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Psyrats Hallucinations Rating Scale

The document is a Hallucinations Rating Scale designed to assess an applicant's experiences with hallucinations across various dimensions such as frequency, duration, intensity, and emotional response. It includes a rating system from 0 to 5 for each item, along with space for notes and comments to ensure privacy and confidentiality. The scale aims to gather comprehensive information to better understand the impact of hallucinations on the applicant's daily life.

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nenouche23
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76 views3 pages

Psyrats Hallucinations Rating Scale

The document is a Hallucinations Rating Scale designed to assess an applicant's experiences with hallucinations across various dimensions such as frequency, duration, intensity, and emotional response. It includes a rating system from 0 to 5 for each item, along with space for notes and comments to ensure privacy and confidentiality. The scale aims to gather comprehensive information to better understand the impact of hallucinations on the applicant's daily life.

Uploaded by

nenouche23
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Hallucinations Rating Scale

Applicant Name: _______________________________ Date: _______________

Instructions: For each item below, rate the applicant's experiences on a scale of 0-5. Include any
additional notes or comments in the designated column. Ensure to respect privacy and maintain
confidentiality.

Item No. Assessment Description Rating Notes & Comments


Area (0-5)

1 Frequency How often do the


hallucinations
occur?

2 Duration How long do the


hallucinations
typically last?

3 Intensity How intense or


vivid are the
hallucinations?

4 Distress How distressing


Level are the
hallucinations?

5 Interference How much do


they interfere
with daily
activities?

6 Reactivity How often do you


react to the
hallucinations?

7 Location Where do they


seem to originate
(e.g., inside
head, external)?

8 Content Type What type are


they mainly (e.g.,
voices, visions,
tactile)?

9 Emotional What emotions


Response do the
hallucinations
evoke (e.g., fear,
sadness)?

10 Sleep Do they affect


Disturbance sleep?

11 Clarity How clear are the


hallucinations?
12 Recognition Are they
recognized as
unreal or
believed to be
real?

13 Content Are they


Nature commanding,
threatening,
neutral, or
comforting?

14 Triggers Are there known


triggers (e.g.,
stress, places,
people)?

15 Coping Are there


Strategies strategies used
to cope with or
manage them?

16 Medication How do
Influence medications
influence them (if
applicable)?

17 Sensory Which senses


Modality are involved
(e.g., auditory,
visual, tactile)?

18 External Are there


Factors external factors
that
enhance/worsen
them (e.g.,
lighting)?

19 Temporal When do they


Pattern usually occur
(e.g., night,
morning,
randomly)?

20 Past Were there past


Interventions interventions?
How effective
were they?

Rating Scale:

0: Not at all / Never 3: Sometimes / Moderate

1: Rarely / Very mild 4: Often / Moderately severe

2: Occasionally / Mild 5: Constantly / Very severe


Further comments/observations:

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