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HAMILTON ANXIETY SCALE

HAMILTON ANXIETY SCALE (HAM-A)


The Hamilton Anxiety Scale (HAM-A) is a rating scale developed to quantify the severity of anxiety symptomatology, often used in psychotropic drug evaluation. It consists of 14 items, each defined by a series of symptoms. Each item is rated on a 5-point scale, ranging from 0 (not present) to 4 (severe).


Patient Name

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Today’s Date

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0 = Not present to 4 = Severe



NO.  ITEM SCORE
1 ANXIOUS MOOD
• Worries
• Anticipates worst
 
2 TENSION
• Startles
• Cries easily
• Restless
• Trembling
 
3 FEARS
• Fear of the dark
• Fear of strangers
• Fear of being alone
• Fear of animal
 
4 INSOMNIA
• Difficulty falling asleep or staying asleep
• Difficulty with Nightmares
 
5 INTELLECTUAL
• Poor concentration
• Memory Impairment
 
6 DEPRESSED MOOD
• Decreased interest in activities
• Anhedoni
• Insomnia
 
7 SOMATIC COMPLAINTS: MUSCULAR
• Muscle aches or pains
• Bruxism
 
8 SOMATIC COMPLAINTS: SENSORY
• Tinnitus
• Blurred vision
 
9 CARDIOVASCULAR SYMPTOMS
• Tachycardia
• Palpitations
• Chest Pain
• Sensation of feeling faint
 
10 RESPIRATORY SYMPTOMS
• Chest pressure
• Choking sensation
• Shortness of Breath
 
11 GASTROINTESTINAL SYMPTOMS
Dysphagia
• Nausea or Vomiting
• Constipation
• Weight loss
• Abdominal fullness
 
12 GENITOURINARY SYMPTOMS
• Urinary frequency or urgency
• Dysmenorrhea
• Impotence
 
13 AUTONOMIC SYMPTOMS
• Dry Mouth
• Flushing
• Pallor
• Sweating
 
14 BEHAVIOR AT INTERVIEW
• Fidgets
• Tremor
• Paces