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____ 1. Excessively distressed when separated from family. ____ 2. Exhibits excessive anxiety or worry. ____ 3. Has difficulty arising in the morning. ____ 4. Hyperactive and excitable in the p.m. ____ 5. Sleeps fitfully or has difficulty getting to sleep. ____ 6. Has night terrors or frequently wakes in the middle of the night. ____ 7. Is unable to concentrate at school. ____ 8. Has poor handwriting. ____ 9. Has difficulty organizing tasks. ____ 10. Has difficulty making transitions. ____ 11. Complains of being bored. ____ 12. Has many ideas at once. ____ 13. Is very intuitive or very creative. ____ 14. Is easily distracted by extraneous stimuli. ____ 15. Has periods of excessive, rapid speech. ____ 16. Is willful and refuses to be subordinated. ____ 17. Displays periods of extreme hyperactivity. ____ 18. Displays abrupt, rapid mood swings. ____ 19. Has irritable mood states. ____ 20. Has elated or silly, giddy mood states. ____ 21. Has exaggerated ideas about self or abilities. ____ 22. Exhibits inappropriate sexual behavior. ____ 23. Feel easily criticized or rejected. ____ 24. Has decreased initiative. ____ 25. Has periods of low energy or withdraws or isolates self. ____ 26. Has periods of self-doubt and poor self-esteem. ____ 27. Is intolerant of delays. ____ 28. Relentlessly pursues own needs. ____ 29. Argues with adults or bosses others. ____ 30. Defies or refuses to comply with rules. ____ 31. Blames others for his or her mistakes. ____ 32. Is easily angered when people set limits. ____ 33. Lies to avoid consequences. ____ 34. Has protracted, explosive temper tantrums or rages. ____ 35. Has destroyed property intentionally. ____ 36. Curses viciously in anger. ____ 37. Makes moderate threats against others or self. ____ 38. Has made clear threats of suicide. ____ 39. Is fascinated with blood and gore. ____ 40. Has seen or heard hallucinations.
(If you check more than 20, the child should be evaluated.) from TIME magazine, August 19, 2002. Mike Gingerich, LCSW, Ph.D.
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