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Impulsivity Assessment Questionnaire

Questions Your Doctor May Ask - and Why!

During a consultation, your doctor will use various techniques to assess the symptom: Impulsivity. These will include a physical examination and possibly diagnostic tests. (Note: A physical exam is always done, diagnostic tests may or may not be performed depending on the suspected condition) Your doctor will ask several questions when assessing your condition. It is important to openly share any pertinent information to help your doctor make an accurate diagnosis.

It is also very important to bring an up-to-date list of all of your all medical conditions, medications including dosages, and names of numbers of any specialist you see.

Create your printable checklist by answering questions that your doctor may ask below:

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  1. How long has impulsive behavior been a problem?

    Why: to determine if acute or chronic.

  2. What is the age of the person with impulsive behavior?

    Why: causes of impulsive behavior vary with age. Note however, that normal young children are often very active with short attention spans e.g. most parents of 2 year old children become exhausted by the activity level, try to adjust to the frequent changes of activity and modify their houses and vigilance to cope with the impulsiveness.

  3. Childhood disorders or disabilities?

    Why: e.g. alcohol fetal syndrome, autism, Williams syndrome, microcephaly, brain damage, attention deficit disorder, hearing impairment, vision impairment, learning disability.

  4. Family and environmental factors?

    Why: e.g. risk factors for attention deficit hyperactivity disorder and conduct disorders in children include disrupted childhood care; socially disadvantaged; lack of warm caring family; family violence (physical or sexual abuse); antisocial peer group exposure.

  5. Past psychiatric history?

    Why: e.g. bipolar disorder , depression, anxiety.

  6. Known allergies?

    Why: e.g. it is controversial as to whether food allergies cause impulsivity and hyperactivity. There is a small group of children who are sensitive to the ingestion of synthetic food colors and react with severe irritability, restlessness and sleep disturbance. They are so active and disruptive that they appear unable to concentrate. A trial of coloring-free diet for 6 weeks producing improvement in behavior and the observation of behavioral change associated with dietary infractions is suggestive of sensitivity.``

  7. Illicit drug usage?

    Why: e.g. amphetamines may cause impulsivity, hyperactivity and agitation.

  8. Learning disability?

    Why: A number of children have problems in focusing attention and maintaining concentration. In addition, many are described as being overactive, fidgety, impulsive and distractible. All of these behaviors may contribute to problems in learning in the classroom, as well as social problems. Conversely children with learning disorders may tend to have increasing difficulty with peer relations, tend to withdraw from social situations, or exhibit acting out, hyperactive and difficult behavior.

  9. Hearing deficits?

    Why: probably the largest group of children with hyperactive and impulsive behaviors and with problems with concentration and attention are secondary to hearing deficits.

  10. Symptoms of Attention deficit hyperactivity disorder?

    Why: e.g. impulsivity, over activity, irritability, poor concentration and school learning problems.

  11. Symptoms of Bipolar disorder?

    Why: e.g. episodes of depression (often psychotic in intensity) and at other times episodes of psychotic excitement (mania or hypomania). Symptoms of psychotic excitement may include elevation of mood, hyperactivity, impulsivity, grandiose ideas, excessive shopping, irritability, disinhibition (which affects social, sexual and financial behavior), rapid speech and racing thought, delusions (persecutory or grandiose) and sometimes hallucinations.

  12. Symptoms of anxiety?

    Why: e.g. nervousness, shakiness, tremor, restlessness, hyperactivity, impulsivity, irritability, insomnia, poor concentration, heart palpitations, racing heart, sweating, dizziness, diarrhea, lump in throat and frequency of urination.

  13. Symptoms of depression?

    Why: e.g. depressed mood, crying spells, anhedonia (loss of interest or pleasure), increase or decrease in appetite (usually decreased), weight loss or gain, insomnia or increased sleeping (usually early morning waking), fatigue, loss of energy, feelings of worthlessness, feelings of excessive guilt, poor concentration, difficulty making decisions, low libido, thoughts of death or suicide attempt. Some depressed people exhibit marked agitation which may take the form of poorly organized but purposeful activities, in which the person starts the same activity frequently, becomes distracted, starts an alternative activity, and so on. This agitation may be interpreted as impulsivity or hyperactivity.

Conditions listing medical symptoms: Impulsivity:

The following list of conditions have 'Impulsivity' or similar listed as a symptom in our database. This computer-generated list may be inaccurate or incomplete. Always seek prompt professional medical advice about the cause of any symptom.

Select from the following alphabetical view of conditions which include a symptom of Impulsivity or choose View All.

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