Young Mania Rating Scale (Ymrs) : Guide For Scoring Items
Young Mania Rating Scale (Ymrs) : Guide For Scoring Items
Specify one of the reasons listed below by putting the appropriate number in adjacent box.
1. ELEVATED MOOD
0 - Absent
1 - Mildly or possibly increased on questioning
2 - Definite subjective elevation; optimistic, self-confident; cheerful; appropriate to content
3 - Elevated, inappropriate to content; humorous
4 - Euphoric; inappropriate laughter; singing
3. SEXUAL INTEREST
0 - Normal; not increased
1 - Mildly or possibly increased
2 - Definite subjective increase on questioning
3 - Spontaneous sexual content; elaborates on sexual matters; hypersexual by self-report
4 - Overt sexual acts (toward patients, staff, or interviewer)
4. SLEEP
0 - Reports no decrease in sleep
1 - Sleeping less than normal amount by up to one hour
2 - Sleeping less than normal by more than one hour
3 - Reports decreased need for sleep
4 - Denies need for sleep
5. IRRITABILITY
0 - Absent
2 - Subjectively increased
4 - Irritable at times during interview; recent episodes of anger or annoyance on ward
6 - Frequently irritable during interview; short, curt throughout
8 - Hostile, uncooperative; interview impossible
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6. SPEECH (Rate and Amount)
0 - No increase
2 - Feels talkative
4 - Increased rate or amount at times, verbose at times
6 - Push; consistently increased rate and amount; difficult to interrupt
8 - Pressured; uninterruptible, continuous speech
8. CONTENT
0 – Normal
2 - Questionable plans, new interests
4 - Special project(s); hyperreligious
6 - Grandiose or paranoid ideas; ideas of reference
8 - Delusions; hallucinations
10. APPEARANCE
0 - Appropriate dress and grooming
1 - Minimally unkempt
2 - Poorly groomed; moderately dishevelled; overdressed
3 - Dishevelled; partly clothed; garish make-up
4 - Completely unkempt; decorated; bizarre garb
11. INSIGHT
0 - Present; admits illness; agrees with need for treatment
1 - Possibly ill
2 - Admits behavior change, but denies illness
3 - Admits possible change in behavior, but denies illness
4 - Denies any behavior change
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