Hamilton Anxiety Scale
HAM-A · ASSESSMENT TOOL
HAM-A Assessment
14-item scale rating anxiety severity (0–4 each). Total updates live as you score each item.
This tool supports clinical assessment only. Follow your organisation's protocol and escalate urgent symptoms immediately.
Anxious mood
Worries, anticipation of the worst, fearful anticipation, irritability.
Score 0–4
Tension
Feelings of tension, fatigability, startle response, moved to tears easily, trembling, feelings of restlessness, inability to relax.
Score 0–4
Fears
Of dark, of strangers, of being left alone, of animals, of traffic, of crowds.
Score 0–4
Insomnia
Difficulty in falling asleep, broken sleep, unsatisfying sleep and fatigue on waking, dreams, nightmares, night terrors.
Score 0–4
Intellectual
Difficulty in concentration, poor memory.
Score 0–4
Depressed mood
Loss of interest, lack of pleasure in hobbies, depression, early waking, diurnal swing.
Score 0–4
Somatic (muscular)
Pains and aches, twitching, stiffness, myoclonic jerks, grinding of teeth, unsteady voice, increased muscular tone.
Score 0–4
Somatic (sensory)
Tinnitus, blurring of vision, hot and cold flushes, feelings of weakness, pricking sensation.
Score 0–4
Cardiovascular symptoms
Tachycardia, palpitations, pain in chest, throbbing of vessels, fainting feelings, missing beat.
Score 0–4
Respiratory symptoms
Pressure or constriction in chest, choking feelings, sighing, dyspnea.
Score 0–4
Gastrointestinal symptoms
Difficulty in swallowing, wind abdominal pain, burning sensations, abdominal fullness, nausea, vomiting, borborygmi, looseness of bowels, loss of weight, constipation.
Score 0–4
Genitourinary symptoms
Frequency of micturition, urgency of micturition, amenorrhea, menorrhagia, development of frigidity, premature ejaculation, loss of libido, impotence.
Score 0–4
Autonomic symptoms
Dry mouth, flushing, pallor, tendency to sweat, giddiness, tension headache, raising of hair.
Score 0–4
Behavior at interview
Fidgeting, restlessness or pacing, tremor of hands, furrowed brow, strained face, sighing or rapid respiration, facial pallor, swallowing, etc.
Score 0–4
Current score
Select scores above — your total updates automatically.
Severity bands
For reference only — verify against current protocol.