Mania

Elated, euphoric mood (Periods where you feel energized and productive, but you may not actually complete the task at hand)? Yes No

Irritable mood (Become short tempered easily, or starting physical fights or confrontation in public)? Yes No

Inflated self-esteem or grandiosity (Feeling that you can do anything, or be involved in more promiscuous social activity)? Yes No

Decreased need for sleep without feeling of being tired? Yes No

Talkativeness? Yes No

Flight of ideas or racing thoughts Yes No

Increase in goal-directed activity (Starting a home business or other aspiration, without thinking of the long term sustainability)? Yes No

Excessive involvement in pleasurable activities that have a high potential for painful consequences, but doing it anyways? Yes No

Impulsivity (Taking unplanned trips, doing things outside of your normal character)? Yes No

Excessive spending with no thought for the consequences? Yes No

Depression

Periods of depression with sadness, loneliness and hopelessness? Yes No

Loss of interest or pleasure in activities? Yes No

Changes in weight or appetite? Yes No

Feeling of guilt or worthlessness? Yes No

Trouble concentrating or remembering things? Yes No

Trouble getting enough sleep, or sleeping all of the time? Yes No

Fatigue or loss of energy? Yes No

Thoughts of death or suicide? Yes No

Tendency to isolate? Yes No

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