Extended Childhood Disorder Inventory (ECDI-o)
Extended Childhood Disorder Inventory - Other (ECDI-o) v. 1.2, © 2010-2017, Dr. Robert Epstein  

Before we get to the inventory itself, we'll ask you a few basic questions about yourself and the person you are evaluating. This information is being collected for research purposes only and will be kept strictly confidential. After you complete the inventory, you will immediately be given a detailed analysis of the results.

*Required response


Group code (if applicable):


A. Questions About You (Evaluator)

*Your initials, first name, or full name (this will appear on the report):

*How fluent are you in English?
Not very fluent   10  Highly fluent

*What is your relationship to the person you are evaluating?
    parent
    spouse
    other relative
    school counselor
    therapist
    friend
    teacher
    other (please specify):

*What is your profession?
    teacher
    psychologist
    psychiatrist
    medical doctor
    nurse
    other medical professional
    attorney
    human resources professional
    youth worker
    coach
    school counselor
    school administrator
    counselor
    social worker
    court officer
    member of the clergy
    other (please specify):

*Are you licensed in your profession?
    yes
    no

*Why are you completing this test today?
    personal concern
    clinical evaluation
    student evaluation
    court evaluation
    other (please specify):


B. Questions About the Person Being Evaluated

*His or her initials, first name, or full name (this will appear on the report):

*His or her age:

*Highest degree:
None
High School
Associates
College
Masters
Doctorate

*Race/ethnicity:
White
Black
Hispanic
Asian
American Indian
Other

*Gender:
Male
Female
Other

*Sexual orientation:
Straight
Gay or lesbian
Bisexual
Other
Unsure

*Country of residence: Other:
If in the USA, what state?    

*Generally speaking, how happy is he or she?
Low   10  High

*Generally speaking, how angry is he or she?
Low   10  High

*In recent weeks, how depressed has he or she been?
Low   10  High

*In recent weeks, how anxious or agitated has he or she been?
Low   10  High

*Has he or she ever been diagnosed with a psychological disorder?  Yes    No

If so, what was the diagnosis? 

*Is he or she currently on medication to treat a psychological problem? Yes   No

*Has he or she ever been on medication to treat a psychological problem? Yes   No

*Is he or she currently receiving therapy or counseling? Yes   No

*Has he or she ever received therapy or counseling? Yes   No

*Has he or she ever been admitted to a mental health facility? Yes   No

*Has he or she ever been arrested? Yes   No

*With whom does he or she live?
    with his or her parents 
    in a foster home 
    in a group home or facility 
    with relatives 
    with roommates 
    with his or her partner or spouse 
    on his or her own 
    in a shelter 
    in a dormitory 
    in an assisted living facility or nursing home 
    in jail, prison, or a juvenile detention facility 
    homeless 
    other 

*Is he or she currently in school? Yes   No

*Is he or she currently employed? Yes   No

*Is he or she married? Yes   No

*Is he or she pregnant or a parent? Yes   No


C. Test Items

Click the open boxes below to select items that you feel are applicable. There are no right or wrong answers. If an item does not apply to the individual's life, just skip it.


*1. Within the past year, he or she has thought about running away from home, talked about running away, or run away.


*2. Within the past year, he or she has been fired from one or more jobs.


*3. Within the past six months, he or she has been depressed for a period of at least two weeks with no apparent cause.


*4. He or she spends most or all waking hours with images, icons, idols, or products of teen culture.


*5. He or she sometimes behaves like a mature individual and sometimes like a young child, and the shift between these two states can occur suddenly and with little or no apparent cause.


*6. He or she sometimes goes to extreme lengths to express his or her individuality by imitating eccentric teen icons (for example, by wearing baggy pants, dying his or her hair a neon color, shaving off his or her eyebrows, or getting multiple tattoos or piercings).


*7. He or she has little respect for rules or laws and may have broken the law within the past six months (for example, by violating a curfew or committing vandalism, arson, or theft).


*8. He or she is in contact with peers during most waking hours through face-to-face contact or electronic communication.


*9. His or her mood changes frequently (more than once a day, or every few days), even when events do not seem to call for a change in mood.


*10. He or she sometimes engages in risky behavior often seen as inappropriate for young people (although perhaps common among adults), such as sexual behavior, smoking, gambling, or drinking.


*11. He or she sometimes feels like hurting him- or herself (for example, by cutting or burning) and has done so or tried to do so within the past six months.


*12. Within the past year, he or she has been violent, planned violence, or possessed or used weapons.


*13. He or she has a poor self-image or low self-esteem, is very self-conscious, or is overly concerned about his or her image, weight, or body type.


*14. Within the past year, he or she has had thoughts of committing suicide, has spoken of committing suicide, has planned a suicide, or has attempted suicide.


*15. At least once a week, he or she is in conflict with his or her parents, teachers, or other authority figures.


*16. Over the past six months, and for a period lasting at least two weeks, he or she has felt lonely, has felt awkward or anxious around other people, or has withdrawn from other people.


*17. He or she gets into trouble at school at least once a month, or has been suspended or expelled from school within the past year.


*18. He or she feels that he or she has little or no control over his or her life.


*19. He or she is very dependent on and involved with peers (possibly but not necessarily through gang activity).


*20. He or she uses psychoactive substances (recreational drugs, alcohol, or non-prescribed prescription drugs) at least once a month, and sometimes that has negative consequences.


To get your test results, click the SUBMIT button.