Montgomery and Asberg Depression Rating Scale (MADRS) Book Appointment Filll in the form Full Name Email Apparent Sadness No sadness. Looks dispirited but does brighten up without difficulty. Appears sad and unhappy most of the time. Looks miserable all the time. Extremely despondent. Reported sadness Occasional sadness in keeping with the circumstances. Sad or low but brightens up without difficulty. Pervasive feelings of sadness or gloominess. The mood is still influenced by external circumstances. Continuous or unvarying sadness, misery or despondency. Inner tension Placid. Only fleeting inner tension. Occasional feelings of edginess and ill defined discomfort. Continuous feelings of inner tension or intermittent panic which the patient can only master with some difficulty. Unrelenting dread or anguish. Overwhelming panic Reduced sleep Sleeps as usual. Slight difficulty dropping off to sleep or slightly reduced, light or fitful sleep. Sleep reduced or broken by at least two hours. Less than two or three hours sleep Reduced appetite Normal or increased appetite. Slightly reduced appetite. No appetite. Food is tasteless. Needs persuasion to eat at all. Concentration Difficulties No difficulties in concentrating. Occasional difficulties in collecting one's thoughts. Difficulties in concentrating and sustaining thought which reduces ability to read or hold a conversation. Unable to read or converse without great difficulty. Lassitude Hardly any difficulty in getting started. No sluggishness. Difficulties in starting activities. Difficulties in starting simple routine activities which are carried out with effort. Complete lassitude. Unable to do anything without help. Inability to feel Normal interest in the surroundings and in other people. Reduced ability to enjoy usual interests. Loss of interest in the surroundings. Loss of feelings or friends and acquaintances. The experience of being emotionally paralysed, inability to feel anger, grief or pleasure and a complete or even painful failure to feel for close relatives and friends. Pessimistic thoughts No pessimistic thoughts. Fluctuating ideas of failure, self-reproach or self depreciation. Persistent self-accusations, or definite but still rational ideas of guilt or sin. Increasingly pessimistic about the future. Delusions of ruin, remorse or unredeemable sin. Self-accusations which are absurd and unshakable. Suicidal thoughts Enjoys life or takes it as it comes. Weary of life. Only fleeting suicidal thoughts. Probably better off dead. Suicidal thoughts are common, and suicide is considered as a possible solution, but without specific plans or intention. Explicit plans for suicide when there is an opportunity. Active preparation for suicide. I accept the Terms of Service Submit