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Depression : NowPast Mood Changes : NowPast Anger or Temper : NowPast Panic : NowPast Fears : NowPast Irritability : NowPast Concentration : NowPast Headaches :NowPast Loss of Memory : NowPast Excessive Worry :NowPast Feeling Manic : NowPast Trusting Others : NowPast Communicating with Others :NowPast Drugs : NowPast Alcohol : NowPast Caffeine : NowPast Frequent Vomiting : NowPast Eating Problems : NowPast Severe Weight Gain : NowPast Severe Weight Loss : NowPast Blackouts : NowPast
Parents : NowPast Children : NowPast Marriage/Partnership : NowPast Friend(s) : NowPast Co-Worker(s) : NowPast Employer : NowPast Finances : NowPast Legal Problems : NowPast Sexual Concerns : NowPast History of Child Abuse : NowPast History of Sexual Abuse : NowPast Domestic Violence : NowPast Thoughts of Hurting Someone Else : NowPast Hurting Self : NowPast Thoughts of Suicide : NowPast Sleeping Too Much : NowPast Sleeping Too Little : NowPast Getting to Sleep : NowPast Waking Too Early : NowPast Nightmares : NowPast Head Injury : NowPast
Abdominal Distress : NowPast Fainting : NowPast Dizziness : NowPast Diarrhea : NowPast Shortness of Breath : NowPast Chest Pain : NowPast Lump in the Throat :NowPast Sweating : NowPast Heart Palpitations : NowPast Muscle Tension : NowPast Pain in joints : NowPast Allergies : NowPast Often Make Careless Mistakes : NowPast Fidget Frequently : NowPast Speak Without Thinking : NowPast Waiting Your Turn : NowPast Completing Tasks : NowPast Paying Attention : NowPast Easily Distracted by Noises : NowPast Hyperactivity : NowPast Chills or Hot Flashes : NowPast