Mental Status Section

The Mental Status Section contains observations and evaluations related to a patient's psychological and mental competency and deficits. These may include, but are not limited to any of the following types of information:

• Appearance (e.g., unusual grooming, clothing or body modifications)
• Attitude (e.g., cooperative, guarded, hostile)
• Behavior/psychomotor (e.g., abnormal movements, eye contact, tics)
• Mood and affect (e.g., anxious, angry, euphoric)
• Speech and Language (e.g., pressured speech, perseveration)
• Thought process (e.g., logic, coherence)
• Thought content (e.g., delusions, phobias)
• Perception (e.g., voices, hallucinations)
• Cognition (e.g., memory, alertness/consciousness, attention, orientation) which were included in Cognitive Status Observation in earlier publications of C-CDA.
• Insight and judgment (e.g., understanding of condition, decision making)