Mental Status Exam

Orientation

Oriented x4 Time Place Situation Person

Clothing/Grooming

Neat Clean Appropriately Dressed Careless Disheveled Dirty Inappropriate Bizarre

Motor Activity

Not Remarkable Slowed Repetitive Restless Agitated Tremor

Behavior

Appropriate Aggressive Angry Apathetic Irritable Passive Manipulative

Attention

Normal Unaware Distractible Vigilant

Recall/Memory

Normal Short-term Impaired, Long-Term Intact Short-term Intact, Long-term Impaired

Eye Contact

Normal Fleeting Avoided None Staring

Facial Expression

Responsive Tense Anxious Sad Angry

Attitude toward Evaluator

Cooperative Friendly Guarded Hostile Indifferent Ingratiating Manipulative Open Seductive Suspicious Uncooperative

Affect

Congruent Incongruent Appropriate Inappropriate Labile Restricted Flat Reactive Blunted

Mood

Euthymic Dysphoric Anxious Angry Irritable Pessimistic Depressed Hypomanic Euphoric

Speech

Normal Loud Blocked Pressured Flight of Ideas Slurred Soft Stuttering Mute Verbose

Expression of Thought Content

Congruent Incongruent Loose Associations Suspicions Delusions Phobias Obsessions

Organization of Thought

Normal Logical Goal-directed

Perception

No Hallucinations or Delusions Auditory Hallucinations Visual Hallucinations Olfactory Hallucinations Tactile Hallucinations Gustatory Hallucinations Delusions Present

Insight

Excellent Good Fair Poor Nil

Judgment

Excellent Good Fair Poor Nil Dangerous

Decision Making

Normal Only Simple Impulsive Confused

Safety

No evidence or report of SI/HI Denies SI/HI Reports HI Reports Passive Suicidal Thoughts Reports Suicide Plan Reports Suicidal Intention