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YMRS

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21 views1 page

YMRS

Uploaded by

PSYCHO ARTIST
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Young Mania Rating Scale (YMRS)

Guide for Scoring Items – The purpose of each item is to rate the severity of that abnormality in the patient. When several
keys are given for a particular grade of severity, the presence of only one is required to qualify for that rating.
The keys provided are guides. One can ignore the keys if that is necessary to indicate severity, although this should be
the exception rather than the rule.
Scoring between the points given (whole or half points) is possible and encouraged after experience with the scale is
acquired. This is particularly useful when severity of a particular item in a patient does not follow the progression indicated
by the keys.

1. Elevated Mood 7. Language – Thought Disorder


0 Absent 0 Absent
1 Mildly or possibly increased on questioning 1 Circumstantial; mild distractibility; quick
2 Definite subjective elevation; optimistic, self- thoughts
confident; cheerful; appropriate to content 2 Distractible; loses goal of thought; changes
3 Elevated, inappropriate to content; humorous topics frequently; racing thoughts
4 Euphoric; inappropriate to content; singing 3 Flight of ideas; tangentiality; difficult to follow;
rhyming; echolalia
2. Increased Motor Activity – Energy 4 Incoherent; communication impossible
0 Absent
1 Subjectively increased 8. Content
2 Animated; gestures increased 0 Normal
3 Excessive energy; hyperactive at times; restless 2 Questionable plans, new interests
(can be calmed) 4 Special project(s); hyperreligious
4 Motor excitement; continuous hyperactivity 6 Grandiose or paranoid ideas; ideas of reference
(cannot be calmed) 8 Delusions; hallucinations

3. Sexual Interest 9. Disruptive – Aggressive Behavior


0 Normal; not increased 0 Absent; cooperative
1 Mildly or possibly increased 2 Sarcastic; loud at times; guarded
2 Definitive subjective increase on questioning 4 Demanding; threats on ward
3 Spontaneous sexual content; elaborates on sexual 6 Threatens interviewer; shouting; interview
matters; hypersexual by self-report difficult
4 Overt sexual acts (towards patients, staff, or 8 Assaultive; destructive; interview impossible
interviewer)
10. Appearance
4. Sleep 0 Appropriate dress and grooming
0 Reports no decrease in sleep 1 Minimally unkempt
1 Sleeping less than normal amount by up to one 2 Poorly groomed; moderately disheveled;
hour overdressed
2 Sleeping less than normal by more than one hour 3 Disheveled; partly clothed; garish makeup
3 Reports decreased need for sleep 4 Completely unkempt; decorated; bizarre garb
4 Denies need for sleep
11. Insight
5. Irritability 0 Present; admits illness; agrees with need for
0 Absent treatment
2 Subjectively increased 1 Possibly ill
4 Irritable at times during interview; recent 2 Admits behavior change, but denies illness
episodes of anger or annoyance on ward 3 Admits possible change in behavior, but denies
6 Frequently irritable during interview; short, curt illness
throughout 4 Denies any behavior changes
8 Hostile, uncooperative; interview impossible

6. Speech (Rate and Amount)


0 No increase Name:
2 Feels talkative
4 Increased rate or amount at times, verbose at Rater:
times
6 Push; consistently increased rate and amount; Date:
difficult to interrupt
8 Pressured; uninterruptible, continuous speech Score:

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