Hamilton Depression Rating Scale (HDRS) Book Appointment Filll in the form Full Name Email DEPRESSED MOOD Absent. These feeling states indicated only on questioning. These feeling states spontaneously reported verbally. Communicates feeling states non-verbally, i.e. through facial expression, posture, voice and tendency to weep. Patient reports virtually only these feeling states in his/her spontaneous verbal and non-verbal communication. FEELINGS OF GUILT Absent. Self reproach, feels he/she has let people down. Ideas of guilt or rumination over past errors or sinful deeds. Present illness is a punishment. Delusions of guilt. Hears accusatory or denunciatory voices and/or experiences threatening visual hallucinations. SUICIDE Absent. Feels life is not worth living. Wishes he/she were dead or any thoughts of possible death to self. Ideas or gestures of suicide. Attempts at suicide (any serious attempt rate 4). INSOMNIA: EARLY IN THE NIGHT No difficulty falling asleep. Complains of occasional difficulty falling asleep, i.e. more than 1⁄2hour. Complains of nightly difficulty falling asleep. INSOMNIA: MIDDLE OF THE NIGHT No difficulty. Patient complains of being restless and disturbed during the night. Waking during the night – any getting out of bed rates 2 (except for purposes of voiding). INSOMNIA: EARLY HOURS OF THE MORNING No difficulty. Waking in early hours of the morning but goes back to sleep. Unable to fall asleep again if he/she gets out of bed. WORK AND ACTIVITIES No difficulty. Thoughts and feelings of incapacity, fatigue or weakness related to activities, work or hobbies. Loss of interest in activity, hobbies or work – either directly reported by the patient or indirect in listlessness, indecision and vacillation (feels he/she has to push self to work or activities). Decrease in actual time spent in activities or decrease in productivity. Rate 3 if the patient does not spend at least three hours a day in activities (job or hobbies) excluding routine chores. Stopped working because of present illness. Rate 4 if patient engages in no activities except routine chores, or if patient fails to perform routine chores unassisted. RETARDATION Normal speech and thought. Slight retardation during the interview. Obvious retardation during the interview. Interview difficult. Complete stupor. AGITATION None. Fidgetiness. Playing with hands, hair, etc. Moving about, can’t sit still. Hand wringing, nail biting, hair-pulling, biting of lips. ANXIETY PSYCHIC No difficulty. Subjective tension and irritability. Worrying about minor matters. Apprehensive attitude apparent in face or speech. Fears expressed without questioning. ANXIETY SOMATIC (physiological concomitants of anxiety) Mild. Moderate. Severe. Incapacitating. SOMATIC SYMPTOMS GASTRO-INTESTINAL None. Loss of appetite but eating without staff encouragement. Heavy feelings in abdomen. Difficulty eating without staff urging. Requests or requires laxatives or medication for bowels or medication for gastro-intestinal symptoms. GENERAL SOMATIC SYMPTOMS None. Heaviness in limbs, back or head. Backaches, headaches, muscle aches. Loss of energy and fatigability. Any clear-cut symptom rates 2. GENITAL SYMPTOMS (symptoms such as loss of libido, menstrual disturbances) Absent. Mild. Severe. NSIGHT Acknowledges being depressed and ill. Acknowledges illness but attributes cause to bad food, climate, overwork, virus, need for rest, etc. Denies being ill at all. I accept the Terms of Service Submit
