Alcohol Related Problems
  Antidepressant-Induced Sexual Dysfunction
  Anxiety
  ADHD (Pediatric and Adult)
  Autism
  Bipolar Disorder
  Chronic Low Back Pain
  Depression
  Diabetes
  Fibromyalgia
  Hypertension
  Memory Loss
  Alzheimer's Disease
  Memory Loss due to Strokes (Vascular Dementia)
  Mild Cognitive Impairment
  Migraine
  Obesity
  Obsessive Compulsive Disorder
  Panic Disorder
  Post-Traumatic Stress Disorder
  Seasonal Affective Disorder
  Smoking Cessation
  Social Anxiety Disorder
 
Learn More About Currently Enrolling Studies

Antidepressant-Induced Sexual Dysfunction

Autism Spectrum Disorder

Bipolar Disorder

Depression

Diabetes

Hypertension

Pediatric Depression

Treatment Resistant Depression



 

 

Bipolar Checklist

During your lifetime, have you ever experienced any of the following?

MANIA
Elated, expansive mood
Yes
No
Irritable mood
Yes
No
Inflated self-esteem or grandiosity
Yes
No
Decreased need for sleep
Yes
No
Talkativeness
Yes
No
Flight of ideas or racing thoughts
Yes
No
Distractibility
Yes
No
Increase in goal-directed activity
Yes
No
Excessive involvement in pleasurable activities that have a high potential for painful consequences
Yes
No
Impulsivity
Yes
No
Excessive spending
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 making decisions
Yes
No
Fatigue or loss of energy
Yes
No
Thoughts of death or suicide
Yes
No
Tendency to isolate
Yes
No

If you have checked three or more symptoms under "Mania" and these symptoms were disruptive to your life, you may have had a manic episode.

f you have checked three or more symptoms under "Depression", you may have had a depressive episode.

If, in your lifetime, you have experienced a manic and a depressive episode, you may have Bipolar Disorder.

Summit Research Network occasionally participates in research studies for bipolar disorder. If you would like more information about bipolar studies, please call (503) 228-CARE (2273), or fill out the form below and we will contact you.

All information you provide is stored in a secure site, and cannot be released to any third party without your written and signed authorization.

Last Name*:
First Name*:
Zip Code*:
Area Code*:
Telephone*:
Best Time to Call:
Email:
How did you hear about us? TV Radio Print Google Facebook
Web Search Craigslist CenterWatch
ClinicalConnection Referral Other

* required fields

 

oregon@summitnetwork.com

 

Home |  Conditions We Study |  About Summit |  Contact