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Manic State Rating Scale

 

26 behaviors, scored on frequency and intensity.  Covers dysphoric and euphoric manias.  There's less cross-over with ADD/ADHD than the YMRS and as someone who has lived long-term manias and has been around plenty of people in dysphoric and euphoric manias, this is a much better indicator of mania, and how well your meds work over time to treat your manias.  Does really well as far as standardized go in covering mixed states and ultradian rapid cycling. But, really, if a doctor is going to being giving you a test for bipolar, this is the one to take as far as the manic phase goes.

 

 

 

 

 

 

 

How it's done:

  • You're observed for 26 behaviors.

  • Each behavior is assessed for its frequency and intensity.  Each gets a point score.

  • The score for each behavior = frequency multiplied by intensity.

  • Add it all up, and that's how batshit manic you are.

 

The behaviors:

(1) looks depressed (may seem counter-intuitive, but this is how you discern mixed states and ultradian rapid cycling)

(2) is talking

(3) moves from one place to another

(4) makes threats

(5) has poor judgment

(6) dresses inappropriately

(7) looks happy and cheerful

(8) seeks out others (for whatever reasons)

(9) is distractible

(10) has grandiose ideas

(11) is irritable

(12) is combative and destructive

(13) is delusional

(14) verbalizes depressive feelings (instead of letting them fester)

(15) is active

(16) is argumentative

(17) talks about sex

(18) is angry

(19) is careless about dress and grooming

(20) has diminished impulse control

(21) verbalizes feelings of well-being

(22) is suspicious

(23) makes unrealistic plans

(24) demands contact with others

(25) is sexually preoccupied

(26) jumps from one subject to another

 

 

 

Observation

Level

Points

Frequency

never / rarely

0

 

infrequent

1

 

sometimes

2

 

often

3

 

most of the time

4

 

always

5

Intensity

very minimal

1

 

minimal

2

 

moderate

3

 

marked

4

 

Shut the fuck up!

5

 

 

Interpretation:

  • Minimum score for each observation: 0

  • Maximum score for each observation: 25

  • Minimum manic state rating scale: 0

  • Maximum manic state rating scale: 650

  • The higher the score the more marked the manic state.

  • The items best characterizing a change in manic severity: 3 5 9 15 18 26

 

 

 

 

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Psychiatric Drugs in the News

Please, if you know of any sites with quality information about pill identification send me an e-mail to jerod23 at gmail dot com and I'll check them out.  Even if you're starting your own let me know.  There's no guarantee I'll list it, but you never know.  English language is not a requirement.  All I ask is that you don't have to register first to use the site.  A user agreement is fine, but registration isn't for a listing here.

 

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References:

Beigel A Murphy DL Bunney WE Jr. "The Manic-State Rating Scale." Archives of General Psychiatry. 1971; 25 256

 

 

 

 

 

 

Take care of yourself, and keep taking your crazy meds!

 

Jerod

 

If you still have unanswered questions about this or other medications, including which one is, or combination of meds are the best for you, your best bet is to ask on Crazy Meds Talk.  Better yet, if you want to let the world know how they worked out for you and want to help out others in their quest for the correct meds, join the party.
If you 
want to discuss your issues, I suggest checking out one of the various support groups online.  
Otherwise, if you're letting me know about how much you like or hate the site, or  need to let me know about medication effects in private, then just drop a note to jerod23 at gmail dot com  Honestly, I usually don't have a lot of time to answer e-mail these days.  The snide autoresponse message that may or may not hit your mailbox is going to tell you the same thing.
Another problem is that you may not get a response even if I wanted to send you one.  You see, so many dickweeds with malicious intents and too much time on their hands have appropriated the crazymeds.org domain name to use for their spam, viruses and the like.  Subsequently some lazy-ass e-mail protection software authors just go by the domain name, and not the IP address.  So I've been blacklisted because of the actions of others.  Or the software just doesn't like the domain name because of the "crazy" and/or "meds."  Or your question about a particular medication will set off spam flags.  So the e-mail just wouldn't go through regardless.  Sorry.

 

 

Hey, did you find this page all by itself through Google or some other search engine? Great! But to really appreciate the entire site, you need to start here.

 

 

 

 

Created Saturday, April 23, 2005

Last updated Monday, September 26, 2011

 

Copyright © 2003 - 2010 Jerod Poore. All rights reserved.

 

Almost all of the material on this site is copyright © 2002, 2003, 2004, 2005, 2006, 2007, 2008, 2009 and 2010 Jerod Poore. Except, of course, the PI sheets, those are the property of the drug companies who developed the drugs the sheets are about.  And any documents that are written by other people which may be posted to this site will remain the property of the original authors.  You cannot reproduce this page or any other material on this site outside of the boundaries of fair use copying without the express permission of the copyright holder.  That's usually me, so just ask first.  That means if want to print out a few pages to take to your doctor, therapist, counselor, support group, non-understanding family members or something like that - then that's OK to just do.  Go for it!  Please.  As long as you include this copyright notice and the following disclaimer, I'm cool with it.

All rights reserved. No warranty is expressed or implied in this information. Consult one or more doctors and pharmacists before taking, or changing how you take any neurological and/or psychiatric medication. Your mileage may vary. What happened to us won't necessarily happen to you. Nobody on this site is a doctor, therapist, or a pharmacist. We don't portray them either here or on TV. Only doctors can diagnose and treat an illness. Some doctors tend to get pissed off by patients who know too much about medications, so tread lightly when and where appropriate. Diagnosing yourself from a website is like defending yourself in court, you suddenly have a fool for a doctor. Don't be a cyberchondriac, thinking you have every disease you see a website about, or that you'll get every side effect from every medication. Self-prescribing is just as dangerous.  All information on this site has been obtained through personal experience, the experiences of my friends, the experiences of people reported on online support groups, and from sources that are referenced throughout the site.  Know your sources!  As such the information presented here is not a substitute for real medical advice from your real doctor, just a compliment to it.  No neurologists, psychiatrists, therapists or pharmacists were harmed in the production of this website. All brand names of the drugs listed in this site are the trademarks of the companies listed after them in the pages about the drugs, even though those companies may or may not have been acquired by other companies who may or may not be listed in this site by the time you read this. Always read the PI sheet that comes with your medications and never ever throw them away.  If you didn't get a PI sheet, demand one.  Loudly.  Crazy Meds is not responsible for the content of sites we provide links to.  We like them, or they're paid advertisements, or they're something you should read to make an informed decision about a particular med.  Sometimes they're more than one of those things.  But what's on those sites is their business, not ours.  Very little information about visitors to this site is collected or saved. And from time to time I do look at search terms used to find it in an effort to make the information I present more relevant. Use only as directed. Void where prohibited.

 

"Everything is true, nothing is permitted." - Jerod Poore