Bipolar Symptoms
  Self-Assessment
  Bipolar Video
 
Learn More About Currently Enrolling Studies

Antidepressant-Induced Sexual Dysfunction

Bipolar Disorder

Depression

Diabetes

Juvenile Fibromyalgia

Pediatric Depression

Treatment Resistant Depression

 

 

Bipolar Self-Assessment

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.

If 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 participates in research studies of investigational medication for Bipolar Disorder. If you are selected, all research-related care and study medications will be provided at no cost. If you would like more information, please call us at (206) 292-CARE (2273), or fill out the form below and we will contact you.

All information you may 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*:
(Area Code) and Phone*:
Cell Phone:
May we text you? Yes No  
Best Time to Call:
Email:
If you would like to schedule an appointment now, please fill in the following information. Appointments are available Monday-Thursday, 8:30 a.m. to 5:00 p.m. Please send us the best day and time to schedule an appointment for you and we will contact you with an appointment confirmation:

First choice day/time for appointment:
Second choice day/time for appointment:
 
Note: We will respond to your email within 2 business days. If you have not received a response within that time, please check the Spam folder in your email program.
How did you hear about us? TV Radio Print Google
Web Search Craigslist CenterWatch
ClinicalConnection Referral Other

* required fields

 

washington@summitnetwork.com

 

Home |  Conditions We Study |  About Summit |  Feedback |  Contact