MENTAL STATUS
1. General Appearance and behaviour- evaluation of patient’s manner of presentation at the
time of interview.
a. Appearance- Well kempt and tidy/ unkempt and untidy/ overly made-up/ perplexed/ sickly
b. Body build- endomorph (stocky, rounded, obese)/ mesomorph (Athletic, muscular)/ ectomorph
(long, linear)
c. Hair- Well groomed/ Negligent/ Disheveled d. Contact with surrounding- Present/ Partial/ Absent
e. Eye-contact- present/ partial/ absent
F. Rapport- Easily established/ Established with difficulty/ Not possible g. Attitude towards examiner-
Cooperative/ Defensive/ guarded/ evasive/ suspicious/ hostile/ distractible/ uncooperative/
seductive
h. Motor Behavior: Hyperactive/ restless/ retarded/ tics/ mannerisms/ awkward/ gestures/ silly
smiling/ preoccupied/stereotypy/ self-injurious/ aggressive/ rigidity/ touching examiner/
hallucinatory behavior/ automatic obedience/ echopraxia, etc
1. INITIAL OBSERVATION। (general apperance)
2. ACTIVITY LEVEL AND MOTOR BEHAVIOUR: NORMAL/ INCREASED/ DECREASED
3. SPEECH AND LANGUAGE ABILITY: i. RELEVANT/ IRRELEVANT ii. COHERENT/ INCOHERENT
iii. GOAL-DIRECTED/ NON-GOAL DIRECTED
Incoherent:no logic in speech
Goal directed: whether sticking to question
Relevant but not goal directed
iv. POVERTY OF CONTENT: talk very much but little is meaningful v. OVERABUNDANCE: vi. PRESSURE OF
SPEECH:
4. GENERAL INTELLIGENCE AND OTHER COGNITIVE FUNCTIONS
:i) ORIENTATION: TIME WHAT DAY IT
IS WHAT TIME NOW?
WHAT IS DATE OR MONTH TODAY?
HOW MANYB MONTH IN A YEAR?
PLACE
WHERE WERE YOU BORN?
WHERE DO YOU LIVE?
WHERE WERE YOU
NOW? WHICH CITY ARE
YOU IN? PERSON
RELATIONSHIP WITH PEOPLE
COME NAME OF YOUR CLOSE
FRIEND
ii) ATTENTION AND CONCENTRATION: (serial subtractions / reverse order no counting)
Reverse count from 20-1. Substract 3 from 50(47,44,41…) substract 7 from 100(93,86..) ● Easily aroused
and sustained ● Easy to arouse but not sustained ● Difficult to arouse and not sustained ●
Difficult to arouse but sustained
MEMORY
1. REMOTE Recent jai id ta galo kamon moja korechile ki ki kheyechile last kobe
ghurte gechile!kothai kodiner jonno
NAME AGE BIRTHPLACE SIBLING S NAME OF
PARENTS CLOSE FRIEND
2. RECENT MEMORY – kal raate dinner ki korecho aaj shokale ki kheye ele kibhabhe ele
ekhane
3. IMMEDIATE MEMORY
Word recall:mat crow apple dog banana cat
DIGIT FORWARD 89635
BACKWARD 95632
Delay RWCALL tell to again recall the words
ABSTRACTION SIMILARTIES bus train apple mango
GENERAL INTELLIGENCE
A. INFORMATION –
HOW MANY EARS , HANDS EYES, LEGS YOU
HAVE? SEASONS
DAY OF THE WEEK
COLOUR OF THE SKY TREE
HAIR WHAT ANIMAL GIVES US
MILK POINT TOWARS WALL
COUNT THE BALL BLOCK
HAND ME FIVE PEN
YOU HAVE TWO APPLES, IF I GIVE YOU ONE MORE THEN HOW MANY YOU HAVE ?
B VOCABULARY
KIDS UMBRELLA, CYCLE, PHONE, PILLOW , TABLE CAR, ARMY POLICE GUN, BOOK KITCHEN WALLET
C COMPREHENSION
IF YOU WANT TO BUY A TOY BUT YOURS PARENTS DOSENT BUY WHAT WOULD YOU
DO? IF YOUR MOTHER GETS A CUT WHILE CHOPPING WHAT WOULD YOU DO?
WHAT WOULD YOU DO IF A STRANGER GIVE YOU CHOCLATE AND TE;;; TO FOLLOW HIM OR HER?
POINT WALL OR TABLE FINGER EYE
JUDGEMENT
1.PERSONAL
IF YOU FIND A WALLET ON THE STREET WHAT WOULD YOU
DO? IF YOU CUT YOUR FINGER WHAT WOULD YOU DO?
IF YOU SPILLED COFFEE OR TEA ON A IMPORTANT DOCUMENT WHAT WOULD YOU DO?
SOCIAL
WHAT WOULD YOU DO IF YOUR FRIEND TOY IS LOST BECAUSE OF YOUR FAULT AND YOU CANT
FIND IT
WHAT WOULD YOU SEE IF YOU SEE FIRE IN NEIGHBOURHOOD
WHAT WOULD YOU DO IF A STRANGER GOT INTO ACCIDENT INFRONT OF YOU?
TEST
WHY SHOULD YOU OBEY OR RESPECT PARENT OR TEACHER?
IF YOU SAW SOMEONE BEING BULLIED WHAT WOULD YOU
DO? WHY SHOULD YOU BE KIND TO ANIMALS?
MOOD/AFFECT: i)SUBJECTIVE
: ii) OBJECTIVE: EUTHYMIC, ANXIOUS, PANICKY, FEARFUL, DEPRESSED, WEEPINGSPELL,
IRRITABILITY, ENRAGED, CHEERFUL, EUPHORIC, ELATED, INDIFFERENT, BLUNTED, FLAT. 6.
THOUGHT: LOOSENING OF ASSOCIATIONS, DERAILMENT, THOUGHT BLOCKING,
INCOHERENCE, FLIGHT OF IDEAS, OBSESSIONS & COMPULSIONS, THOUGHT ALIENATION,
THOUGHT INSERTION, THOUGHT WITHDRAWAL, THOUGHT BROADCASTING.
SAMPLETALK:
TYPES OFDELUSION:
SAMPLETALK:
7. PERCEPTION:
I) ILLUSIONS: II) HALLUCINATIONS:
8. INSIGHT: PRESENT/ABSENT/PARTIALLYPRESENT
CHILD’S VERSION OFTHEPROBLEM
3 WISHTESTANDANIMALTEST:
ANYOTHEROBSERVATIONORCOMMENT:
SUMMARY:
DIAGNOSTIC FORMULATION: PROVISIONAL DIAGNOSIS: POINTS IN FAVOUR POINTS IN
AGAINST
