** What is it like when you worry?
RATE WORRYING (4) A round of painful thought which cannot be stopped and is out of proportion to the subject worried about.
** Have you had headaches or other aches or pains during the past month?
RATE ONLY TENSION PAINS (5) e.g. 'band round head', 'pressure', 'tightness in scalp ', 'ache in back of neck' etc., not migraine.
** Have you been getting exhausted and worn out during the day or evening even when you haven't been working very hard?
RATE TIREDNESS OR EXHAUSTION (6) Do not include tiredness due to 'flu, etc. (rate 9)
** Have you had difficulty in relaxing during the past month?
RATE MUSCULAR TENSION (7) Do not include a subjective feeling of nervous tension, which is rated later.
** Have you been so fidgety and restless that you couldn't sit still?
RATE RESTLESSNESS (8)
** Do you feel that you are physically ill in any way?
RATE SUBJECT'S OWN SUBJECTIVE EVALUATION OF PRESENT PHYSICAL HEALTH (1) (Irrespective of whether physical disease is present)
** Do you tend to worry over your physical health?
RATE HYPOCHONDRIASIS (9) Overconcern with possibility of death, disease or malfunction. Re-rate at end of interview if necessary.
** Do you often feel on edge, or keyed up, or mentally tense or strained?
RATE SUBJECTIVE FEELING OF 'NERVOUS TENSION' (10) There is no need for autonomic accompaniments for this symptom to be rated present.
** Have there been times lately when you have been very anxious or frightened?
RATE FREE-FLOATING AUTONOMIC ANXIETY (11) Exclude if due to delusions. Exclude if purely situational.
** Have you had the feeling that something terrible might happen?
RATE ANXIOUS FOREBODING WITH AUTONOMIC ACCOMPANIMENT (12)
Have you had times when you felt shaky, or your heart pounded, or you felt sweaty, and you simply had to do something about it?
RATE PANIC ATTACKS WITH AUTONOMIC SYMPTOMS: (14) A panic attack is intolerable anxiety leading to some action to end it, e.g. leaving a bus, phoning husband at work, going in to see a neighbour, etc.
Do you tend to get anxious in certain situations, such as travelling or being alone, or being in a lift or tube train?
RATE SITUATIONAL AUTONOMIC ANXIETY (15)
What about meeting people e.g. going into a crowded room, making conversation?
RATE AUTONOMIC ANXIETY ON MEETING PEOPLE (16)
Do you have any special fears, like some people are scared of feathers, or cats, or spiders, or birds?
RATE ONLY SPECIFIC PHOBIAS (17) NOT GENERAL SITUATIONAL ANXIETY)
Do you avoid any of these situations (specify as appropriate) because you know you will get anxious?
RATE AVOIDANCE OF ANXIETY-PROVOKING SITUATIONS (18)
** Do your thoughts tend to be muddled or slow?
RATE SUBJECTIVELY INEFFICIENT THINKING (19) If due to intrusion of alien thoughts, rate 9.
** What has your concentration been like recently?
RATE POOR CONCENTRATION (20)
** What about your interests, have they changed at all?
RATE LOSS OF INTEREST (22) continuing during past month
** Have you cried at all?
RATE DEPRESSED MOOD (23) N. B. When rating clinical severity of depression remember that deeply depressed people may not necessarily cry. See definition in glossary.
** How do you see the future?
RATE HOPELESSNESS (24) on subject's subjective view at present
** Have you felt that life wasn't worth living?
RATE SUICIDAL PLANS OR ACTS (25)
Which seems worse, the depression or the anxiety? (use subject's own terms)
RATE ANXIETY OR DEPRESSION PRIMARY (26) See definition in glossary. If subject suffers from both anxiety and depression, try to decide which is primary
** Have you wanted to stay away from other people?
RATE SOCIAL WITHDRAWAL (28)
** What is your opinion of yourself compared to other people?
RATE SELF-DEPRECIATION (29)
** How confident do you feel in yourself?
RATE LACK OF SELF-CONFIDENCE WITH OTHER PEOPLE (30) Consider only competence in social relationships, not competence in mechanical work, etc.
** Are you self-conscious in public?
RATE SIMPLE IDEAS OF REFERENCE (31) (not delusions)
Do you have the feeling that you are being blamed for something or even accused? What about?
RATE GUILTY IDEAS OF REFERENCE (32) Do not include justifiable blame or accusation. Exclude delusions of guilt.
Do you tend to blame yourself at all?
RATE PATHOLOGICAL GUILT ONLY (33)
** Have you had any trouble getting off to sleep during the past month?
RATE DELAYED SLEEP (35)
** Do you seem to be slowed down in your movements, or have too little energy recently? How much has it affected you?
RATE SUBJECTIVE ANERGIA AND RETARDATION (36)
Do you wake early in the morning?
RATE EARLY WAKING (37) (1 hour before usual)
Has there been any change in your interest in sex?
RATE LOSS OF LIBIDO WITHIN PRESENT EPISODE OF ILLNESS AND PERSISTING DURING PAST MONTH
** Have you been very much more irritable than usual recently?
RATE IRRITABILITY (40)
** Have you sometimes felt particularly cheerful and on top of the world, without any reason?
RATE EXPANSIVE MOOD (41 Not ordinary high spirits
** Have you felt particularly full of energy lately, or full of exciting ideas?
RATE SUBJECTIVE IDEOMOTOR PRESSURE (42)
Have you seemed super-efficient at work, or as though you had special powers or talents quite out of the ordinary?
RATE GRANDIOSE IDEAS AND ACTIONS (43)
** Do you find that you have to keep on checking things that you know you have already done?
RATE OBSESSIONAL CHECKING AND REPEATING (44)
** Do you spend a lot of time on personal cleanliness, like washing over and over again even though you know you are clean? What about tidiness?
RATE OBESSIONAL CLEANLINESS AND SIMILAR RITUALS (45)
** Do you find it difficult to make decisions even about trivial things?
RATE OBSESSIONAL IDEAS AND RUMINATION (46)
** Have you had the feeling recently that things around you were unreal?)
RATE DEREALISATION (47)
** Have you yourself felt unreal, that you were not a person, not in the living world?
RATE DEPERSONALISATION (48)
** Have there been any periods in which you completely forgot what happened?
RATE FUGUES, BLACKOUTS, AMNESIA (97) for more than 1 hour: irrespective of aetiology
** What medicines or drugs do you take?
RATE DRUG ABUSE DURING MONTH (98) (ONE, THE HIGHEST CATEGORY, ONLY)
1. INTRODUCTION and 2. HEALTH, WORRYING, TENSION
3. AUTONOMIC ANXIETY
4. THINKING, CONCENTRATION, INTERESTS
5. DEPRESSED MOOD
6. SELF AND OTHERS
7. APPETITE, SLEEP, RETARDATION, LIBIDO
9. EXPANSIVE MOOD AND IDEATION
11. DEPERSONALISATION AND DEREALISATION
12. OTHER PERCEPTUAL DISTORTION, ETC.
16. SENSORIUM AND FACTORS AFFECTING, AND TREATMENT
1982 Present State Examination