01732 808 626 info@thinkcbt.com

01732 808 626 info@thinkcbt.com

01732 808 626 info@thinkcbt.com

Hamilton Anxiety Scale (HAM-A)
You can respond anonymously, and no data will be retained from this assessment. If you choose to include your initials and an email address, your results will be automatically sent to the email address provided. Please check that the email address has been entered correctly before submitting this form. All client information is managed on a strictly confidential basis. Please Note: Whilst every effort is made to ensure that our system is securely encrypted, email is not a completely secure means of communication. Think CBT does not accept liability for loss or theft of personal data where any individual chooses to transmit or receive information via email.
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This questionnaire is not designed to provide a definitive psychological diagnosis or to take the place of a professional consultation. Please answer all questions as accurately and honestly as possible.


1. Anxious mood Worries, anticipation of the worst, fearful anticipation, irritability.
         
2. Feelings of tension, fatigability, startle response, moved to tears easily, trembling, feelings of restlessness, inability to relax.
         
3. Fears Of dark, of strangers, of being left alone, of animals, of traffic, of crowds.
         
4. Insomnia Difficulty in falling asleep, broken sleep, unsatisfying sleep and fatigue on waking, dreams, nightmares, night terrors.
         
5. Intellectual Difficulty in concentration, poor memory.
         
6. Depressed Mood Loss of interest, lack of pleasure in hobbies, depression, early waking, mood swings.
         
7. Physical/Muscular Pains and aches, twitching, stiffness, myoclonic jerks, grinding of teeth, unsteady voice, increased muscular tone.
         
8. Senses Tinnitus, blurring of vision, hot and cold flushes, feelings of weakness, pricking sensation.
         
9. Cardiovascular Tachycardia, palpitations, pain in chest, throbbing of vessels, fainting feelings, 'skipping' a beat.
         
10. Respiratory Pressure or constriction in chest, choking feelings, sighing, dyspnea.
         
11. Digestive Difficulty in swallowing, wind abdominal pain, burning sensations, abdominal fullness, nausea, vomiting, borborygmi, looseness of bowels, loss of weight, constipation.
         
12. Genitourinary Frequency of micturition, urgency of micturition, amenorrhea, menorrhagia, development of frigidity, premature ejaculation, loss of libido, impotence.
         
13. Autonomic symptoms Dry mouth, flushing, pallor, tendency to sweat, giddiness, tension headache, raising of hair.
         
14. Behavior at interview Fidgeting, restlessness or pacing, tremor of hands, furrowed brow, strained face, sighing or rapid respiration, facial pallor, swallowing, etc.