The objective of this study was to measure anxiety and depression in women attending a breast cancer specialist centre for either diagnostic or screening mammography. Anxiety and depression were assessed using the Hospital Anxiety and Depression Scale (HADS). A consecutive sample of women was entered into the study and the HADS was administered at their first clinic visit, before the diagnosis was made. In all 1147 women completed the questionnaire. The results indicated that 27% of women suffer from severe anxiety and 14% from severe depression symptoms. However the mammography results indicated that only 7% of the women had suspicious results of having breast cancer. When the association between mammography results and psychological symptoms were examined, there were no significant associations between diagnosis and severe anxiety or sever depression symptoms. In addition, the findings showed that those who had lower level of education were more likely to suffer from severe anxiety. In contrast the less education were associated with significant severe depression symptoms. In conclusion the results suggest that less education need more attention when they are attending for mammography. The findings from present study also might contribute to improvements of the service is offered in order to reduce anxiety and depression.