Mood Disorder Questionnaire

Everything In Life!

Mood Disorder Questionnaire

Back to Recognizing Bipolar Disorder

Mood Disorder Questionnaire

If you think you may have bipolar disorder, this Mood Disorder Questionnaire (MDQ) may help.

The MDQ is a 13-item checklist developed by Robert M. A. Hirschfeld, MD, and published in the American Journal of Psychiatry. The questionnaire is designed to help your healthcare provider determine what type of mood disorder you may be experiencing.

Just click the circle next to your answer. Then print out the questionnaire and give it to your healthcare provider.

The answers you provide are not being stored or analyzed by this Web site. This questionnaire is not intended to give you a diagnosis. Only your healthcare provider can give you an accurate diagnosis.

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?

Yes No

.... you were so irritable that you shouted at people or started fights or arguments?

Yes No

.... you felt much more self-confident than usual?

Yes No

.... you got much less sleep than usual and found you didn't really miss it?

Yes No

.... you were much more talkative or spoke much faster than usual?

Yes No

.... thoughts raced through your head or you couldn't slow your mind down?

Yes No

.... you were so easily distracted by things around you that you had trouble concentrating or staying on track?

Yes No

.... you had much more energy than usual?

Yes No

.... you were much more active or did many more things than usual?

Yes No

.... you were much more social or outgoing than usual, for example, you telephoned friends in the middle of the night?

Yes No

.... you were much more interested in sex than usual?

Yes No

.... you did things that were unusual for you or that other people might have thought were excessive, foolish, or risky?

Yes No

.... spending money got you or your family into trouble?

Yes No

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

Yes No

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 select one response only.

No Problem Minor Problem Moderate Problem Serious Problem

~Adapted with permission from Robert M. A. Hirschfeld, MD

You may print this page with your included answers or download the document in PDF document style. Then print it and take it to your doctor.

Download Questionnaire in PDF

We depend on your donations. Anything you can give is greatly appreciated.