The scoring system of the CRS assumes that patients who endorse the more severe items in a symptom category will also endorse those less severe, thus giving a high score to that area in a manner equivalent to the higher weight assigned by a clinician using the HRSD (10, p70). This seems valid for most categories, with the possible exception of the symptoms of somatic anxiety and loss of insight. The random ordering of items in the form used by patients may also generate some inconsistencies. Evidence from two studies suggests that the lowest agreement between self-ratings and clinicians’ judgments lies in the scales on weight loss, retardation, and agitation (1, p196; 4, p167).