Butterfly Dr. Annette Urso Rickel
Psychotherapist
Dr. Rickel
Transformative Psychotherapy Center
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Self Evaluation

Holmes Rahe Social Readjustment Rating Scale

This allows you to determine the total amount of stress you are experiencing by adding up the relative stress values, known as Life Change Units (LCU), for various events.  A score of 250 or more is considered high.  Persons with a low stress tolerance may find themselves overstressed with a score of 150.  The test is used to determine disease susceptibility.  With a score of 150 or less, you have a 37% chance of becoming seriously ill.  Between 150 to 300 and it jumps to 51%.  Over 300 and there's an 80% chance of serious illness in the next 2 years.

Adapted from the "Social Readjustment Rating Scale" by Thomas Holmes and Richard Rahe. This scale was first published in the Journal of Psychosomatic Research. 1967, vol. II p. 214.

Adult Stress

  Event Value
Death of spouse 100
Divorce 60
Menopause 60
Separation from living partner 60
Jail term or probation 60
Death of close family member other than spouse 60
Serious personal injury or illness 45
Marriage or establishing life partnership 45
Fired at work 45
Marital or relationship reconciliation 40
Retirement 40
Change in health of immediate family member 40
Work more than 40 hours per week 35
Pregnancy or causing pregnancy 35
Sex difficulties 35
Gain of new family member 35
Business or work role change 35
Change in financial state 35
Death of a close friend (not a family member) 30
Change in number of arguments with spouse or life partner 30
Mortgage or loan for a major purpose 25
Foreclosure of mortgage or loan 25
Sleep less than 8 hours per night 25
Change in responsibilities at work 25
Trouble with in-laws,or with children 25
Outstanding personal achievement 25
Spouse begins or stops work 20
Begin or end school 20
Change in living conditions (visitors in the home, change in roommates, remodeling house) 20
Change in personal habits (diet, exercise, smoking, etc.) 20
Chronic allergies 20
Trouble with boss 20
Change in work hours or conditions 15
Moving to new residence 15
Presently in pre-menstrual period 15
Change in schools 15
Change in religious activities 15
Change in social activities (more or less than before) 15
Minor financial loan 10
Change in frequency of family get-togethers 10
Vacation 10
Presently in winter holiday season 10
Minor violation of the law 5


Stress Scale for Youth

  Event Value
Death of spouse, parent, boyfriend/girlfriend 100
Divorce (of yourself or your parents) 65
Puberty 65
Pregnancy (or causing pregnancy) 65
Marital separation or breakup with boyfriend/girlfriend 60
Jail term or probation 60
Death of other family member (other than spouse, parent or boyfriend/girlfriend) 60
Broken engagement 55
Engagement 50
Serious personal injury or illness 45
Marriage 45
Entering college or beginning next level of school (starting junior high or high school) 45
Change in independence or responsibility 45
Any drug and/or alcoholic use 45
Fired at work or expelled from school 45
Change in alcohol or drug use 45
Reconciliation with mate, family or boyfriend/girlfriend (getting back together) 40
Trouble at school 40
Serious health problem of a family member 40
Working while attending school 35
Working more than 40 hours per week 35
Changing course of study 35
Change in frequency of dating 35
Sexual adjustment problems (confusion of sexual identify) 35
Gain of new family member (new baby born or parent remarries) 35
Change in work responsibilities 35
Change in financial state 30
Death of a close friend (not a family member) 30
Change to a different kind of work 30
Change in number or arguments with mate, family or friends 30
Sleep less than 8 hours per night 25
Trouble with in-laws or boyfriend's or girlfriend's family 25
Outstanding personal achievement (awards, grades, etc.) 25
Mate or parents start or stop working 20
Begin or end school 20
Change in living conditions (visitors in the home, remodeling house, change in roommates) 20
Change in personal habits (start or stop a habit like smoking or dieting) 20
Chronic allergies 20
Trouble with the boss 20
Change in work hours 15
Change in residence 15
Change to a new school (other than graduation) 10
Presently in pre-menstrual period 15
Change in religious activity 15
Going in debt (you or your family) 10
Change in frequency of family gatherings 10
Vacation 10
Presently in winter holiday season 10
Minor violation of the law 5