Hypomania Checklist (HCL-32) Test

Understand whether past hypomanic symptoms may be present alongside recurring depression in about 6 minutes. 32 quick items support clearer diagnosis and better-informed treatment planning.
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08:30
October 2, 2025
October 2, 2025
Material has been updated
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Verified by Daniel Hall
Psychologist with 25 years of experience
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How the Scales are Structured

example score
25/32
Hypomania Scale (HS)
Measures the presence and intensity of past hypomanic symptoms to help flag possible bipolar II features in people with recurrent depression.
Below cut-off
Above cut-off
014Below cut-off1532Above cut-off
A score of 25 falls above the cut-off, indicating a higher level of reported hypomanic features that may warrant further clinical evaluation.
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DATA-BASED USER COHORTS

Who Usually Takes This Test?

Recurrent depression patients
46%OF USERS
People with repeated depressive episodes who want to check whether past hypomanic periods might point to Bipolar II rather than unipolar depression.
On antidepressants with mood shifts
33%OF USERS
People who notice bursts of energy, irritability, reduced sleep, or risky behavior—especially after starting or changing antidepressants—and want to screen for hypomania.
Clinician-referred screening
21%OF USERS
People asked by a psychiatrist, therapist, or primary care clinician to complete a quick hypomania questionnaire to guide further assessment and treatment planning.
BASED ON AGGREGATED, ANONYMIZED DATA FROM TENS OF THOUSANDS OF FREUDLY USERS.
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Hypomania Scale (HS)
Average
8.8
Normal range
413.5
min.
0
max.
32
Majority
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CLEAR ANSWERS TO COMMON QUESTIONS

Frequently Asked Questions

What does this questionnaire screen for?
It screens for a lifetime history of hypomanic symptoms that may suggest Bipolar II Disorder. It is commonly used when recurrent depressive episodes are present.
What time period should be considered when answering?
Responses should reflect past periods when mood or energy was unusually elevated or different from the usual baseline. It is not limited to the current week or month.
How long does it take and how many items are included?
Completion typically takes about 6 minutes. The questionnaire includes 32 items.
How should items be answered if an experience occurred only occasionally?
Mark an item as present if it has occurred during any distinct period, even if it was not frequent. Do not count brief, minor changes that did not stand out from usual functioning.
Does a positive result confirm a diagnosis?
No, it is a screening result and does not establish a diagnosis. Results should be reviewed with a qualified clinician and considered with clinical history.
WHAT THE TEST MEASURES
About This Assessment
HCL-32 Scale Test

Hypomania Checklist (HCL-32) Test - Symptoms and Signs

This questionnaire is used to screen for a history of hypomanic symptoms in individuals with recurrent depressive episodes when bipolar spectrum illness is a clinical consideration. The Hypomania Checklist (HCL-32) is commonly administered as a brief self-report measure to support diagnostic clarification and guide follow-up assessment.

Developed by Jules Angst, it consists of 32 items and typically takes about 6 minutes to complete. The Hypomania Checklist (HCL-32) focuses on periods of elevated energy, increased activity, sociability, and related behavioral changes across the lifespan rather than current mood state, and results are intended to be interpreted in the context of a comprehensive clinical evaluation rather than as a standalone diagnosis.

Author: Jules Angst
Literature: Goodwin, G. M., Haddad, P. M., Ferrier, I. N., Aronson, J. K., Barnes, T., Cipriani, A., Coghill, D. R., Fazel, S., Geddes, J. R., Grunze, H., Holmes, E. A., Howes, O., Hudson, S., Hunt, N., Jones, I., Macmillan, I. C., Miklowitz, D. R., Morriss, R., Munafò, M., Paton, C., Saharkian, B. J., Saunders, K. E. A., Sinclair, J. M. A., Taylor, D., Vieta, E., & Young, A. H. Evidence-based guidelines for treating bipolar disorder: Revised third edition recommendations from the British Association for Psychopharmacology. Journal of Psychopharmacology. 2016.; Hirschfeld, R. M. A., Williams, J. B. W., Spitzer, R. L., Calabrese, J. R., Flynn, L., Keck, P. E., Lewis, L., McElroy, S. L., Post, R. M., Rapport, D. J., Russell, J. M., Sachs, G. S., & Zajecka, J. Development and validation of a screening instrument for bipolar spectrum disorder: The Mood Disorder Questionnaire. American Journal of Psychiatry. 2000.; Forty, L., Smith, D., Jones, L., Jones, I., Caesar, S., Fraser, C., Gordon-Smith, K., & Craddock, N. Identifying hypomanic features in major depressive disorder using the hypomania checklist (HCL-32). Journal of Affective Disorders. 2009.; Feng, Y., Xiang, Y.-T., Huang, W., Wang, G., Feng, L., Tian, T.-F., Geng, Y., Ungvari, G. S., Chiu, H. F. K., Tse, A. W. Y., & Angst, J. The 33-item Hypomania Checklist (HCL-33): A new self-completed screening instrument for bipolar disorder. Journal of Affective Disorders. 2016.
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