First Impressions


Appearance

Self-Neglect
Depressive disorder, alcohol dependence, substance abuse, schizophrenia, dementia.

Excessive Grooming
Obsessive-compulsive disorder, mania, schizophrenia.

Difference Apparent And Chronological Age
Dementia, depressive disorder, alcohol addiction, substance abuse, chronic stress, physical illness.

Strikingly Underweight
Anorexia nervosa, alcoholism, substance abuse, cancer, hyperthyroidism, diabetes mellitus.

Strikingly Overweight
Bulimia, poor diet, lack of exercise, side-effects medication.

Puncture Holes, Tattoos, Self-Mutilation, Amputation
Psychotic disorder, mania, impulse breakthroughs, addiction, borderline personality disorder, psychotic disorder.


Contact

Penetrating Staring
Mania.

Absence Of Eye-Contact
Embarrassment, shame, fear, melancholy, paranoid, delusions of control, social anxiety.

Looking Around Oneself Constantly
Mania, delirium, ADHD.


Posture

Striking Posture
Pathology is suspected when the presentation of the complaints is inconsistent with the patient’s movement, body positioning or behaviour.

Catatonia
Schizophrenia of the catatonic type.


Complaints Presentation

Inconsistencies Between What The Patient Complains Of And How The Complaint Is Presented
Personality pathology (simulation), pathological lying, dissociation, fugue or simulated psychopathology (factitious disorder).


Your Emotions And Response To The Patient

You Notice How One Patient Makes You Feel More Positive And Active, While Another Makes You Feel Slower And A Little More Gloomy
Mania, depressive disorder, personality pathology, a behavioural disorder due to a frontal syndrome.


 

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