Online Diagnosis of Medical and Psychiatric Disorders - The National Medical Society

Severity of symptoms

Have the symptoms interfered with work or school?	Yes No
Have the symptoms affected your spouse?	Yes No
Have the symptoms affected your social activities?	Yes No
Has the patient felt like the desire to harm himself or others?	Yes No
Has the mood disturbance caused marked impairment in occupational functioning or in social activities or relationships, or necessitated hospitalization to prevent harm to self or others, or are there psychotic features?	Yes No