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Wisest Elder Ever
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Join Date: Aug 2006
Location: cajun country, lafayette Louisiana
Posts: 24,238
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Wisest Elder Ever
Join Date: Aug 2006
Location: cajun country, lafayette Louisiana
Posts: 24,238
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screening tool
PsychEducation.org ( home)
Hypomania/Mania Symptom Checklist (HCL-32)
(Journal of Affective Disorders 2005, Angst and colleagues) The HCL-32 is a screening tool for researchers trying to find people with bipolar disorder. This is one of the better "complete but simple" lists of manic-side symptoms. It's a good "fine-tooth comb" when people want to inventory all possible hypomanic symptoms, usually in the context of asking "do I really have bipolar disorder?" ( Download pdf of symptom list only)
Remember, however, that this is not exactly the right question. As at the Harvard bipolar clinic, we should instead be asking "how much bipolarity might you have?" In that clinic's Bipolarity Index, you'll note that hypomania or mania only account for up to 1/5th of the possible score; the other 4/5th's of the total 100 points possible come from other factors such as family history, age of onset of depression, course of the depressions since, and response to medications.
Thus you should not look at the HCL as a "yes or no" tool for detecting bipolar disorder. It's simply a handy way to check what should be checked when looking for hypomania or mania -- which is just one part of the story. Okay, with that reminder, here we go.
HCL-32 At different times in their life everyone experiences changes or swings in energy, activity and mood ("highs and lows" or "ups and downs"). The aim of this questionnaire is to assess the characteristics of the "high" periods.
1. First of all, how are you feeling today compared to your usual state? Much worse than usual Worse than usual A little worse than usual Neither better nor worse than usual
A little better than usual Better than usual Much better than usual
2. Compared to other people, my level of activity energy and mood: (Not how you feel today, but how you are on average) is always rather stable and even is generally higher is generally lower repeatedly shows periods of ups and downs
3. Please try to remember a period when you were in a "high" state (while not using drugs or alcohol). In such a state: - I need less sleep
- I feel more energetic and more active
- I am more self-confident
- I enjoy my work more
- I am more sociable (make more phone calls, go out more)
- I want to travel and/or do travel more
- I tend to drive faster or take more risks when driving
- I spend more money/too much money
- I take more risks in my daily life (in my work and/or other activities)
- I am physically more active (sport etc.)
- I plan more activities or projects.
- I have more ideas, I am more creative
- I am less shy or inhibited
- I wear more colourful and more extravagant clothes/make-up
- I want to meet or actually do meet more people
- I am more interested in sex, and/or have increased sexual desire
- I am more flirtatious and/or am more sexually active
- I talk more
- I think faster
- I make more jokes or puns when I am talking
- I am more easily distracted
- I engage in lots of new things
- My thoughts jump from topic to topic
- I do things more quickly and/or more easily
- I am more impatient and/or get irritable more easily
- I can be exhausting or irritating for others
- I get into more quarrels
- My mood is higher, more optimistic
- I drink more coffee
- I smoke more cigarettes
- I drink more alcohol
- I take more drugs (sedatives, anti-anxiety pills, stimulants)
The remaining questions ask how these "highs" affect your life (positively or negatively); other people's reactions to them; how long they last; whether you've had one recently; and how much of the last year has been spent in such a state.
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. Hattie the black and white one wrestling with hazel, calico. lost hattie to cancer.....
Happiness is a decision....
150mg of lamictal 2x a day
haldol 5mg 2x a day
1mg of cogentin 2x a day
klonipin , 1mg at night
I will not give up in this weight loss journey, nor this need to be AF. 3-19-13=156, 6-7-13=139, 8-19-13=149, 11-12-13=140, 6-28-14=157, 7-24-14=149, 9-24-14=144, 1-12-15=164, 2-28-15=149, 4-21-15=143, 6-26-15=138.5, 7-22-15=146, 8-24-15=151, 9-15-15=145, 11-1-15=137, 11-29-15=143, 1-4-16=152, 1-26-16=144, 2-24-16=150, 8-15-16=163, 1-4-17=169, 9-20-17=174, 11-17-17=185.6, 3-22-18=167.9, 8-31-18= 176.3, 3-6-19=190.8 5-30-20=176, 1-4-21=202, 10-4-21= 200.8,12-10-21=186, 3-26-22=180.3, 7-30-22=188, 10-15-22=180.9,
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