIONNAIRE 

THIS DOCUMENT IS NOT INTENDED FOR SELF-DIAGNOSIS, BUT RATHER AS A TOOL TO ASSIST YOUR DECISION TO SEEK FURTHER MEDICAL INVESTIGATION.

PLEASE SCORE YOUR REPLIES FROM 1 TO 4 AS FOLLOWS:


1=  NEVER OR RARELY

2=  SOMETIMES

3=  FREQUENTLY

4=  OFTEN/ALWAYS


THE CHILD.................

1.  Battles to settle down at night

2.  Becomes more hyperactive at night

3.  Battles to fall asleep or fights sleep

4.  Suffers from nightmares of a gory nature

5.  Wakes up with night terrors/ fears

6.  Wets the bed

7.  Wants to sleep in your bed or wants you to sleep with them

8.  Avoids going to bed

9.  Has difficulty waking up or getting out of bed inthe morning

10. Avoids going to school

11. Displays anxiety when away from a parent

12. Demands your undivided attention

13. Becomes distressed when you pay attention to
          other children

14. Accuses you of loving others more

15. Interrupts your conversations constantly to draw
           your attention to him/ her

16. Prefers to be in adult company

17. Becomes rude or argumentative when you are with other people

18. Argues with adults

19. Bossy towards you and others

20. Refuses/resists following rules or to carry out instructions
21. Blames others for his/ her mistakes

22. Tells fibs or lies to avoid personal consequences
23. Has aggressive behavior towards you or others

24. Worries or displays anxiety frequently

25. Has a low self esteem

26. Has difficulty maintaining friendships

27. Blames others for being angry/ sad/ irritated

28. Becomes annoyed easily

29. Complains frequently of boredom

30. Becomes irritated at having to wait for something

31. Seeks instant gratification

32. is generally worried and/or anxious

33. is able at times to focus on a subject of interest for hours and others not even for a few minutes 

34. gets distracted easily when doing repetitive lessons or games

35. has extreme sensitivity to light and noise

36. Complains of feeling hot, when the temperature is neutral

37. is extremely sensitive to the feel of fabric,clothes 
38. has a problem in estimating time

39. has difficulty placing a value on money

40. has phases of wanting to shop constantly 
41. complains frequently of having no                                  clothes/toys/games

42. has difficulty tolerating change or transition

43. has short term memory and has difficulty remembering lessons and instructions
44. has poor handwriting

45. displays extreme stress or anxiety when given a project to complete for school

46. displays extreme stress when given a deadline to complete something

47. tries to avoid doing homework

48. is not able to do homework or study for long periods

49. in unable to concentrate at school

50. is sensitive to the child sitting next to them in class
51. thinks he/she can do a better job than the teacher

52. thinks his/her teacher is stupid

53. complains of being bored at school

54. feels school is pointless

55. has high energy levels and becomes silly and goofy

56. displays risky behaviour and difficulty in evaluating consequences

57. displays precocious sexual curiosity

58. touches self or others inappropriately

59. has extreme mood swings, from irritation to elation to sadness

60. displays rapid mood changes

61. has many ideas at once

62. interrupts others frequently

63. has periods of very low energy and withdraws into self

64. feels easily humiliated or ashamed

65. becomes tearful easily

66. considers that everyone is judging him/her

67. Feels rejected often

68. fidgets and has difficulty sitting still

69. makes threats to self or others

70. makes clear threats of violence

71. makes clear threats of suicide

72. admits to “seeing, or hearing” things 
73. has destroyed property, banged doors and thrown objects
74. refuses to be subordinated by others

75. displays fearfulness or insecurity in a social setting

76. hoards objects or food

77. craves carbohydrates and sweets

78. displays signs of paranoia

If you have scored mostly in the 3 or 4 range, then it is strongly advisable that you seek further medical assistance and advice. Choosing your doctor is of paramount importance however, and when you phone for an appointment, we suggest you ask the question of how the specialist views childhood onset bipolar. Even though this may not be the final diagnosis, at least allow yourself to be seen by a doctor who is cognisant and knowledgable about the disorder.

If you are not sure how to answer any of the above questions, you might consider turning the question to your child and finding out directly from him/her. We suggest, for example:

XXX, I know this child who sometimes punches the wall, do you ever feel that you would like to, or have you ever done that?




 

 
 

boy_lying_down_looking

PEACE IS NOT
 SOMETHING YOU WISH FOR
IT'S SOMETHING YOU MAKE
SOMETHING YOU DO
SOMETHING YOU ARE
AND
SOMETHING YOU GIVE AWAY

~Robert Fulgham

 
 PLEASE USE OUR SITE MAP TO FIND SUB PAGES.
  Site Map