Hamilton Anxiety Scales

The Hamilton Anxiety Scale evaluates the patient’s severity of Anxiety Disorder symptoms. Download this free template to improve the accuracy of your diagnosis.

By RJ Gumban on Apr 08, 2024.

Fact Checked by RJ Gumban.

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What is the Hamilton Anxiety Rating Scale?

The Hamilton Anxiety Rating Scale is a self-survey that measures the severity of the patient's anxiety symptoms. Initially, Dr. Max Hamilton, the developer of this scale, created HARS in 1959 as an evaluation tool for anxiety symptoms in those with "anxiety neurosis."

The Hamilton Anxiety Rating Scale (HAM-A/HARS) helps objectify the severity of the patient's anxiety. It is composed of 14 indicators that are based on clinical questions. Several anxiety symptoms define each indicator.

Here are the 14 Indicators:

  • Anxious Mood
  • Tension
  • Fears
  • Insomnia
  • Intellectual
  • Depressed Mood
  • Somatic (Muscular)
  • Somatic (Sensory)
  • Cardiovascular Symptoms
  • Respiratory Symptoms
  • Gastrointestinal Symptoms
  • Genitourinary Symptoms
  • Autonomic Symptoms
  • Behavior at the Interview.

The indicators are further expounded in the evaluation. Specific examples or descriptions of the feeling or observation were briefly stated in each item.

The HAM-A is typically administered at the beginning of therapy to assess the patient's status before receiving assistance. The test is then administered again to see if the treatment has made a difference following a course of therapy. Therapists may even help the various therapies numerous times during treatment to assess their effectiveness. Your doctor or therapist may alter course or opt for an alternative therapy if the current plans aren't working.

Printable Hamilton Anxiety Scale

Download this Hamilton Anxiety Scale and assess the severity of your client’s anxiety.

How do you use this Hamilton Anxiety Rating Scale?

Step One: Download the PDF

This template may either be administered through printed material or digital software. Recently, clinics or healthcare practitioners have tended to lean on digital practices for efficiency. Hence, this PDF is already editable and ready to use. 

Step Two: Brief the client/patient

Explain to the patient or the client what will be done and set proper expectations. Ensure that they will pledge honesty and be truthful about their behavior. Ensure that they truly understand the point of assessment. 

Step Three: Go through each statement

Administer the evaluation with thorough observation. Match the client's pacing and be diligent in specifying how they feel. 

Step Four: Record the observations

Be active in noticing the apparent behaviors of the client/patient. As a mental health practitioner, being able to determine traits and recognize non-verbal symptoms should be a basic expectation. 

Step Five: Properly store the documentation

If you are using Carepatron, you don't have to worry about storage. The platform is a cloud-based company where your documents are securely stored and properly organized. If you decide to document it through print, it is best to collate it in a folder. This survey may be helpful in comparative analysis or for future evaluation to measure progress. 

Hamilton Anxiety Rating Scale example (sample)

One of the vital aspects of understanding assessments is understanding how to administer the actual evaluation. It is essential to see the primary assessment and be educated on the form/test. For better clarity, seeing a Hamilton Anxiety Scale example is necessary. We have attached an example template below for better visualization.

Download this Hamilton Anxiety Scale example (sample) here:

Hamilton Anxiety Rating Scale Example (Sample)

When would you typically use this Hamilton Anxiety Rating Scale?

There are a lot of assessments that have been developed over time to evaluate Anxiety Disorder symptoms. The Hamilton Anxiety Rating Scale is the benchmark of these emerging assessments for Anxiety Symptoms.

It is vital to be educated in knowing when to use this assessment. Learning when it should be administered will help draw good observations and monitor the patient's improvement.
Here are the instances when you would need to use HARS: 

Initial screening 

A regular clinic visitation for initial screening would be a typical time to use HARS. It is used when a patient confides in feeling some Anxiety traits. As a mental health professional, clear judgment should be practiced to determine if a patient would need HARS to understand their condition better. 

During active consultations

Patients who have been assessed with HARS should be called in for regular monitoring and regular evaluation. It can be used to be administered again to measure their improvement. This is crucial, as the result may call for better prescriptions or more effective treatment plans. 

Final diagnosis 

Mental Health Professionals would sometimes have to conduct multiple administrations of HARS to better understand the trend of the patient's improvement. Administering the assessment for the last time can indicate the actual or consistent result of the patient. There will be more concrete observations at this point, and you can develop a more substantial treatment plan. 

Who can use these printable Hamilton Anxiety Rating Scales?

Although the Hamilton Anxiety Rating Scale is free to use and may be downloaded by anybody, it is advised that mental health expert assistance should be available before completing it. Whether the patient exhibits mild, moderate, severe, or extremely severe feelings for each item, a specialist can assist in understanding the score and walking their client through the available therapy options.
This Printable Hamilton Anxiety Rating Scale is beneficial for the following: 

  • Psychologists 
  • Psychotherapists 
  • Counselors 
  • Clinical Social Workers 
  • Therapists 

These mental health professionals may find this assessment helpful in evaluating the severity of the patient's symptoms. 

Benefits of the free Hamilton Anxiety Rating Scale


With rapidly changing technology, making clinical equipment streamlined is an advantage when simplifying administrative tasks. Digital templates also help in cutting costs for printed materials. 


Objective indicators allow clinicians to be more specific about their observations and accurately respond to the severity of the client's symptoms. With this tool, mental health professionals can draw good results if administered more than once to see improvement. 

Next level documentation 

Carepatron is a cloud-based platform where your storage is available with one click. Its security is also top-notch. Organized documentation makes it easy to address underlying concerns and share them with the necessary parties. The template's quality is also easy to administer, which makes it user-friendly. 

Efficient monitoring

Since the documents are one click away, it will be easy to analyze the information obtained from the template. Comparative analysis of the previous responses will be more accessible since the data can be easily pulled from the platform. 

Improved practice outcomes 

Administrative work is tedious, and Mental Health Practitioners are expected to have many of these as most of their practice is about thorough observation and monitoring. Documentations will indeed pile up. This template is recommended to eliminate the manual work and be more focused on the actual practice than to work more hours doing the manual documents needed. 

Why use Carepatron for Hamilton Anxiety Scale software?

Carepatron's versatility as a healthcare platform is recommended to all mental health practitioners. Not only does it help improve the documentation of the practice, but it also offers many other features that are advantageous in improving the quality of the practice outcomes.

Templates like Worksheets, Treatment Plans, Clinical Notes, Assessments, etc., are readily available and accessible. It is also a platform that can help you with several other high-tech features, such as scheduling and booking, appointment reminders, video chatting, consultation services, and online payments. To further enhance the customer experience, you can add precise medical billing and coding systems and patient portals.

Take your practice to the next level and Join Carepatron today! 

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Can I use Hamilton Anxiety Rating Scale without a medical background?
Can I use Hamilton Anxiety Rating Scale without a medical background?

Commonly asked questions

Can I use Hamilton Anxiety Rating Scale without a medical background?

The Hamilton Anxiety Rating Scale is primarily designed for use by trained mental health professionals. While it is accessible to anyone, interpreting its results accurately requires a background in psychology or psychiatry. Individuals without a medical background may find it challenging to understand the nuances of the scale and risk misinterpreting the results. Therefore, it's advisable to use this tool under the guidance of a qualified mental health practitioner.

What is the highest Hamilton Anxiety Rate?

The highest possible score on the Hamilton Anxiety Rating Scale is 56. This score is obtained by summing the highest possible ratings (4) for each of the 14 items on the scale. A score of 56 would indicate extremely severe anxiety symptoms. However, it's important to note that such a high score is rare and typically signifies a need for immediate and comprehensive mental health intervention.

What does the Hamilton Anxiety Rating Scale measure?

The Hamilton Anxiety Rating Scale measures the severity of a person's anxiety symptoms. It evaluates various aspects of anxiety, including mood, physical symptoms, cognitive aspects, and behaviors. The scale consists of 14 items, each representing a different symptom or aspect of stress. The total score provides an overall assessment of the severity of the individual's anxiety, helping clinicians to tailor treatment plans effectively.

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