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Restlessness Assessment Questionnaire

Questions Your Doctor May Ask - and Why!

During a consultation, your doctor will use various techniques to assess the symptom: Restlessness. 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 the restlessness been present?

    Why: to determine if acute or chronic.

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

    Why: Causes of restless behavior vary with age.

  3. Is there a simple explanation for the restlessness?

    Why: e.g. sleep problems, insomnia, boredom, impatience, anxiety and nervousness may cause restlessness.

  4. Family and environmental factors?

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

  5. Past medical history?

    Why: Many physical disorders may be associated with restlessness including hyperthyroidism, brain damage, cluster headache, croup, liver failure and Alzheimer's disease.

  6. Medications?

    Why: e.g. Akathisia is a state of restlessness and overactivity produced by some anti-psychotic medications.

  7. Past psychiatric history?

    Why: Certain psychiatric conditions may be associated with restlessness including bipolar affective disorder, depression, anxiety, post-traumatic stress disorder and obsessive-compulsive disorder.

  8. Alcohol history?

    Why: chronic alcohol abuse may cause Wernicke-Korsakoff syndrome which is associated with restlessness.

  9. Illicit drug usage?

    Why: e.g. amphetamines and cocaine may cause restlessness.

  10. Symptoms of Attention deficit hyperactivity disorder?

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

  11. Symptoms of lead poisoning?

    Why: e.g. reduced appetite, nausea, vomiting, blue line on the gums, constipation, abdominal cramps and restless hyperactive behavior. In severe cases it may cause eventual seizures and impaired consciousness.

  12. 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, grandiose ideas, irritability, disinhibition (which affects social, sexual and financial behavior), rapid speech and racing thought, delusions (persecutory or grandiose) and sometimes hallucinations.

  13. Symptoms of anxiety?

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

  14. 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 and restlessness 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.

  15. Symptoms of dementia?

    Why: e.g. impaired memory, impaired judgement and thinking, impaired verbal fluency and impaired ability to perform complex tasks. Personality may change, impulse control may be lost and personal care deteriorates. People with dementia may also have psychiatric symptoms such as delusions, paranoid ideas, hallucinations, mood disturbance and behavioral disturbance. Restlessness may be a feature of dementia.

  16. Symptoms of Huntington's disease?

    Why: e.g. relentlessly progressive course of dementia, chorea (continuous flow of jerky movements, flitting randomly from one limb or part to another), personality change ( especially irritability), epilepsy. Restlessness and agitation may be a feature of Huntington's disease.

  17. Symptoms of hyperthyroidism?

    Why: e.g. intolerance to heat, sweating of hands, muscle weakness, increased appetite, weight loss, heart palpitations, loose bowel motions, emotional lability, agitation and restlessness.

Conditions listing medical symptoms: Restlessness:

The following list of conditions have 'Restlessness' 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 Restlessness or choose View All.

View All A B C D E F G H I J K L M N O P R S T U V W X #

Conditions listing medical complications: Restlessness:

The following list of medical conditions have 'Restlessness' or similar listed as a medical complication in our database.


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