174 (174)    MH REPORT (601.93)

|.|.|Internal State Scale - Version 2 (ISS-2) | |
 
Note: Though clinically relevant ranges or cut-off scores have not been 
established, Activation, Depression and Perceived Conflict subscales may
 be used to measure symptom severity within or across individuals.| |
  
Questions and answers| |
1.  Today my mood is changeable.|
    <*Answer_8319*>| |
2.  Today I feel irritable.|
    <*Answer_8320*>| |
   Date Given: <.Date_Given.>|   Clinician: <.Staff_Ordered_By.>|   
3.  Today I feel like a capable person.|
    <*Answer_8321*>| |
4.  Today I feel like people are out to get me.|
    <*Answer_8322*>| |
5.  Today I actually feel great inside.|  
  <*Answer_8323*>| |
6.  Today I feel impulsive.|
    <*Answer_8324*>| |
7.  Today I feel depressed.|
    <*Answer_8325*>| |
Location:  <.Location.>|   |   Veteran:  <.Patient_Name_Last_First.>|   
8.  Today my thoughts are going fast.|
    <*Answer_8326*>| |
9.  Today it seems like nothing will ever work out for me.|
    <*Answer_8327*>| |
10. Today I feel overactive.|
    <*Answer_8328*>| |
11. Today I feel as if the world is against me.|
    <*Answer_8329*>| |
12. Today I feel "sped up" inside.|
    <*Answer_8330*>| |
SSN: <.Patient_SSN.>|   DOB: <.Patient_Date_Of_Birth.> (<.Patient_Age.>)|
13. Today I feel restless.|
    <*Answer_8331*>| |
14. Today I feel argumentative.|
    <*Answer_8332*>| |
15. Today I feel energized.|
    <*Answer_8333*>| |
16. Today I feel.|
    <*Answer_8334*>| |
 
Information contained in this note is based on a self-report assessment 
   Gender: <.Patient_Gender.>| |
and is not sufficient to use alone for diagnostic purposes. Assessment
 results should be verified for accuracy and used in conjunction with
 other diagnostic activities.| |
 
Used with permission of the author
 
$~
 
<*Answer_999999999999*> | |
 
The combination of scores on Activation and Well Being scales are consistent with a <*Answer_7776*> mood state.| |