Psychiatric Rating

Scales
-George Gregory
clinical impressions
Administered by:

Time to complete:
  Symptom

Somatic concern

Anxiety

Depression

Suicidality

Guilt

Hostility

Elated Mood

Grandiosity

Suspiciousness

Hallucinations

Unusual thought
content

Bizarre behaviour
Positive Symptoms
Code P1-7

Negative Symptoms
Code N1-7

General
Psychopathology
G1-16

Supplemental
aggression risk
Appropriate for:

Administered by:

Time to complete:
YMRS 1: Elevated Mood

YMRS 2: Increased Motor Activity

YMRS 3: Sexual Interest

YMRS 1: Elevated Mood

YMRS 2: Increased Motor Activity

YMRS 3: Sexual Interest

YMRS 4: Sleep

YMRS 5: Irritability

YMRS 6: Speech
YMRS 7: Language/Thought Disorder

YMRS 8: Content

YMRS 9: Disruptive-Aggressive Behavior

YMRS 10: Appearance

YMRS 11: Insight

Administered by:
Time to complete:
 Montgomery-
Asberg Depression
Rating Scale
Montgomery – Åsberg Depression Rating
Scale is a 10-item scale to measure the
core symptoms and cognitive features of
clinical depression
Originally a subscale of Comprehensive
Psychopathological Rating Scale, or
CPRS (Asberg et al. 1978)
Symptoms are rated on a scale from 0-6
Anchor points at ratings of 0, 2, 4, and 6
Representing despondency, gloom and despair (more than just transient
low spirits) reflected in speech, facial expressions, and posture. Rate by
depth and inability to brighten up.
Rate by observation

0
1
2
3
4
5
6
Representing reports of depressed mood, regardless of whether it is
reflected in appearance or not. Rate according to intensity, duration and
the extent to which the mood is reported to be influenced by events.

0
1
2
3
4
5
6
Representing feelings of ill defined discomfort, edginess, inner turmoil,
mental tension mounting to either panic, dread, or anguish. Rate
according to the intensity, frequency, duration, and the extent of
reassurance called for.

0
1
2
3
4
5
6
Probe for and rate any sleep related issues,
including restless sleep and any trouble
falling asleep
Distinguish if symptom is normal (e.g., if an
infant is in the household, broken sleep
could be considered normal)
Representing the experience of reduced duration or depth
of sleep compared with the subject’s normal pattern when
well. Rate past week.
0
1
2
3
4
5
6
Frequently underrated item: This item
measures both appetite and interest in
eating. Raters must ask about both
symptoms
Do not assume a change in weight reflects
an increase/decrease in appetite or
interest in eating
Use all scripted probing questions, even if
patient reports appetite is normal
Representing the feeling of loss of appetite compared with when well.
Rate by desire for food or the need to force oneself to eat.

0
1
2
3
4
5
6
Rate only difficulty with concentration,
regardless of circumstances
If patient reports no need to concentrate
(e.g., on vacation, not working), probe on
ability to concentrate on other normal
activities (reading paper, conversations,
etc)
Use the script, ask all questions
Representing difficulties in collecting one’s thoughts mounting to
incapacitating lack of concentration. Rate according to the intensity,
frequency, and degree of incapacity produced.

0
1
2
3
4
5
6
Rate the ability to start activities or tasks
Determine if tasks/activities were actually
started

Probe to determine if normal daily living

activities were affected
If affected, determine if outside
assistance was required (such as
friends or family members
Representing a difficulty getting started or slowness initiating and
performing everyday activities.

0
1
2
3
4

5
6
Probe for subject’s normal level of activities
in which he/she participates
Determine the level of disinterest (if
appropriate) in participating.
Ask the subject why the level has
changed.

Determine if subject is able to connect with

others, such as family or friends
Representing the subjective experience of reduced interest in the
surroundings or activities that normally give pleasure. The ability to
react with adequate emotion to circumstances or people is reduced.

0
1
2
3
4
5
6
Determine the occurrence and severity of
pessimistic thoughts/lack of optimism

Determine if subject feels as if they have let

others down or have done something
wrong
Determine if feelings are justified/rational
Probe for subjective awareness of guilt
Representing thoughts of guilt, inferiority, self-reproach, sinfulness,
remorse, and ruin.

0
1
2
3
4
5
6
It is important to evaluate the frequency or
severity of suicidal thoughts

Determine if the subject has made any plans

for suicide

For safety, subjects that have current plans

for suicide should be treated appropriately
Representing the feeling that life is not worth living, that a natural
death would be welcome, suicidal thoughts, and preparation for
suicide. Suicidal attempts should not, in themselves, influence the
rating.
0
1
2
3
4
5
6