The Complete Doctor Psychiatry Academy

Where Simplicity meets with Excellence

The Complete Doctor Psychiatry Academy  Self-rated:

Scales (High Yield Revision) Psychmentor o BDI (Beck Depression Inventory): This 21-item
I. Assessing Mental Health Conditions scale assesses depression severity, with each item
scored on a 0-3 point scale. Scores range from 0-
A. Depression and Anxiety 63, with higher scores indicating more severe
 Clinician-rated: depression.

o HAMD (Hamilton Depression Rating o GDS (Geriatric Depression Scale): This 30-item
Scale): This multiple-choice questionnaire scale screens for depression in the elderly. Each
assesses depression severity through 17 or 21 "yes" or "no" response yields a score, with ranges
items, each scored on a 3-5 point scale. Scores indicating severity (0-9: normal, 10-19: mild, 20-
above 24 often indicate severe depression. 30: severe).

o MADRS (Montgomery-Asberg Depression o ZSRDS (Zung Self-Rated Depression

Rating Scale): This 10-item diagnostic tool Scale): This 20-item scale (10 positive, 10
measures depressive episode severity, designed negative) assesses depression severity, with a
for sensitivity to treatment changes. score of 70 or above indicating severe
depression.
o HAMA (Hamilton Anxiety Rating Scale): This
14-item scale evaluates anxiety severity. o HADS (Hospital Anxiety Depression Scale): This
14-item scale assesses anxiety and depression.
o CSDD (Cornell Scale for Depression in
Dementia): This specialized tool screens for o EPDS (Edinburgh Postnatal Depression
depression in dementia patients through a 30- Scale): This 10-item questionnaire screens for
minute interview with both the patient and a postnatal depression, with a score of 10 or more
carer. often suggesting depression.

Chinonso Stanley Ezeanyika

The Complete Doctor Psychiatry Academy
Where Simplicity meets with Excellence

o PHQ-9 (Patient Health Questionnaire): This 9- E. Dementia

item self-report measures depression frequency
 CAMDEX (Cambridge Mental Disorders of the Elderly
over the last two weeks. The scoring system
Examination): This comprehensive tool aids in early
reflects depression severity with categories
diagnosis and measurement of dementia in the elderly
ranging from "none" to "severe."
through a clinical interview, cognitive tests, and an
B. Bipolar Disorder interview with a relative for additional information.
 YMRS (Young Mania Rating Scale): This 11-item II. Assessing Medication Effects and Side Effects
instrument assesses mania severity in bipolar disorder.
 DESS (Discontinuation-Emergent Signs and Symptoms
C. Schizophrenia Scale): This 43-item scale quantifies discontinuation
symptoms related to stopping antidepressants.
 PANSS (Positive and Negative Syndrome Scale): This
scale measures both positive and negative symptoms of  SAS (Simpson-Angus Scale): This 10-item clinician-
schizophrenia by collecting information from the rated scale assesses the severity of neuroleptic-induced
patient, staff, and family members about the patient's parkinsonism.
behavior over the past week.
 LUNSERS (Liverpool University Neuroleptic Side
 BPRS (Brief Psychiatric Rating Scale): This widely Effect Rating Scale): This self-rated scale measures the
used tool evaluates psychopathology in patients with side effects of antipsychotic medications using a 0-4
schizophrenia, focusing on 18 items (or 24 for the rating scale for each side effect.
expanded version).
 AIMS (Abnormal Involuntary Movement Scale): This
D. Obsessive-Compulsive Disorder (OCD) clinician-rated tool assesses the severity of dyskinesias
(involuntary movements) in patients taking neuroleptic
 Y-BOCS (Yale-Brown Obsessive Compulsive
medications.
Scale): This scale measures the severity of OCD and
treatment response. III. Assessing Global Functioning

Chinonso Stanley Ezeanyika

The Complete Doctor Psychiatry Academy
Where Simplicity meets with Excellence

 GAF (Global Assessment of Functioning): This tool assesses personality disorders using both a questionnaire
measures global psychological, social, and occupational and interview components.
functioning on a scale of 0-100.
 PDQ-R (Personality Diagnostic Questionnaire-
 CGI (Clinical Global Impression): This tool assesses Revised): This self-reported tool uses 100 true/false
overall illness severity and treatment response through a questions based on DSM-IV criteria for personality
seven-point scale. It requires clinical experience with disorders.
the patient's condition to rate severity.
 IPDS (Iowa Personality Disorder Screen): This
 GHQ (General Health Questionnaire): This self- interview method tool employs 11 criteria to assess
administered questionnaire identifies short-term changes personality disorders.
in mental health, specifically minor psychiatric
 IIP-PD (IIP Personality Disorder Scales): This self-
disorders.
reported tool contains 127 items rated on a 0-4 scale,
IV. Personality Assessment providing a comprehensive assessment of personality
disorder symptoms.
 SAPAS (Standardized Assessment of Personality
Abbreviated Scale): This brief interview tool focuses on
eight personality areas, requiring "yes/no" answers to
Scales (High yield Points) SPMM
eight statements. A score of 3 or more indicates a need
for further assessment.  Brief Psychiatric Rating Scale (BPRS):

 FFMRF (Five Factor Model Rating Form): This self- o Developed in the late 1960s as a short clinician-
reported tool assesses personality traits based on the rated scale (based on observation).
five-factor model using 30 items rated on a 1-5 scale. o Consists of 18 or 24 items, each rated on a 7-8
 IPDE (International Personality Disorder Examination point scale.
Screen): This semi-structured clinical interview o It covers a broad range of areas, including
(available as both self-report and clinician interview) thought disturbance, emotional withdrawal and

Chinonso Stanley Ezeanyika

The Complete Doctor Psychiatry Academy
Where Simplicity meets with Excellence

retardation, anxiety and depression, and hostility o It can be used to screen for major depression (in
and suspiciousness. individuals aged 13 and older).
o It has been used extensively for decades as an o A score of >17 indicates moderate and >30
outcome measure in treatment studies of indicates severe depression.
schizophrenia.
o It is well validated in children aged 14 and older.
o Reliability of the BPRS is good to excellent when
o It has more cognitive items than other depression
raters are experienced, but this is difficult to
scales.
achieve without substantial training.
 Montgomery-Asberg Depression Rating Scale:
o It is most commonly used in patients with a
diagnosis of schizophrenia. o It is most sensitive to change.

o It is an assessment of global psychiatric o It has a ten items version, which requires a

symptomatology. clinical interview like Hamilton depression rating
scale.
 Beck Depression Inventory (BDI):
 General Health Questionnaire (GHQ):
o Developed in the early 1960s to rate depression
severity, with a focus on behavioral and cognitive o It is a self-rated questionnaire used as a screening
dimensions of depression. instrument for the presence of psychiatric illness.
o It is a self-rated questionnaire containing 21 o The patient is asked to report the presence of a
statements, with four possible responses for each. list of symptoms in the preceding weeks.
o The current version has added more coverage of o Four versions are available, using 12, 28 (max
somatic symptoms and covers the most recent 2 score = 84), 30, and 60 items.
weeks.

Chinonso Stanley Ezeanyika

The Complete Doctor Psychiatry Academy
Where Simplicity meets with Excellence

o It can be used by primary care physicians, of symptoms in patients with a diagnosis of

general medical professionals and also in schizophrenia.
community studies.
o It contains items that cover positive symptoms,
 Young Mania Rating Scale (YMRS): negative symptoms, and general
psychopathology.
o It has 11 items.
 Abnormal Involuntary Movement Scale (AIMS):
o It is based on the patient's subjective report of
their condition over the previous 48 hours. o It is a 12-item clinician-administered scale for
assessing the severity of antipsychotic side
o Additional information is based upon clinical
effects, including tardive dyskinesia.
observations made during the course of the
clinical interview.  Hamilton Depression Rating Scale:
o There are four items that are graded on a scale o It requires a clinical interview.
from 0 to 8 (irritability, speech, thought content,
 Structured Clinical Interview for the DSM (SCID):
and disruptive/aggressive behaviour), while the
remaining seven items are graded on a scale of 0 o It is one of the most used diagnostic instruments
to 4. in clinical research worldwide.

o Mania is indicated by a score of 12, but many o The latest version of the instrument is called
clinical studies require YMRS > 20 to determine 'SCID-5'.
a manic state.
o It is a clinician-administered semi-structured
 Positive and Negative Symptom Scale (PANSS): interview for use in patients in whom a
psychiatric diagnosis is suspected.
o It is a clinician-administered rating scale for the
assessment of severity and monitoring of change o It is primarily used in research with trained
interviewers.

Chinonso Stanley Ezeanyika

The Complete Doctor Psychiatry Academy
Where Simplicity meets with Excellence

o It is based on a dimensional diagnostic scheme.  Schedule for Clinical Assessment in Neuropsychiatry

(SCAN):
o It is used in conjunction with ICD-11
classification. o It has evolved from the older Present State
Examination (PSE).
 Clifton Assessment Procedure (CAPE):
o It is a set of instruments aimed at assessing and
o It is intended to assess level of disability and
classifying psychopathology in adults.
estimate need for care.
 Present State Examination (PSE):
o It consists of a short cognitive scale and a
behavioural rating scale. o It is the older version of the Schedules for
Clinical Assessment in Neuropsychiatry (SCAN).
o The latter has four sub-scales: physical disability,
apathy, communication difficulties and social  Thematic Apperception Test (TAT):
disturbance.
o It is a projective test of personality.
o It is quick and easy to administer, and is widely
 Rorschach test:
used by professional staff and care workers,
especially at elderly residential care settings. o It is a projective test of personality.

 Schedule for Assessment of Negative Symptoms  Sentence Completion Test:

(SANS):
o It is a projective test of personality.
o It is used in conjunction with the Scale of
 Figure drawing:
Assessment of Positive Symptoms (SAPS).
o It is a projective test of personality.
 Scale of Assessment of Positive Symptoms (SAPS):
o Typically human forms but can involve houses or
o It is used in conjunction with the Schedule for
other forms.
Assessment of Negative Symptoms (SANS).

Chinonso Stanley Ezeanyika

The Complete Doctor Psychiatry Academy
Where Simplicity meets with Excellence

 Make-a-Picture Story (MAPS): o It is a brief screening tool for cognitive

impairment.
o It is a projective test of personality.
o It is a simplified version of the MoCA.
 The Glasgow Coma Scale:
o It is often used in clinical settings to assess
o It is a neurological scale.
cognitive function.
 The Abbreviated Mental Test:
 The Montreal Cognitive Assessment (MoCA):
o It is used to assess cognitive function.
o It is a 30-item questionnaire that assesses
 The Mini-Mental State Examination (MMSE): different aspects of cognitive function, including
attention, concentration, working memory,
o It is a 30-item questionnaire used to assess
language, visuoconstructional skills, abstract
cognitive function.
thinking, and executive function.
o It is a brief questionnaire that is used to screen
o It is a more comprehensive test of cognitive
for cognitive impairment.
function than the MMSE.
 The Addenbrooke Cognitive Examination:
o It is also used to screen for cognitive impairment.
o It is a 30-item questionnaire used to assess
 The Clinical Global Improvement scale:
cognitive function.
o It is used to assess the overall improvement in a
o It is a more comprehensive test of cognitive
patient's condition.
function than the MMSE.
o It is a clinician-rated scale that is often used to
o It is also used to screen for cognitive impairment.
track a patient's progress over time.
 The Mini-Cog:
 The Barnes Akathisia scale:

Chinonso Stanley Ezeanyika

The Complete Doctor Psychiatry Academy
Where Simplicity meets with Excellence

o It is a clinician-rated scale that is used to measure o It is a multidimensional measure of functional

akathisia. impairment in children and adolescents.
 The Simpson Angus scale:  The Child Behavioural Checklist:
o It is a clinician-rated scale that is used to measure o It is a parent-report measure of behavioral
extrapyramidal symptoms. problems in children.
o It rates 10 items from 0 to 4 points, yielding a  The Short Alcohol Withdrawal Scale (SAWS):
total body score divided by 10, and considered
o It is a tool to assess the severity of alcohol
normal up to 0.3.
withdrawal.
o It has been criticized for its bias in the rigidity
o A cut-off of 12 points is used where mild
domain, accounting for 6 of 10 items.
withdrawal is indicated by <12 points, and
 The AIMS scale: moderate to severe withdrawal (requiring
intervention) is indicated by 12 points or greater.
o It is a 12-item clinician-administered scale for
assessing the severity of antipsychotic side  The CAGE questionnaire:
effects, including tardive dyskinesia.
o It is a screening tool for alcohol use disorder.
 The LUNSERS scale:
 The AUDIT questionnaire:
o It is a clinician-rated scale that is used to measure
o It is a screening tool for alcohol use disorder.
drug-induced movement abnormalities.
 The Prochaska questionnaire:
 The Lane scale:
o It is a screening tool for eating disorders.
o It is used to assess for minor physical anomalies.
 The SCOFF questionnaire:
 The Child and Adolescent Functional Assessment Scale:
o It is a screening tool for eating disorders.

Chinonso Stanley Ezeanyika

The Complete Doctor Psychiatry Academy
Where Simplicity meets with Excellence

o It is a self-rated questionnaire that consists of five

questions.
 The CAMCOG questionnaire:
o It is a screening tool for cognitive impairment.

Chinonso Stanley Ezeanyika