Pressure of speech: a tendency to speak rapidly, motivated by an urgency that may not be apparent to the listener (often a manifestation of thought abnormalities such as flight of ideas, described later in the article).Pay attention to the patient’s rate of speech: Restlessness: the patient may continuously fidget, pace and refuse to sit still.Īssess the patient’s speech to identify abnormalities which may indicate underlying mental health issues.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 standing up close to you) or withdrawn (e.g. Observe the patient’s body language, which may appear threatening (e.g. becoming tearful when discussing difficult topics vs laughing incongruously).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.
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