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Young Mania Rating Scale (YMRS)

Elevated Mood
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Elevated Mood
None
Acknowledges mild or possible elevated mood when asked
Subjectively feels definitely elevated; optimistic and confident; mood is congruent with content
Elevated mood; incongruent with content; humorous
Euphoria; inappropriate laughter; singing
Increased Activity/Energy
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Increased Activity/Energy
None
Subjectively increased
Active; increased gestures
Excess energy; sometimes overly active; restless (can settle down)
Motor excitement; sustained excessive activity (unable to settle down)
Sexual Interest
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Sexual Interest
Normal; not increased
Mild or possibly increased
Acknowledges subjectively increased sexual interest when asked
Spontaneously discusses sexual content; detailed descriptions; self-reported increased libido
Marked sexual behavior (directed towards patient, staff, or examiner)
Sleep
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Sleep
No decrease in sleep
Sleep decreased by no more than 1 hour compared to usual
Sleep decreased by more than 1 hour compared to usual
Self-reported decreased need for sleep
Denies need for sleep
Easily Irritable
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Easily Irritable
None
Subjectively feels easily irritable
Occasionally irritable during examination, recent episodes of anger or annoyance
Frequently irritable during examination; consistently brief and terse responses
Hostile; uncooperative; unable to be examined
Speech
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Speech
No increase
Feels talkative
Occasionally increased speech rate or amount, or verbose
Pressured; consistently increased speech rate and amount, difficult to interrupt
Urgent; unable to interrupt, talking non-stop
Language—Thought Form Disorder
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Language—Thought Form Disorder
No thought disorder
Form of thought disorder; speech is not coherent
Frequent thought disorder; answers questions that are not relevant
Frequent thought disorder; unable to follow the examination due to irrelevant responses
Unable to be examined due to incoherent language
Aggressive Behavior
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Aggressive Behavior
None
Mild, verbal aggression; no physical aggression
Verbal aggression; mild physical aggression (e.g., throwing objects)
Moderate physical aggression; unable to control behavior
Severe aggression; assaultive or harmful to others
Depressed Mood
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Depressed Mood
None
Mild; subjectively feels depressed
Moderate; expresses feelings of being down
Severe; significant feelings of worthlessness or hopelessness
Extreme; expresses desire to die or suicidal ideation
Total
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Total
Total score is 0
Total score is 1-5
Total score is 6-10
Total score is 11-15
Total score is 16-20
Total score is 21-25
Total score is 26-30
Total score is 31-35
Total score is greater than 35