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Self-Rating Scales

If requested, please download and print out the following self-rating forms, fill them out and bring them to your appointment with Dr. Leifeste.

I. Family Tree

II. Bullet-Point List of All Strategies Attempted to Date

III. ADHD

A. ADHD Child Self-Rating Scale

B. ADHD Parent Rating (Vanderbilt)

C. ADHD Teacher Rating Scale

D.  Medication Effects Rating Scale - Homework/Project

E.  Medication Effects Rating Scale - Adults

F.  ADHD Rating Log

G. DBD Rating Scale

IV. Mood Disorders

A. Mood & Anxiety Log

B. Beck Depression Rating Scale

C. Childhood Depression Inventory

D. Depression Self-Rating Scale for Children

E. RADS For Teens

F. Youth Mania Screener-Self Report

G. Childhood Mania Rating Scale

H. Hamilton Depression Scale-Adult

I.  A Self Assessment Tool for Mood Swings

J. Bipolar Monthly Mood Chart (BMMC)

K. MGH Antidepressant Treatment Response Questionnaire (ATRQ)

V. Anxiety

A. Screen for Child Anxiety Related Disorders (SCARED) Youth Version

B. Youth Anxiety Ratings-Parent (SCARED)

C. Hamilton Anxiety Scale-Adult

D. Social Anxiety Scale (Liebowitz)

VI. Other

A. Child OCD Rating Scale

B. MOVE Survey

C. Rush Chemical Screen

 

 

 

Mark Leifeste, M.D.

PHONE: 303.449.6577
FAX: 844.289.6617

Billing Office: 303.444.3443 ext. 3