Hamilton Rating Scale For Depression Page 2
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1
2Severe (3)
Incapacitating (4)
12. Somatic Symptoms (Gastrointestinal)
None (0)
Loss of appetite but food intake is normal (1)
Difficulty eating without urging from others. Marked reduction in food intake (2)
13. Somatic Symptoms (General)
None (0)
Heaviness in limbs/back/head. Muscle aches, fatigue, loss of energy (1)
Any clear-cut symptom rates a 2 (2)
14. Genital Symptoms Loss of libido, impaired sexual performance, menstrual disturbances
Absent (0)
Mild (1)
Severe (2)
15. Hypochondriasis
Not present (0)
Self-absorption (bodily) (1)
Preoccupation with health (2)
Frequent complaints, requests for help (3)
Hypochondriacal delusions (4)
16. Loss of Weight
No weight loss (0)
Probably weight loss associated with illness (1)
Definite weight loss (2)
Not assessed (3)
17. Insight
Acknowledges being ill/depressed (0)
Acknowledges being ill but attributes it to other factors (1)
Denies being ill at all (3)
18. Diurnal Variation
No variation (0)
Worse in the A.M. (1)
Worse in the P.M. (2)
19. Depersonalization and Derealization Feelings of unreality, nihilistic ideas
Absent (0)
Mild (1)
Moderate (2)
Severe (3)
Incapacitating (4)
20. Paranoid Symptoms
None (0)
Suspicious (1)
Ideas of reference (2)
Delusions of persecution (2)
21. Obsessional and Compulsive Symptoms
Absent (0)
Mild (1)
Severe (2)
Total HAM-D Score:
Signature
Date
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