HAMILTON DEPRESSION RATING SCALE (Page 2)

7 - WORK AND ACTIVITIES
	0	No difficulty
	1	Thoughts and feelings of incapacity, fatigue or weakness related to activities ; work or hobbies.
	2	Loss of interest in activity ; hobbies or work - either directly reported by patient, or indirect in listlessness, indecision and vacillation (feels he has to push self to work or activities).
	3	Decrease in actual time spent in activities or decrease in productivity. In hospital, rate 3 if patient does not spend at least three hours a day in activities (hospital job or hobbies) exclusive of ward chores
	4	Stopped working because of present illness. In hospital, rate 4 if patient engages in no activities except ward chores, or if patient fails to perform ward chores unassisted.
8 - RETARDATION (Slowness of thought and speech; impaired ability to concentrate; decreased motor activity.)
	0	Normal speech and thought
	1	Slight retardation at interview.
	2	Obvious retardation at interview
	3	Interview difficult.
	4	Complete stupor.
9 - AGITATION
	0	None.
	1	Fidgetiness
	2	Playing with hands, hair,etc.
	3	Moving about, can't sit still.
	4	Hand wringing, nail biting, hair-pulling, biting of lips.
10 - ANXIETY PSYCHIC
	0	No difficulty.
	1	Subjective tension and irritability.
	2	Worrying about minor matters
	3	Apprehensive attitude apparent in face or speech.
	4	Fears expressed without questioning.
11 - ANXIETY SOMATIC (Physiological concomitants of anxiety, such as : - Gastro-intestinal : dry mouth, wind, indigestion, diarrhea, cramps, belching. - Cardio-vascular : palpitations, headaches. - Respiratory : hyperventilation, sighing. - Urinary frequency - Sweating.)
	0	Absent
	1	Mild.
	2	Moderate
	3	Severe.
	4	Incapacitating.

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