Mental Health Book

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Hamilton Anxiety Scale

Aka: Hamilton Anxiety Scale, HAM-A
  1. See Also
    1. Anxiety Scales
  2. Background
    1. Authored by Max Hamilton in 1959
    2. Public domain anxiety rating scale
  3. Criteria: Symptom Rating Scale (0=Not Present, 4=Disabling)
    1. Anxious Mood
      1. Worries
      2. Anticipates worst
    2. Tension
      1. Startles
      2. Cries easily
      3. Restless
      4. Trembling
    3. Fears
      1. Fear of the dark
      2. Fear of strangers
      3. Fear of being alone
      4. Fear of animal
    4. Insomnia
      1. Difficulty falling asleep or staying asleep
      2. Difficulty with Nightmares
    5. Intellectual
      1. Poor concentration
      2. Memory Impairment
    6. Depressed Mood
      1. Decreased interest in activities
      2. Anhedonia
      3. Insomnia
    7. Somatic Complaints: Muscular
      1. Muscle aches or pains
      2. Bruxism
    8. Somatic Complaints: Sensory
      1. Tinnitus
      2. Blurred vision
    9. Cardiovascular Symptoms
      1. Tachycardia
      2. Palpitations
      3. Chest Pain
      4. Sensation of feeling faint
    10. Respiratory Symptoms
      1. Chest pressure
      2. Choking sensation
      3. Shortness of Breath
    11. Gastrointestinal symptoms
      1. Dysphagia
      2. Nausea or Vomiting
      3. Constipation
      4. Weight loss
      5. Abdominal fullness
    12. Genitourinary symptoms
      1. Urinary frequency or urgency
      2. Dysmenorrhea
      3. Impotence
    13. Autonomic Symptoms
      1. Dry Mouth
      2. Flushing
      3. Pallor
      4. Sweating
    14. Behavior at Interview
      1. Fidgets
      2. Tremor
      3. Paces
  4. Interpretation
    1. Above 14 symptoms are graded on scale
      1. Not present: 0
      2. Very severe symptoms: 4
    2. Criteria
      1. Mild Anxiety (minimum for Anxiolytic): 18
      2. Moderate Anxiety: 25
      3. Severe Anxiety: 30

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