Appearance and Behavior:

• Grooming, clothing, hair, nails
• Attitude to situation/examiner – hostile, withdrawn, seductive
• Motor – slow, restless, tremors, bizarre

Speech:

• Slow, pressured, monotonous
• Volume – loud, quiet, slurred
• Quantity – restricted/excessive, spontaneous

Mood/Affect:

• Depressed, euphoric, suspicious, labile
• Restricted, flattened, inappropriate

Form of Thought:

• Amount and rate of production – hesitant, vague, flight of ideas
• Continuity of ideas – logical order of the flow of ideas

Content of Thought:

• Delusions – persecution, poisoning
• Suicidal thoughts/plans/intent
• Other – obsessions, compulsions, hypochondriacal preoccupation

Perception:

• Hallucinations – sound, vision, smell, taste, tactile, somatic
• Other – derealization, depersonalization, heightened/dulled

Sensorium and Cognition:

• Level of Consciousness (LOC) – abnormal drowsiness, clouding, delirium
• Memory – immediate recent, remote
• Orientation – time, place, person
• Concentration – serial 7s
• Abstract thinking

Insight:

• Extent of awareness of problem(s)
• Compliance with intervention(s)