Appendix F: Mental state examination

Download page


Name_______________________________________D.O.B.______________________ Date_________________


Physical appearance? (posture, grooming, clothing, signs of AOD use, nutritional status)





General behaviour? Behaviour to situation and to examiner? (angry/hostile, unco-operative, withdrawn,
inappropriate, fearful, hypervigilant)





Rate, volume, tone, quality and quantity of speech?




Language (form of thought)

Incoherence/illogical/irrelevant thinking? Amount? Rate?




Mood and affect

How does the client describe his/her emotional state (mood)? What do you observe about the person’s
emotional state (affect)? Are these two consistent and appropriate?



Thought content

Delusions, suicidality, paranoia, homicidality, depressed/anxious thoughts?





Hallucinations? Depersonalisation? Derealisation?




Level of consciousness? Attention? Memory? Orientation? Abstract thoughts? Concentration?




Insight and judgement

Awareness? Decision making?