Amen Child/teen General Symptom Checklist (Page 4 of 4) in pdf

Amen Child/teen General Symptom Checklist Page 4

(_____) (_____) 80. breaks in to others home, school, car or place of business

(_____) (_____) 81. lies

(_____) (_____) 82. stays out at night despite parental prohibitions

(_____) (_____) 83. runs away overnight

(_____) (_____) 84. cuts school

(_____) (_____) 85. doesn’t seem sorry for hurting others

(_____) (_____) 86. negative, hostile, or defiant behavior

(_____) (_____) 87. loses temper

(_____) (_____) 88. argues with adults

(_____) (_____) 89. actively defies or refuses to comply with adults' requests or rules

(_____) (_____) 90. deliberately annoys people

(_____) (_____) 91. blames others for his or her mistakes or misbehavior

(_____) (_____) 92. touchy or easily annoyed by others

(_____) (_____) 93. angry and resentful

(_____) (_____) 94. spiteful or vindictive

(_____) (_____) 95. problems with communication in at least one of the following:

a. the development of spoken language

b. the ability to initiate or sustain a conversation with others

c. repetitive use of language or odd language

d. lack of varied, spontaneous make-believe play or social imitative play

(_____) (_____) 96. problems with social interaction, in at least two of the following:

a. use of nonverbal behaviors such as eye-to-eye contact, and gestures.

b. peer relationships appropriate to developmental level

c. spontaneous seeking to share enjoyment, interests, with other people

d. lack of social or emotional "give and take"

(_____) (_____) 97. repetitive behavior, interests, and activities, in one of the following:

a. preoccupation with an area that is abnormal

b. rigid adherence to specific, nonfunctional routines or rituals

c. repetitive motor mannerisms (e.g., hand or finger flapping or twisting)

d. persistent preoccupation with parts of objects

(_____) (_____) 98. stutters

(_____) (_____) 99. feels tired during the day

(_____) (_____) 100. problems with chronic anxiety or tension

Amen Child/teen General Symptom Checklist Page 4