Young Mania Rating Scale, YMRS Test - the question form
Questions: 11 · 3 minutes
1. Elevated mood
0 – Absent.
1 – Mildly or possibly increased; present on questioning.
2 – Subjectively elevated; optimistic, self-confident, cheerful; appropriate to situation.
3 – Elevated mood inappropriate to situation; joking or facetious.
4 – Euphoric; inappropriately laughing; singing.
2. Increased motor activity/energy
0 - Absent.
1 - Subjective increase.
2 - Increased animation; more gesturing.
3 - Excessively energetic; hyperactive at times; restless (can be calmed).
4 - Motor agitation; continuous hyperactivity (cannot be calmed).
3. Sexual interest
0 – Normal; not increased.
1 – Slightly or possibly increased.
2 – Subjectively increased; apparent on questioning.
3 – Spontaneously shifts to sexual topics; elaborates sexual themes; volunteers information about sexuality.
4 – Overt sexual behavior (toward other patients, staff, or the interviewer).
4. Sleep
0 – Reports no decrease in sleep duration.
1 – Sleep duration reduced by less than 1 hour compared with usual.
2 – Sleep duration reduced by more than 1 hour compared with usual.
3 – Reports decreased need for sleep.
4 – Denies the need for sleep.
5. Irritability
0 – Absent.
1
2 – Subjectively reports increased irritability.
3
4 – Irritable at times during the interview; recent episodes of anger or irritability on the ward or in the usual environment.
5
6 – Frequently irritable during the interview; interrupts and tries to end the interview.
7
8 – Hostile, uncooperative; interview impossible.
6. Speech (rate and amount)
0 – No increase.
1
2 – Subjectively increased talkativeness.
3
4 – Rate and amount of speech increased intermittently; at times verbose.
5
6 – Pressured speech; consistently rapid rate; very talkative; difficult to interrupt.
7
8 – Continuous “verbal flood”; cannot be interrupted; nonstop speech.
7. Speech (thought disorder)
0 – No abnormalities.
1 – Circumstantial; mildly distractible; accelerated thought.
2 – Distractible; loses the goal of speech; frequently changes topics; shifting thoughts.
3 – Flight of ideas; superficial thinking; impossible to follow; rhyming, echolalia.
4 – Incoherent thought; not communicable.
8. Thought content
0 – Normal.
1
2 – Questionable plans, new interests.
3
4 – Special projects; hyperreligious.
5
6 – Grandiose or paranoid ideas; ideas of reference.
7
8 – Delusions, hallucinations.
9. Disruptive/Aggressive Behavior
0 – Absent; cooperative with interviewer.
1
2 – Sarcastic; occasionally raises voice; tense.
3
4 – Makes demands; threatens on the unit.
5
6 – Threatens interviewer; shouts; interview difficult.
7
8 – Assaultive; destructive; interview impossible.
10. Appearance
0 – Appropriately dressed and well groomed.
1 – Slightly unkempt.
2 – Unkempt; careless dress; inappropriately overdressed.
3 – Disheveled; partially dressed; garish makeup.
4 – Extremely sloppy dress; bizarre; strange adornments.
11. Insight
0 – Insight present; acknowledges being ill; agrees that treatment is necessary.
1 – Acknowledges that they are “possibly ill.”
2 – Acknowledges behavioral changes but denies illness.
3 – Acknowledges the possibility of behavioral changes but denies illness.
4 – Denies any behavioral changes.