HAMILTON ANXIETY SCALE

Name Date

Select the corresponding score for each item, according to your experience. The
definitions that follow the item statement are examples that serve as a guide. Mark in the
box on the right the figure that best defines the intensity of each symptom in the patient.
All items must be scored.

Moderate

serious/Disab
Absent
SYMPTOMS OF ANXIETY STATES

Serious

Very

ling
Mild
1. Anxious mood.
Worries, anticipation of the worst, apprehension (fearful 0 1 2 3 4
anticipation), irritability

2. Tension.
0 1 2 3 4
Feeling of tension, inability to relax, startled reactions, easy
crying, tremors, feeling of restlessness.
3. Fears .
To the darkness, to strangers, to being alone, to large 0 1 2 3 4
animals, to traffic, to crowds.
4. Insomnia .
Difficulty falling asleep, interrupted sleep, unsatisfactory 0 1 2 3 4
sleep and tiredness when waking up.
5. Intellectual (cognitive) 0 1 2 3 4
Difficulty concentrating, poor memory.
6. Depressed mood .
Loss of interest, dissatisfaction with entertainment,
0 1 2 3 4
depression, premature awakening, mood swings during the
day.
7. General somatic (muscular) symptoms Muscle aches
and pains, muscle rigidity, muscle twitches, clonic jerks, 0 1 2 3 4
teeth grinding, trembling voice.
8. General somatic symptoms (sensory)
Ringing in the ears, blurred vision, hot flashes and chills,
0 1 2 3 4
feeling weak, tingling sensation.

9. Cardiovascular symptoms.
Tachycardia, palpitations, chest pain, vascular palpitations,
feeling of fainting, extrasystole. 0 1 2 3 4
 HAMILTON ANXIETY SCALE

10. Respiratory symptoms.

Tightness or constriction in the chest, feeling of suffocation, 0 1 2 3 4
sighing, dyspnea.
11. Gastrointestinal symptoms .
Difficulty swallowing, gas, dyspepsia: pain before and after
eating, burning sensation, feeling of a full stomach, watery
0 1 2 3 4
vomiting, vomiting, feeling of an empty stomach, slow
digestion, borborygmi (intestinal noise), diarrhea, weight
loss, constipation .
12. Genitourinary symptoms .
Urination frequent, urination urgent, amenorrhea,
0 1 2 3 4
menorrhagia, appearance of frigidity, premature ejaculation,
lack of erection, impotence.
13. Autonomous symptoms .
Dry mouth, flushing, paleness, tendency to sweat,
dizziness, tension headaches, piloerection (hair standing on 0 1 2 3 4
end)

14. Behavior in the interview (general and

physiological)
Tense, not relaxed, nervous agitation: hands, fingers held,
clenched, tics, rolling up a handkerchief; concern; pacing
from side to side, hand trembling, frowning, tight face, 0 1 2 3 4
increased muscle tone, sighing, facial paleness.
Swallowing saliva, belching, resting tachycardia, respiratory
rate above 20 res/min, vigorous tendon jerks, tremor,
dilated pupils, exophthalmos (abnormal projection of the
eyeball), sweating, eyelid tics.

Psychological anxiety

Somatic anxiety

TOTAL SCORE