Child'S Evaluation Form - Age 6-12 Years Old - Nv Mental Health Page 3

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62. Difficulty making socially appropriate conversations.
63. Use "You" to address himself. Use odd words.
64. Unable to pretend or "make believe" while playing.
65. Excessive preoccupation with one topic/object or concept.
66. Upset on small changes in his routine
67. Strange repetitive movements rocking, flapping hands.
68. Strange fascination for parts of object.
Psychotic Symptoms:
Sometimes
Never
Often
69. Strange ideas or believes that are not real
70. Feels people are out to get her/him or food is poisoned.
71. Seeing things or hearing voices telling him/her to do
things that is not there.
72. Extremely strange and illogical thoughts or idea.
73. Laughs or cries at inappropriate times or shows
emotions when it is due.
74. Does extremely odd things, talks to self in strange way
and preoccupied with fantasy friends.
3

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