Observation Guide

I. General Descriptions
A. Appearance
1. Dress and Grooming  Unconventional
1.1. Dress  Fashionable
 Meticulous  Garish
 Immaculate  Skillfully applied
 Unconventional 3. Posture and Gait
 Fashionable 3.1. Posture
 Garish  Closed
 Skillfully Applied  Slouched
1.2. Grooming  Open
 Disheveled 3.2. Gait
 Soiled  Shuffling
 Body odor  Uncoordinated
 Clean  Brisk
2. Physical Characteristics  Slow
B. Attitude and Interpersonal Style
1. Attitude  Tics and twitches
 Seductive  Posturing
 Uncooperative  Mannerisms
 Hostile  Rigid
 Playful  Awkward
 Ingratiating  Combative
 Evasive  Agitated
 Guarded  Hyperactive
 Sullen  Seated Quietly
 Passive D. Speech and Language
 Manipulative  Normal Rate
 Contemptuous  Slow
 Demanding  Hesitant
 Withdrawn  Rapid
2. Emotional Reaction  Pressured
 Flat  Monotonous
 Pleasant  Emotional
 Happy  Loud
 Sad  Whispered
 Perplexed  Mumbled
 Angry  Precise
 Mobile  Slurred
 Tense  Accented
 Bland  Stuttering
C. Behavior and Psychomotor  Stilted
Activity  Rambling
 Stereotypical  Impoverished
II. Emotions
A. Mood
 Euthymic
 Depressed B. Affect
 Sad  Appropriate
 Hopeless  Anhedonic
 Empty  Labile
 Guilty  Blunted
 Irritable  Flat
 Angry  Constricted
 Enraged  Broad
 Terrified C. Neurovegetative Signs of
 Expansive Depression
 Euphoric  Initial Insomnia
 Sullen  Middle Insomnia
 Dejected  Terminal Insomnia
 Anxious  Hypersomnia

III. Cognitive Functioning

A. Orientation and Level of
Consciousness
B. Attention and Concentration
1. Consciousness
 Inattention
 Lethargic
 Easily Distracted
 Obtundation
 Often Distracted
 Stupor
 Attentive
 Coma
C. Memory
 Vigilant
 Remote Memory Deficit
 Alert
 Recent Past Memory Deficit
2. Orientation
 Recent Memory Deficit
 Time Disorientation
 Immediate Recall Deficit
 Place Disorientation
 Person Disorientation

IV. Thought and Perception

A. Disordered Perception  Impoverished
 Illusions  Racing Thoughts
 Hallucinations  Blocking
 Depersonalization  Circumstantial
 Derealization  Perseverative
B. Thought Content  Loose Associations
 Distortions  Illogical
 Delusions
C. Thought Processes  Incoherent
 Flight of Ideas  Neologism
 Spontaneous  Distractible
 Goal Directed  Clang Association
  Tangentiality  Phobias
D. Preoccupation Specify:
 Somatic preoccupation _____________________
 Obsessions
 Compulsions

V. Suicidality, Homocidality, and Impulse Control

A. Suicidal Ideation B. Hostile Intent
 Ideation History  Previous Intimidation
 Previous Attempts  History of Violence
 Current Ideation  Current Intent
 Impulsiveness  Impulsiveness
 Viable Plan  Viable Plan
 Available Means  Available Means

VI. Insight and Judgment

A. Insight B. Judgment
 Impaired Insight  Critical
 Denial of Disorder  Automatic
 Intellectual Insight  Impaired
 True Insight

VII. Reliability
 Reason to Fake Good
 Reason to Fake Bad
 Unreliable
 Reliable

Assessed by: _______________________________