Mental Illnesses

Name* :

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Mental Illnesses :


1. Is your social life getting affected because of your current mood or frame of mind ?

YesNo


2. Is your family life getting affected because of your current mood or frame of mind ?

YesNo


3. Is your work or academic life suffering because of your current mood or frame of mind ?

YesNo


4. Has there been a change in your eating habits (excessive eating or inability to eat) ?

YesNo


5. Do you struggle with any of the following challenges mentioned below :

Decline in basic hygieneSleeping Disturbance (difficulty sleeping or excessive sleeping)Frequent mood fluctuationsConstant low moodConstantly feeling elatedSuicidal ThoughtsAnxietyPhysical problem without apparent causeObsessive ThoughtsRepetitive and Compulsive BehaviourHallucinations (seeing, hearing, physical sensations without cause)SuspiciousnessAnger OutburstsIrrational Thoughts and IdeasIrrational BehaviourExcessive spending (buying things that are not needed)