Resident's Toolkit

Rating scales and clinical calculators for psychiatry trainees: quick to fill on the ward, scored as you go, with references and interpretation alongside.

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Depression

• PHQ-9 Patient Health Questionnaire-9Depression severity (self-report) Self-report, 9 items
• HAM-D Hamilton Depression Rating Scale (17-item)Depression severity (clinician-rated) Clinician, 17 items
• MADRS Montgomery–Åsberg Depression Rating ScaleDepression severity (clinician-rated) Clinician, 10 items

Anxiety

• GAD-7 Generalized Anxiety Disorder-7Generalised anxiety severity (self-report) Self-report, 7 items
• HAM-A Hamilton Anxiety Rating ScaleAnxiety severity (clinician-rated) Clinician, 14 items

Bipolar

• YMRS Young Mania Rating ScaleSeverity of manic symptoms (clinician-rated) Clinician, 11 items
• Life Chart NIMH/Post Life Chart MethodLongitudinal course of mood episodes, medications and life events Interactive chart

Perinatal

• EPDS Edinburgh Postnatal Depression ScaleDepression in pregnancy and after childbirth (self-report) Self-report, 10 items

Substance use

• CIWA-Ar Clinical Institute Withdrawal Assessment for Alcohol, revisedAlcohol withdrawal severity (clinician-rated) Clinician, 10 items
• COWS Clinical Opiate Withdrawal ScaleOpioid withdrawal severity (clinician-rated) Clinician, 11 items
• AUDIT Alcohol Use Disorders Identification TestHazardous and harmful drinking, possible dependence (self-report or interview) Self-report or interview, 10 items

Movement disorders

• AIMS Abnormal Involuntary Movement ScaleTardive dyskinesia and other involuntary movements (clinician-rated) Clinician, 12 items

Psychopharmacology

• QTc QTc calculator (Bazett, Fridericia, Framingham, Hodges)Heart-rate corrected QT interval before and during psychotropic treatment Calculator, 4 formulas
• CPZ eq. Antipsychotic dose equivalents (chlorpromazine equivalents)Total antipsychotic load in chlorpromazine equivalents, using the Maudsley equivalent doses (oral and long-acting injections) Calculator, 34 drugs

Coming next

• ECTECT dose and titration helperNeuromodulationIn progress
• Benzo eq.Benzodiazepine equivalence and taper plannerPsychopharmacologyIn progress
• LithiumLithium level and monitoring helperPsychopharmacologyIn progress
• ClozapineClozapine monitoring schedulePsychopharmacologyIn progress
• BARSBarnes Akathisia Rating ScaleMovement disordersIn progress
• SASSimpson–Angus Scale for parkinsonismMovement disordersIn progress
• MSEMental state examination templateClinical templatesIn progress

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