Hamilton Depression Rating Scale

Hamilton Depression Rating Scale
Date*

MonthDayYear
Patient Name*

First NameLast Name
Date of Birth*

MonthDayYear
Depressed mood (Gloomy attitude, pessimism about the future, feeling of sadness, tendency to weep)*

AbsentSadnessOccasional weepingFrequent weepingExtreme symptoms
Feelings of guilt*

AbsentSelf-reproach, feels he/she has let people downIdeas of guiltPresent illness is a punishment; delusions of guiltHallucinations of guilt
Suicide*

AbsentFeels life is not worth livingWishes he/she were deadSuicidal ideas or gesturesAttempts at suicide
Initial insomnia (Difficulty falling asleep)*

AbsentOccasionalFrequent
Insomnia during the night (Restless, disturbed, waking at night)*

AbsentOccasionalFrequent
Delayed insomnia (Waking in early hours of the morning and unable to fall asleep again)*

AbsentOccasionalFrequent
Work and interests (Absence from work after treatment or recovery may rate)*

No difficultyFeelings of incapacity, listlessness, indecision and vacillationLoss of interest in hobbies, decreased social activitiesProductivity decreasedUnable 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)*

AbsentSlight retardation at interviewObvious retardation at interviewInterview difficultComplete stupor
Agitation (Restlessness associated with anxiety)*

AbsentMildSevere
Psychiatric anxiety*

AbsentTension and irritabilityWorrying about minor mattersApprehensive attitudeFears
Somatic anxiety (Gastrointestinal, indigestion, cardiovascular, palpitations, headaches, respiratory, genitourinary, etc.)*

AbsentMildModerateSevereIncapacitating
General somatic symptoms (Heaviness in limbs, back, or head; diffuse backache; loss of energy and fatiguability)*

AbsentMildSevere
Genital symptoms (Loss of libido, menstrual disturbances)*

AbsentMildSevere
Hypochondriasis (abnormal preoccupation with one's health and a fear of having or getting a disease despite physical evidence to the contrary)*

Not presentBodily self-absorptionPreoccupation with healthQuerulous attitudeHypochondriacal delusions
Weight loss*

NoneSlightObvious or severe
Insight (Must be interpreted in terms of patient’s understanding and background)*

No lossPartial or doubtful lossLoss of insight
Should be Empty: