Bipolar Depression Rating Scale (BDRS) Book Appointment Filll in the form Full Name Email DEPRESSED MOOD (Self reported and/or observed depression as evidenced by gloom, sadness, pessimism, hopelessness, and helplessness) Nil Mild [brief or transient periods of depression, or mildly depressed mood] Moderate [depressed mood is clearly but not consistently present and other emotions are expressed, or depression is of moderate intensity] Severe [pervasive or continuous depressed mood of marked intensity] SLEEP DISTURBANCE: score either A or B Change in total amount of sleep over a 24-hour cycle, rated independent of the effect of external factors A: Insomnia (reduction in total sleep time) Nil Mild [up to 2 hours] Moderate [2 – 4 hours] Severe [more than 4 hours] B: Hypersomnia (increase in total sleep time, inclusive of daytime sleep) Nil Mild [less than 2 hours, or normal amount but non-restorative] Moderate [greater than 2 hours] Severe [greater than 4 hours] APPETITE DISTURBANCE: score either A or B Change in appetite and food consumption, rated independent of the effect of external factors A. Loss of appetite Nil Mild [no change in food intake, but has to push self to eat or reports that food has lost taste] Moderate [some decrease in food intake] Severe [marked decrease in food intake, hardly eating] B. Increase in appetite Nil Mild [no change in food intake, but increased hunger] Moderate [some increase in food intake, e.g., comfort eating] Severe [marked increase in food intake or cravings] REDUCED SOCIAL ENGAGEMENT Nil [normal] Mild [slight reduction in social engagement with no impairment in social or interpersonal function] Moderate [clear reduction in social engagement with some functional sequelae, e.g., avoids some social engagements or conversations] Severe [marked reduction in social interaction or avoidance of almost all forms of social contact, e.g., refuses to answer the phone or see friends or family] REDUCED ENERGY AND ACTIVITY Nil Mild [able to engage in usual activities but with increased effort] Moderate [significant reduction in energy leading to reduction of some role-specific activities] Severe [leaden paralysis or cessation of almost all role specific activities, e.g., spends excessive time in bed, avoids answering the phone, poor personal hygiene] REDUCED MOTIVATION Nil [normal motivation] Mild [slight reduction in motivation with no reduction in function] Moderate [reduced motivation or drive with significantly reduced volitional activity or requires substantial effort to maintain usual level of function] Severe [reduced motivation or drive such that goal directed behaviour or function is markedly reduced] IMPAIRED CONCENTRATION AND MEMORY Nil Mild [slight impairment of attention, concentration, or memory with no functional impairment] Moderate [significant impairment of attention, concentration, or forgetfulness with some functional impairment] Severe [marked impairment of concentration or memory with substantial functional impairment, e.g., unable to read or watch TV] ANXIETY Nil Mild [transient worry or tension about minor matters] Moderate [significant anxiety, tension, or worry, or some accompanying somatic features] Severe [marked continuous anxiety, tension, or worry that interferes with normal activity; or panic attacks] ANHEDONIA Nil Mild [slight reduction in pleasure from usually pleasurable activities] Moderate [significant reduction in pleasure from usually pleasurable activities; some pleasure from isolated activities retained] Severe [complete inability to experience pleasure] AFFECTIVE FLATTENING Nil Mild [slight constriction of range of affect, or transient reduction in range or intensity of feelings] Moderate [significant constriction of range or intensity of feelings with preservation of some emotions, e.g., unable to cry] Severe [marked and pervasive constriction of range of affect or inability to experience usual emotions] WORTHLESSNESS Nil Mild [slight decrease in sense of self-worth] Moderate [some thoughts of worthlessness and decreased self-worth] Severe [marked, pervasive, or persistent feelings of worthlessness, e.g., feels others better off without them, unable to appreciate positive attributes] HELPLESSNESS AND HOPELESSNESS Nil Mild [occasional and mild feelings of not being able to cope as usual; or pessimism] Moderate [often feels unable to cope, or significant feelings of helplessness or hopelessness which lift at times] Severe [marked and persistent feelings of pessimism, helplessness, or hopelessness] SUICIDAL IDEATION Nil Mild [thoughts that life is not worthwhile or is meaningless] Moderate [thoughts of dying or death, but with no active suicide thoughts or plans] Severe [thoughts or plans of suicide] GUILT Nil [absent] Mild [mild overvalued ideas, e.g., self-criticism or pessimism without clear effect on behaviour] Moderate [significant overvalued ideas with clear effect on behaviour, e.g., strong guilt feelings, clear thoughts that others would be better off without them] Severe [clear psychotic symptoms, e.g., delusions or hallucinations] PSYCHOTIC SYMPTOMS Nil [absent] Mild [mild overvalued ideas, e.g., self-criticism or pessimism without clear effect on behaviour] Moderate [significant overvalued ideas with clear effect on behaviour, e.g., strong guilt feelings, clear thoughts that others would be better off without them] Severe [clear psychotic symptoms, e.g., delusions or hallucinatio IRRITABILITY Nil Mild [slight subjective irritability; may not be overtly present] Moderate [verbal snappiness and irritability that is clearly observable in interview] Severe [reports of physical outbursts, e.g., throwing/breaking objects, or markedly abusive verbal outbursts] LABILITY Nil Mild [subjective reports of mild increase in mood lability] Moderate [mood lability clearly observable, moderate in intensity] Severe [marked and dominant mood lability, frequent or dramatic swings in mood] INCREASED MOTOR DRIVE Nil Mild [subjective reports of mild increase in mood lability] Moderate [mood lability clearly observable, moderate in intensity] Severe [marked and dominant mood lability, frequent or dramatic swings in mood] INCREASED SPEECH Nil Mild [slight increase in the rate or quantity of speech] Moderate [racing thoughts, significantly more talkative, clearly distractible, or some circumstantiality; does not impede interview] 3 Severe [flight of ideas; interferes with interview] AGITATION Nil [normal] Mild [slight restlessness] Moderate [clear increase in level of agitation] Severe [marked agitation, e.g., near continuous pacing or wringing hands] I accept the Terms of Service Submit
