Bech-Rafaelsen Mania Scale (MAS; Bech, Rafaelsen, Kramp, & Bolwig, 1978). The MAS is an 11-item clinician-report measure assessing mania symptoms in adults. The MAS can be used as a screening tool, and to monitor symptom changes over time (Bech, 2002). The MAS has been used with adolescents (Strober et al., 1998), but a separate adolescent version does not exist. Each item is rated on a 5-point Likert scale with descriptions of severity tailored to each symptom of mania (e.g., zero, “normal activity” to four, “impossible to interrupt, completely dominates conversation”). Total scores range from 0 to 44, with scores between 5 and 15 indicating hypomania, scores near 20 indicating moderate mania, and scores above 28 indicating severe mania symptoms (Bech, 2002). The MAS demonstrates good to excellent inter-rater reliability (ICC = .89-.92; Bech, 2002). This measure is available online ( http://opapc.com/images/pdfs/MRS.pdf ).