THE MENTAL STATUS EXAM

APPEARANCE Rapid talking Exaggerated Dramatic Vocabulary

Age Pacing Congruency Descriptive Restrictive
Other
Younger than Older than Foot tapping Appropriateness Idiosyncratic
At Fidgeting Lability Flow of Information
Body Habitus Eye Contact Labile Stable Good Adequate
Obese Intermittent Fleeting Sluggish Supple Vague Disorganized
Weight Overweight Avoidant Sporadic SPEECH Fractured
Underweight Average Normal Volume THOUGHT CONTENT
Height Good Appropriate Loud Strong Themes
Slight Intense Staring Soft Low Phobias Delusions
Build Sturdy RAPPORT & COOPERATION Weak Dull Obsessions Overvalued ideas

Solid Uncooperative Contemptuous Whispered Preoccupation Ruminations

Unusual physical proportions Secretive Hostile Rate Ego-syntonic Ego-dystonic
Hair Resistant Defensive Fast Pressured Congruent Incongruent
Bizarre style Dyed Defensive Suspicious Rapid Normal Suicidal Ideation
Unshaven Shaven Apathetic Careless Variable Slow Reported Denied
Clothing Annoyed Irritable Intelligibility Hx ideation Hx attempts
Bright Negativistic Critical Slurred Mumbled Impulsiveness Settling affairs
Colour Dark Shy Quiet Stuttering Accented Viable plan Avail. means
Dull Withdrawn Uncertain Cluttered Poor articul. Ideation
Undressed Cautious Accented Clear Homicidal ideation
Appropriate-
Underdressed Guarded Distant Coherent Comprehendible Reported Denied
ness
Overdressed Disengaged Evasive Fluent Logical Hx Intimidation and violence
Unclean Distracted Meaningful Current intent Impulsiveness
Neatness Unkempt Cooperative Compliant Quality Viable plan Avail. means
Dirty Focused Motivated Hesitant Unspontaneous PERCEPTION
Grooming/Hygiene Engaged Patient Emotional Monotonous Hallucinations
Dishevelled Friendly Polite Echolalia Thoughtful Auditory Visual
Soiled Open Candid Raspy Profanity Olfactory Somatic
Cleanliness
Neglected Interest Thoughtful Sarcastic Critical Gustatory Hypnagogic
Poor Relaxed Unconcerned Too detailed Lacking detail Hypnopompic
Body odour Playful Seductive Response Latency Dissociation
Other Features Overfamiliar Clinging Increased Decreased Depersonalisation Derealisation
Wounds Scars Dependent Agreeable Quantity Amnesia Fugue
Skin texture Tattoos MOOD & AFFECT Garrulous Expansive Other
Makeup Jewellery Type Talkative Abundant Agnosia Re-experiencing
Glasses Dental braces Depressed Dysphoric Excessive Voluble Congruent Incongruent
BEHAVIOUR Dysthymic Anhedonia Rambling Ego-syntonic Ego-dystonic
Posture Apathetic Responsive Spontaneous COGNITION
Slouched Slumped Anxious Panicked Paucity Poverty Consciousness
Stooped Closed Tense Agitated Impoverished Taciturn Alert Lethargic
Open Relaxed Distressed Mutism Drowsy Somnolent
Stiff Erect Angry Annoyed THOUGHT FORM Obtundation Stupor
Shaky Frustrated Key Features Orientation
Gait Euthymic Content Circumstantial Tangential Time Place
Abnormal At ease Calm Flight of ideas Rambling Person
Awkward Relaxed Loose associations Blocking/derailment Intact Impaired
Staggering Ecstatic Euphoric Fragmentation verbigeration MEMORY
Fluency
Shuffling Expansive Elevated Jargon Word salad Remote Recent past
Rigid Irritable Excited Incoherence Recent Immediate
Hesitant Facial Expressions Tightness ATTENTION
Slow Tense Smiling Organized Tangential Distractable Deficit
Pace Brisk Laughing Yelling Loosely connected Incoherent Variable Impairment
Fast Tearful Flow of Speech Poor Preoccupation
Uncoordinated Range Spontaneous Hesitant Reduced
Coordination
Clumsy Narrow Restricted Interrupted Halting INSIGHT
Psychomotor Activity Appropriate Normal Reply Directness Poor Denial
Retardation Expressive Expansive Informative Embellished Impaired Good
Low
Slowing Exaggerated Broad Relevant Irrelevant MOTIVATION
Elation Intensity Overinclusive Precontemplation
Agitation Flattened Constricted Flow of Ideas Contemplation
High
Hyperactivity Detached Blunted Logical Illogical Preparation Action
Akathisia Responsive Adequate Variable Restricted Maintenance