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bipolar disorder

Altman Self-Rating Mania Scale (ASRM) Test

Take the online Altman Self-Rating Mania Scale (ASRM) Test - AI psychologist FreudlyYou can take Altman Self-Rating Mania Scale (ASRM) Test here. Online version of a simple and accurate psychological test with interpretation.en
With five questions and a one-minute completion time, the Altman Self-Rating Mania Scale (ASRM) Test offers a brief self-report of mood elevation, confidence, reduced need for sleep, speech, and activity. Your result indicates the reported severity of manic or hypomanic symptoms, supporting focused self-reflection about current changes.
Questions: 51 minute
Altman Self-Rating Mania Scale: situation and reply bubbles
October 2, 2025October 2, 2025Material has been updatedOctober 2, 2025Material has been published
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3,517 completions
2,843 likes
Daniel HallPsychologist · Test reviewer
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Scale Explorer

How the Scales are Structured

Altman Self-Rating Mania ScaleASRMS
Measures the severity of recent self-reported manic or hypomanic symptoms such as elevated mood, energy, talkativeness, and activity level.
example score9/20
9/20Elevated symptomsexample score
0 – 5Normal range
6 – 20Elevated symptoms
A score of 9 falls in the Elevated symptoms range, indicating a higher level of self-reported manic or hypomanic symptoms over the recent period.
just completed the test
DATA-BASED USER COHORTS

Who Usually Takes This Test?

People tracking mood swings
41%OF USERS
Individuals who notice bursts of energy, reduced need for sleep, racing thoughts, or irritability use it to gauge whether recent changes might reflect hypomania or mania.
Patients with bipolar diagnosis
34%OF USERS
People already diagnosed with bipolar disorder take it to monitor symptom severity over time and spot early signs of an upswing.
Clinicians doing quick screening
25%OF USERS
Mental health and primary care professionals use it as a fast check-in to decide if a fuller assessment or treatment adjustment may be needed.
BASED ON AGGREGATED, ANONYMIZED DATA FROM TENS OF THOUSANDS OF FREUDLY USERS.
Benchmarking

See How You Compare

Once you complete the test, your results are compared with real-world data from people in your country.
Below is a preview of how scores are typically distributed across each scale.
Shaded area — where most people score
Dot — the average
You — your score lands on each curve after the test— your score, after the test
Altman's Scale for Self-Assessment of ManiaASfSoM
You?
Average9.6
Typical rangeTypical6.9 – 12.2
Possible0 – 20
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SAMPLE QUESTIONS

Example Questions From the Test

The five items below assess different aspects of mental state. Each item has five response options. For each item, select the response option that most accurately reflects your condition over the past week.
    • I have been in my usual mood.
    • I have had a more elevated mood than usual sometimes.
    • I have had a more elevated mood than usual quite often.
    • I have had a more elevated mood than usual most of the time.
    • I have had a more elevated mood than usual all the time.
    • My self-confidence is not higher than usual.
    • I am occasionally more self-confident than usual.
    • I am quite often more self-confident than usual.
    • In most situations I am more self-confident than usual.
    • I am almost always more self-confident than usual.
    • I have the same need for sleep as usual.
    • I sometimes feel that I need less sleep than usual.
    • Quite often, I feel that I need less sleep than usual.
    • I often feel that I need less sleep than usual.
    • I can go without sleep all day and night and not feel tired.
WHAT THE TEST MEASURES

Altman Self-Rating Mania Scale (ASRM) Test - Description and methodology of the test

bipolar disorder
hypomania
psychopathology

People who notice an unusual rise in energy, confidence, activity, or reduced need for sleep may use the Altman Self-Rating Mania Scale (ASRM) Test to organize what they have been experiencing. This brief mania self-assessment is intended for people reflecting on current mood changes, including those monitoring symptoms associated with bipolar or other affective disorders. The result summarizes how strongly manic or hypomanic features are reported.

What This Assessment Explores

The questionnaire functions as a manic symptom assessment, examining changes associated with mania or hypomania by comparing experience with the respondent’s usual pattern. It suits people noticing shifts in mood, confidence, sleep, speech, or activity, including those monitoring symptoms linked with bipolar or other affective disorders.

The Altman Self-Rating Mania Scale runs from 0–20 and estimates manic symptom severity through self-report. Normal range 0–5 is followed by Elevated symptoms 6–20; higher totals suggest more pronounced mania or hypomania and may indicate diagnostic evaluation.

These five areas show what each part contributes:

  • Mood indicates whether emotions feel more elevated than usual.
  • Self-confidence captures unusually increased confidence and its frequency.
  • Sleep need reflects functioning with less sleep.
  • Speech tracks increased talking or difficulty being interrupted.
  • Activity covers heightened work, sexual, social, or other activity and less need for rest.

Methodology and Evidence Base

Each item offers five ordered response options, moving from the usual state toward more frequent or intense changes. The prompts cover mood, self-confidence, sleep need, speech, and activity, producing a concise overall severity score rather than a diagnostic interview.

For scoring, the questionnaire reports a total score on the Altman scale. Named bands guide interpretation, but no separate item-weighting rule is stated; the result should therefore be read through its reported total and category, with attention to context and persistence.

The item content aligns conceptually with the original ASRM; a later comparison study evaluated that instrument against other self-rating measures for acute mania, and a Korean validation study examined a translated version in a non-clinical sample. Neither study establishes validation for this online presentation or identical norms, reliability, validity, or standardization.

Self-report can be influenced by current circumstances, memory, insight, and response style. A result is best used as a prompt for fuller clinical assessment, not as a diagnosis on its own.

Author: Altman, E.
Literature:
  • Altman, E.G., Hedeker, D., Peterson, J.L., Davis, J.M. (1997). The Altman Self-Rating Mania Scale. Biological Psychiatry, 42(10), 948-955. 10.1016/S0006-3223(96)00548-3
  • Altman, E.G., Hedeker, D., Peterson, J.L., Davis, J.M. (2001). A comparative evaluation of three self-rating scales for acute mania. Biological Psychiatry, 50(6), 468-471. 10.1016/S0006-3223(01)01065-4
  • Kim, B.N., Kwon, S.M. (2017). Initial Psychometric Properties of the Korean Altman Self-Rating Mania Scale: Preliminary Validation Study in a Non-Clinical Sample. Psychiatry Investigation, 14(5), 562-567. 10.4306/pi.2017.14.5.562

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