Hamilton Anxiety ScaleCalculator / Leave a Comment Rates level of anxiety based on clinical questions. Hamilton Anxiety Scale (HAM-A) Calculator Hamilton Anxiety Scale (HAM-A) Calculator 1. Anxious mood (worries, anticipation of worst, anxious rumination, irritability): 0 – Not present 1 – Mild 2 – Moderate 3 – Severe 4 – Very Severe/Grossly Disabling 2. Tension (feelings of tension, fatigability, startle response, trembling, restlessness, inability to relax): 0 – Not present 1 – Mild 2 – Moderate 3 – Severe 4 – Very Severe/Grossly Disabling 3. Fears (of dark, of strangers, of being left alone, of animals, of traffic, of crowds): 0 – Not present 1 – Mild 2 – Moderate 3 – Severe 4 – Very Severe/Grossly Disabling 4. Insomnia (difficulty falling asleep, broken sleep, unsatisfying sleep and fatigue on waking, nightmares): 0 – Not present 1 – Mild 2 – Moderate 3 – Severe 4 – Very Severe/Grossly Disabling 5. Intellectual (Cognitive) (difficulty concentrating, poor memory): 0 – Not present 1 – Mild 2 – Moderate 3 – Severe 4 – Very Severe/Grossly Disabling 6. Depressed mood (loss of interest, anhedonia, depressed early waking, diurnal variation): 0 – Not present 1 – Mild 2 – Moderate 3 – Severe 4 – Very Severe/Grossly Disabling 7. Somatic (Muscular) (aches and pains, twitching, stiffness, grinding of teeth, voice trembling): 0 – Not present 1 – Mild 2 – Moderate 3 – Severe 4 – Very Severe/Grossly Disabling 8. Somatic (Sensory) (tinnitus, blurred vision, hot and cold flushes, feelings of weakness, pricking sensations): 0 – Not present 1 – Mild 2 – Moderate 3 – Severe 4 – Very Severe/Grossly Disabling 9. Cardiovascular symptoms (tachycardia, palpitations, throbbing of vessels, fainting feeling, missed beat): 0 – Not present 1 – Mild 2 – Moderate 3 – Severe 4 – Very Severe/Grossly Disabling 10. Respiratory symptoms (pressure or constriction in chest, feeling of suffocation, shortness of breath, sighs): 0 – Not present 1 – Mild 2 – Moderate 3 – Severe 4 – Very Severe/Grossly Disabling 11. Gastrointestinal symptoms (difficulty swallowing, abdominal pain, burning sensations, abdominal fullness, nausea, vomiting, looseness of bowels, loss of weight, constipation): 0 – Not present 1 – Mild 2 – Moderate 3 – Severe 4 – Very Severe/Grossly Disabling 12. Genito-urinary symptoms (frequency of micturition, urgency of micturition, amenorrhoea, menorrhagia, dyspareunia, premature ejaculation, loss of libido, impotence): 0 – Not present 1 – Mild 2 – Moderate 3 – Severe 4 – Very Severe/Grossly Disabling 13. Autonomic symptoms (dry mouth, flushing, pallor, tendency to sweat, giddiness, tension headache, piloerection): 0 – Not present 1 – Mild 2 – Moderate 3 – Severe 4 – Very Severe/Grossly Disabling 14. Behavior at interview (fidgeting, restlessness, tremor of hands, furrowed brow, strained face, sighing, rapid respiration, pallor, swallowing, belching, dilated pupils, exophthalmos, eyelid tremor, moist palms): 0 – Not present 1 – Mild 2 – Moderate 3 – Severe 4 – Very Severe/Grossly Disabling Your Total HAM-A Score: 0 Not yet calculated
