Psychomotor retardation: associated with a paucity of movement and delayed responses to questions.Observe for any evidence of psychomotor abnormalities: Does the patient appear on edge, fearful or glancing around the room? Psychomotor activity Note any evidence of exaggerated gesticulation or unusual mannerisms. standing up close to you) or withdrawn (e.g. Observe the patient’s body language, which may appear threatening (e.g. becoming tearful when discussing difficult topics vs laughing incongruously). Observe the patient’s facial expression (e.g. Observe the patient’s level of eye contact and note if this appears reduced or intense and staring. replying to auditory hallucinations in schizophrenia). Note if they appear distracted or appear to be responding to hallucinations (e.g. Note if the patient appears engaged in the consultation and if you can develop a rapport with them. Objects: look around to see if the patient has brought any objects with them and note what they are.Weight: note if they appear significantly underweight or overweight.Stigmata of disease: note any stigmata of disease (e.g.Physical signs of underlying difficulties: any self-harm scars or signs of intravenous drug use?.
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