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Please enter the score for a term which describes the patient's condition.

Question
1. Uncooperativeness [Negative, resistant, uncooperative, difficult to manage]
Cooperative/pleasant
Occasionally refuses to comply with rules/expectations in only one setting.
Persistent failure to comply with rules/expectations in more than one setting. Causes frequent impairment in functioning
Constantly refuses to comply with ruls & exceptions; delinquent behaviours; running away. Causes severe impairment in functioning in most situations /settings.
2. Hostility [Angry or suspicious affect, belligerence, accusations & verbal condemnations of others]
Cooperative/pleasant
Occasionally sarcastic; loud; guarded; quarrelsome. Causes mild dysfunction in one situation or setting.
Causes frequent impairment in several situations/settings
Assaultive; destructive. Causes severe impairment in functioning in most situations/settings.
3. Manipulativeness [Lying, cheating, exploitative of others]
Not at all
Occasionally gets in trouble for lying; may cheat on occasions
Frequently lies/cons/manipulates people they know. Causes frequent impairment in several situations/settings.
Constantly relates to others in an exploitative/manipulative manner. Cons strangers out of money/situations. Causes severe impairment in the functioning of situations/settings.
4. Depressive Mood [Sad, tearful, depressive demeanor]
Occasionally/quickly disappears
Sustained periods/excessive for event
Unhappy most of the time/no precipitant
Unhappy all the time/psychic pain. Causes severe impairment in functioning.
5. Feelings of Inferiority [Lacking self-confidence, self-deprecatory, feeling of personal inadequacy]
Feels good/positive about self
Occasionally feels not as good as others/deficits in one area
Feels others are better than they are. Gives negative; bland answers; can’t think of anything good about themselves.
Constantly feels others are better. Feels worthless/not lovable.
6. Suicidal Ideation [Thoughts, threats or attempts of suicide]
Not at all
Thoughts when angry
Recurrent thoughts suicide/plans
Attempt within last month/actively
7. Peculiar fantasies [Recurrent, odd, unusual or autistic ideations]
Not at all
Occasionally has elaborate fantasies; imaginary companions
Frequently has elaborate fantasies (exclude imaginary friends). Interferes occasionally with the perception of reality.
Often absorbed in elaborate fantasies; has a difficult time distinguishing reality from fantasy.
8. Delusions [Visual, auditory, or other hallucinatory experiences or perceptions]
No delusions or ideas of reference
Occasionally feels strangers may be looking/talking/laughing about them.
Frequent distortion of thinking \| mistrust; suspicious of others.
Mistrusts/ suspicious of everyone/everything.
9. Hallucinations [Visual, auditory, or other hallucinatory experiences or perceptions]
No visual \| auditory \| sensory experiences
Hears name called; experiences after an event; active/ vivid imagination.
Definitely experiences auditory (voices either comment or command); visual (daytime or several incidences); sensory (specific odours).
Constantly experiences auditory (commanding voices); visual (images are present during the interview); other experiences or perceptions.
10. Hyper-Activity [Excessive energy expenditure, frequent change in posture, perpetual motion]
Slight restlessness; fidgeting. No impact on functioning
Occasional restlessness; fidgeting; frequent changes of posture. Noticeable; but does not cause impairment in functioning.
Excessive energy; movement; cannot stay still or seated. Causes dysfunction on numerous occasions/situations. Guardian seeks help for behaviours.
Continuous motor excitement; cannot be stilled. Causes major interference in functioning on most occasions/situations.
11. Distractibility [Poor concentration, shortened attention span, reactivity to peripheral stimuli]
Performance consistent with ability
Occasionally daydreams; easily distracted. Is able to focus with prompting
Frequently has trouble concentrating; avoids mental tasks; disruptive. Needs frequent assistance to stay focused.
Causes decreased performance.
Constant; need 1:1 assistance to stay focused.
12. Speech or Voice Pressure [Loud, excessive, or pressured speech]
Not at all
Noticeably more verbose than normal; conversation is not strained
Very verbose or rapid; making conversation strained or difficult to maintain.
Talks rapidly; continuously; and cannot be interrupted. Conversation is extremely difficult or impossible.
13. Underproductive Speech [Minimal, sparse inhibited verbal response pattern or weak low voice]
Not at all
Occasionally conveys little information because of minimal speech; vague; sparse; low or weak voice.
Persistently client is vague. low or weak voice; in which at least 1/4 to 1/2 of conversation comprehension is impaired.
On numerous occasions/situations conversation is severely impaired.
14. Emotional withdrawal [Unspontaneous relations to examiner, lack of peer interaction, hypoactivity]
Not at all
Occasionally is unresponsive; sometimes refuses peer interactions
Frequently unresponsive; lacks peer interaction; hypoactive. Interferes with relationships.
Constantly oblivious to those around. Preoccupied facial expressions; does not respond to questions or look at the interviewer.
15. Blunt Affect [Deficient emotional expression, blankness, flatness of affect.]
Not at all or explainable by depressed mood
Some flattening of affect. Occasionally shows emotional response during interview (smiles; laughs; tearful)
Considerable flattening. Frequently the client does not show emotional response (does not smile; laugh; look; cry).
Constantly flat. The client does not show emotional response (does not smile; laugh; look; cry).
16. Tensions [Nervousness, fidgetiness, nervous movements of hands or feet]
Not at all
Occasionally feels nervous or fidgets. Can be relaxed or reassured.
Most days/time feels nervous/fidgety.
Pervasive and extreme nervousness; fidgeting; nervous movements of hands/feet.
17. Anxiety [Clinging behavior, separation anxiety, preoccupation with anxiety topics, fears, or phobias]
Not at all
Occasionally worries (at least three times a week) about anticipated/current events. separation; fears; or phobias. Worries appear excessive for the situation
Most days/times worries about at least two life circumstances; or anticipated/current events.
Pervasive and extreme worry about most everything real or imagined.
18. Sleep Difficulties [Inability to fall asleep, intermittent awakening, shortened sleep time]
Not at all
Some difficulty (at least 1-hour initial; no middle or terminal insomnia)
Definitely has difficulty (at least 2 hours initial insomnia; any middle; or terminal lasting up to 1/2 1 hour). Feelings of unrestorative sleep; evidence or mild circadian reversal
Claims to never sleep. feels exhausted the rest of the day; or severe circadian reversal.
19. Disorientation [Confusion over persons, places, or things]
Not at all
Occasionally appears confused or puzzled. Easily reacquainted with surrounding when prompted
Frequently appears puzzled; confused; baffled regarding familiar surroundings; people; or things
Constantly confused; Perplexed.
20. Speech Deviance [Inferior level of speech development, underdeveloped vocabulary, mispronunciations]
Not at all
Occasional instances of distorted and idiosyncratic speech. Little impairment of understandability.
Frequent instances with definite impairment in understandability.
Constant speech distortion; almost incomprehensible.
21. Stereotypy [Rhythmic, repetitive, manneristic movements or posture]
Not at all
Occasionally displays rhythmic; repetitive; manneristic movements or posture.
Frequent rhythmic; repetitive; manneristic movements or posture.
Most of the time (>50%) displays rhythmic; repetitive; manneristic movement/posture.

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