The Mental Status Section contains observations and evaluations related to a patient’s psychological and mental competency and deficits including, but 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) |