This section deals with drug use over the past 2 years for psychiatric complaints such as anxiety, depression, mania, panic, hysteria, insomnia. You may enter further information in the notes box below.
899.
Have you used prescription antianxiety medication during the past 2 years?
Don't know
No
In the past only
Current intermittent use or regular low dosage use
Current regular use of a typical or high dose
900.
Have you used prescription antidepressant medication during the past 2 years?
Don't know
No
In the past only
Current intermittent use or regular low dosage use
Current regular use of a typical or high drug dose
901.
Have you used barbituates in the past two years? They may have been called barbs, downers, goofballs, Amytal, Butisol, Nembutal, Luminal, Seconal and methaqualone (ludes, 714s).
Don't know
No, not in the last two years
Yes, but no longer used
Occasional current use
Near daily use
902.
Have you used tranquilizers or sedatives during the past 2 years?
No / don't know
Some / occasionally
Significant amounts
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GLOSSARY
Anxiety: Apprehension of danger, or dread, accompanied by nervous restlessness, tension, increased heart rate, and shortness of breath unrelated to a clearly identifiable stimulus.
Your attitude determines your outcome. Successful people embrace this truth, whether it is a doctor going into surgery, a pastor preparing a sermon or a business-person launching a new venture. Confidence increases your chance of success every time. When you approach a task, especially one you do not relish, fix your mind on the facts, not your feelings. That will put your attitude on the right track.
