Hamilton Depression Rating Scale
HAM-D
Date Of Exam:
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Month
 -
Day
Year
Date
Patient Name:
First Name
Last Name
Date of Birth
 -
Month
 -
Day
Year
Date
Depressed mood (Gloomy attitude, pessimism about the future, feeling of sadness, tendency to weep)
*
Absent.
Sadness
Occasional weeping.
Frequent weeping.
Extreme symptoms
Feelings of guilt
*
Absent
Self-reproach, feels he/she has let people down
Ideas of guilt
Present illness is a punishment; delusions of guilt
Hallucinations of guilt
Suicide
*
Absent
Feels life is not worth living
Wishes he/she were dead
Suicidal ideas or gestures
Attempts at suicide
Initial insomnia (Difficulty falling asleep)
*
Absent
Occasional
Frequent
Insomnia during the night (Restless, disturbed, waking at night)
*
Absent
Occasional
Frequent
Delayed insomnia (Waking in early hours of the morning and unable to fall asleep again)
*
Absent
Occasional
Frequent
Work and interests (Absence from work after treatment or recovery may rate)
*
No difficulty
Feelings of incapacity, listlessness, indecision and vacillation
Loss of interest in hobbies, decreased social activities
Productivity decreased
Unable to work, stopped working because of present illness only (absence from work after treatment or recovery may rate a lower score)
Retardation (Slowness of thought, speech, and activity; apathy; stupor)
*
Absent
Slight retardation at interview
Obvious retardation at interview
Interview difficult
Complete stupor
Agitation (Restlessness associated with anxiety)
*
Absent
Mild
Severe
Psychiatric anxiety
*
Absent
Tension and irritability
Worrying about minor matters
Apprehensive attitude
Fears
Somatic anxiety (Gastrointestinal, indigestion, cardiovascular, palpitations, headaches, respiratory, genitourinary, etc.)
*
Absent
Mild
Moderate
Severe
Incapacitating
General somatic symptoms (Heaviness in limbs, back, or head; diffuse backache; loss of energy and fatiguability)
*
Absent
Mild
Severe
Genital symptoms (Loss of libido, menstrual disturbances)
*
Absent
Mild
Severe
Hypochondriasis
*
Not present
Bodily self-absorption
Preoccupation with health
Querulous attitude
Hypochondriacal delusions
Weight loss
*
None
Slight
Obvious or severe
Insight (Must be interpreted in terms of patient’s understanding and background)
*
No loss
Partial or doubtful loss
Loss of insight
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