Brief Psychiatric Rating Scale (BPRS) Test

Understand current psychotic symptom severity in about 4 minutes. An 18 item scale that helps spot key symptoms fast and track response to treatment over time.
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Questions184 minutes
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08:30
October 2, 2025
October 2, 2025
Material has been updated
16,114 views
1,561 completion
1,266 likes
Verified by Daniel Hall
Psychologist with 25 years of experience
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How the Scales are Structured

example score
10/21
Suspiciousness/Hostility (S)
Assesses the severity of distrust, hostility, and potential for conflictual or aggressive attitudes toward others.
Low
Moderate
High
38Low914Moderate1521High
A score of 10 falls in the Moderate range, suggesting noticeable suspiciousness or hostility that may affect interactions but is not at the highest severity level.
example score
13/21
Excitement / Tension (E/T)
Measures the degree of internal anxiety, irritability, and psychomotor agitation reflected in observable tension and motor activity.
Low
Moderate
High
38Low914Moderate1521High
A score of 13 falls in the Moderate range, indicating noticeable but not extreme tension and agitation at the time of assessment.
example score
12/28
Apathy and Psychomotor Retardation (AaPR)
Assesses the severity of reduced motivation and activity and slowing of thinking and behavior (apathy/psychomotor retardation).
Low
Moderate
High
411Low1219Moderate2028High
A score of 12 falls in the Moderate range, suggesting noticeable but not severe apathy and slowing at the time of assessment.
example score
21/28
Thought Disorder (TD)
Assesses the severity of disordered thinking such as illogicality, incoherence, and delusional ideas.
Low
Moderate
High
411Low1219Moderate2028High
A score of 21 falls in the High range, indicating marked thought disturbance that may be prominent at the time of assessment.
example score
16/28
Anxious Depression (AD)
Measures the severity of combined anxiety and depressive symptoms.
Low
Moderate
High
412Low1320Moderate2128High
A score of 16 falls in the Moderate range, indicating a mid-level severity of anxious and depressive symptoms at the time of assessment.
example score
82/126
Total Score (TS)
The BPRS Total Score quantifies the overall severity of current psychopathological symptoms in adults with acute psychiatric presentations.
Low severity
Moderate severity
High severity
1939Low severity4060Moderate severity61126High severity
A total score of 82 falls in the High severity range, indicating pronounced current symptom severity relative to the scale.
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DATA-BASED USER COHORTS

Who Usually Takes This Test?

Inpatient psychiatry clinicians
46%OF USERS
Psychiatrists and ward clinicians use it to quickly rate symptom severity in adults admitted with acute psychosis and to track response to treatment.
Emergency mental health teams
32%OF USERS
Crisis and ER staff use it during urgent evaluations to document current psychotic symptoms and support triage and immediate care decisions.
Outpatient follow-up providers
22%OF USERS
Community psychiatrists and clinic teams use it at follow-up visits to monitor changes in hallucinations, paranoia, mood, and anxiety over time.
BASED ON AGGREGATED, ANONYMIZED DATA FROM TENS OF THOUSANDS OF FREUDLY USERS.
RESULTS YOU CAN ACTUALLY USE

Scale Results
— Explained Clearly
Your scores across each test scale are translated into plain, usable insights. You won’t just get numbers — you’ll learn how your results impact your daily life, emotional state, and overall well-being.
AI-Powered
Interpretation
You’ll receive a structured, clinically-grounded explanation. Our AI analyzes patterns and relationships between scales to provide a coherent interpretation, without exaggerated language.
Statistical
Comparison
See how your results compare to others. Anonymized platform data is used to create a percentile scale, which identifies whether your results are typical.
Practical
Recommendations
You’ll receive clear, actionable guidance tailored to your profile. These easy-to-implement suggestions focus on coping, self-regulation, and realistic next steps.
AI-Powered
Insights
Get insights on behavioral and thought patterns you might not notice on your own. By uncovering subtle connections between your responses, you’ll better understand what may be driving your current results.
Discuss with
an AI Therapist
Clarify, reflect, and explore your results right away. Talk through your experience, ask questions, and explore meanings in a calm, non-diagnostic dialogue.
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Used in 52+ countries
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.
Suspiciousness, Hostility (SH)
Average
13.6
Normal range
10.716.5
min.
3
max.
21
Majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Arousal / tension (A/t)
Average
9.5
Normal range
6.412.6
min.
3
max.
21
Majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Apathy, sluggishness (As)
Average
14.9
Normal range
10.918.9
min.
4
max.
28
Majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Thinking Disorders (TD)
Average
16.5
Normal range
13.319.6
min.
4
max.
28
Majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Anxious Depression (AD)
Average
17.4
Normal range
13.421.4
min.
4
max.
28
Majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Total Score (TS)
Average
70.3
Normal range
50.690.1
min.
19
max.
126
Majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
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CLEAR ANSWERS TO COMMON QUESTIONS

Frequently Asked Questions

What does this scale measure?
It rates the current severity of key psychiatric symptoms such as hallucinations, delusions, disorganization, anxiety, and depression. Scores support symptom monitoring over time.
Who is this scale intended for?
It is intended for adults with suspected or known acute psychosis, including schizophrenia-spectrum and related conditions. It is not designed for children or routine screening in non-acute settings.
How is the rating completed?
A clinician conducts a brief interview and uses direct observation to rate each item. Ratings reflect symptom severity during the current assessment period.
How long does it take and how many items are rated?
Administration typically takes about 4 minutes. There are 18 items.
Does the score provide a diagnosis?
No, it does not establish a diagnosis. It indicates symptom severity and can be used to track change with treatment or over the course of care.
WHAT THE TEST MEASURES
About This Assessment
Brief Psychiatric Rating Scale, BPRS Test

Brief Psychiatric Rating Scale (BPRS) Test - Symptoms and Signs

This measure is designed to support rapid, structured evaluation of current psychiatric symptom severity in adults. The Brief Psychiatric Rating Scale (BPRS), developed by Donald R. Gorham and John E. Overall, is commonly used in acute settings to quantify symptom intensity based on interview content and clinical observation.

The instrument includes 18 items and typically requires about 4 minutes to administer. Ratings are intended to reflect the clinician’s judgment of symptom severity at the time of assessment and are generally used to monitor change over time rather than to establish a diagnosis. In clinical practice, the Brief Psychiatric Rating Scale (BPRS) can help characterize prominent symptom domains and support treatment planning and ongoing symptom tracking.

Author: Donald R. Gorham, John E. Overall
Literature: Overall, J. E., & Gorham, D. R. The brief psychiatric rating scale. Psychological Reports. 1962.; Andreasen, N. C. Scale for the assessment of negative symptoms (SANS). University of Iowa. 1983.; Zygmunt, A., Olfson, M., Boyer, C. A., & Mechanic, D. Interventions to improve medication adherence in schizophrenia. American Journal of Psychiatry. 2002.
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