AFTER ALL, THERE IS

NOTHING AS INTERESTING AS
PEOPLE, AND ONE CAN
NEVER STUDY THEM
ENOUGH
VINCENT VAN GOGH

SCREENING QUESTIONS
Have you ever had a period of a week or so
when you felt so happy and energetic that
your friends told you that you were talking
too fast or that you were behaving
differently and strangely?
Has there been a period when you were so
hyper and irritable that you got into
arguments with people?

SCREENING QUESTIONS
Has anyone ever called you manic before?

DIGFAST

Distractibility
Indiscretion (pleasurable activities)
Grandiosity
Flight of ideas
Activity increase
Sleep deficit (decreased need)
Talkativeness (pressured speech)

DISTRACTABILITY
Were you having trouble thinking or
concentrating?
Was this because things around you or even
your thoughts were getting you off track?

INDISCRETION
During the period we were talking about, how
were you spending your time?
Were you doing things that caused trouble for you
or your family?
Were you doing things that showed a lack of
judgment, such as driving too fast, running red
lights, or spending too much?
Were you doing sexual things during this

INDISCRETIONS
this period that was unusual for you?

GRANDIOUSITY
During this period did you feel so confidant
that you felt you could conquer the world?
What was your best idea when you felt that
way?
Did you feel that you had special powers or
abilities?
Did you feel more religious than normal for
you?

FLIGHT OF IDEAS
During this period did you have so many
thoughts, or were they so fast, that you
could barely keep up to them?
Did it feel like your thoughts were racing?

ACTIVITY INCREASE
During that period, were you more active
than usual?
Were you constantly starting new projects
and hobbies, working into the night?

SLEEP DEFICIT
During that period, did you need less sleep?
Did you ever stay up all night doing all
kinds of things, like working on projects or
phoning people?
Did your sleep duration become reduced
and still you had lots of energy?

TALKATIVENESS
During this period, were you talking more
than usual for you?
Were you talking so much that people had
to interrupt you to speak to you?
Were you using the phone more than usual
for you?

CORROBORATION
Denial and lack of insight rule the day

NEVER GIVE UP
It will help patient to be inspired by
us, rather than the other way around