The mental state examination Appearance behaviour and the environment

A great deal can be learnt from the appearance of the patient and her home environment. Signs of neglect in both are commonly found. A brief tour of the home may reveal rotten food, little or no food, empty bottles of liquor, evidence of poor hygiene or incontinence, and inadequate heating. The patient may be dirty and unkempt, and clothes may have been put on in the wrong order (dressing dyspraxia). Particular attention should be paid to relatively mild impairment of attention and concentration, since it might betray a delirium which can be treated to achieve a remarkable improvement in the patient's condition. Agitation is another sign to be carefully sought. Sometimes agitation is obvious with behaviour such as pacing and sighing which make it almost impossible to communicate with the patient, but at other times it can be allied to psychomotor retardation and perceptible only in tireless movements of the fingers.

Break Free From Passive Aggression

Break Free From Passive Aggression

This guide is meant to be of use for anyone who is keen on developing a better understanding of PAB, to help/support concerned people to discover various methods for helping others, also, to serve passive aggressive people as a tool for self-help.

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