HAMILTON DEPRESSION RATING SCALE (HAM-D)

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HAMILTON DEPRESSION RATING SCALE (HAM-D)

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DEPRESSED MOOD (Gloomy attitude, pessimism about the future, feeling of sadness, tendency to weep)

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FEELINGS OF GUILT

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SUICIDE

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INSOMNIA - Initial (Difficulty in falling asleep)

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INSOMNIA - Middle (Complains of being restless and disturbed during the night. Waking during the night.)

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INSOMNIA - Delayed (Waking in early hours of the morning and unable to fall asleep again)

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WORK AND INTERESTS

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RETARDATION (Slowness of thought, speech, and activity; apathy; stupor.)

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AGITATION (Restlessness associated with anxiety.)

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ANXIETY - PSYCHIC

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ANXIETY - SOMATIC Gastrointestinal, indigestion Cardiovascular, palpitation, Headaches Respiratory, Genito-urinary, etc

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SOMATIC SYMPTOMS - GASTROINTESTINAL (Loss of appetite , heavy feeling in abdomen; constipation)

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SOMATIC SYMPTOMS - GENERAL (Heaviness in limbs, back or head; diffuse backache; loss of energy and fatiguability)

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GENITAL SYMPTOMS (Loss of libido, menstrual disturbances)

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HYPOCHONDRIASIS

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WEIGHT LOSS

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INSIGHT (Insight must be interpreted in terms of pa- tient’s understanding and background.)

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DIURNAL VARIATION (Symptoms worse in morning or evening. Note which it is. )

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DEPERSONALIZATION AND DEREALIZATION (feelings of unreality, nihilistic ideas)

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PARANOID SYMPTOMS (Not with a depressive quality)

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OBSESSIONAL SYMPTOMS (Obsessive thoughts and compulsions against which the patient struggles)