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Bipolar Mood Disorder Assessment

This questionnaire may be used as a starting point for the detection of bipolar disorder. It is not a substitute for a full medical evaluation. Bipolar disorder is a complex illness, and an accurate, thorough diagnosis can only be made through a personal evaluation by your clinician. Please answer all questions as honestly and openly as possible. If you are taking this on behalf of a loved one, please note that all of these questions will be phrased as if that person were taking this screening. If suggested, contact us as soon as you can.

Please note, this screening does not serve as a diagnosis tool but can aid your clinician in determining our recommended course of action.


Further medical assessment for bipolar disorder is clearly warranted if you:

  • Answer “Yes” to 7 or more of the events
    in question #1
  • AND, answer “Yes” to question #2
  • AND, answers Moderate problem or Serious
    problem to question #3

Adapted from Hirschfeld R, Williams J, Spitzer RL, et al. Development and validation of a screening instrument for bipolar spectrum
disorder: the Mood Disorder Questionnaire. Am J Psychiatry. 2000;157:1873-1875.