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Psychiatric Associates of Atlanta, LLC

Twelve Piedmont Center, Suite 419, 3495 Piedmont Road, NE, Atlanta, GA 30305 404-495-5900 fax: 404-495-5901 David Lipsig, M.D.

www.atlantapsychiatry.com HAMILTON ANXIETY RATING SCALE (HAM-A)

Matthew Norman, M.D.

Classification of symptoms: HAM-A score level of anxiety:

0 - absent; 1 - mild; 2 - moderate; 3 - severe; 4 - incapacitating. < 17 mild; 18 - 24 mild to moderate; 25 - 30 moderate to severe.

Symptoms 1. Anxious mood


worries anticipates wo rst

Date:______________ 01234 01234 10. Respiratory Symptoms


chest pressure choking sensation shortness of breath

01234

2. Tension
startles cries ea sily restless trembling

11. Gastrointestinal Symptoms


dysphagia nausea or vomiting constipation weight loss

01234

3. Fears
fear fear fear fear of the dark of strangers of being alone of animal

01234

12. Genitourinary Symptoms


urinary frequency or urgency dysmenorrhea impotence

01234

4. Insomnia
difficulty falling asleep or staying asleep difficulty with nightmares

01234 01234 01234

13. Autonomic Symptoms


dry mouth flushing pallor sweating

01234

5. Intellectual
poor concentration memory impairment

14. Behavior at Interview


fidgets tremor paces

01234

6. Depressed Mood
decreased interest in activities anhedon ia insom nia

7. Somatic complaints - Muscular


muscle aches or pains bruxism

01234 01234 01234

8. Somatic complaints - Sensory


tinnitus blurred vision

TOTAL SCORE: ___________

9. Cardiovascular Symptoms
tachycardia palpitations chest p ain sensory of feeling faint

Raters signature: ____________________________

Source: Ham ilton MC . Ham ilton anxiety sca le [HA M A] (19 59).

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