MENTAL STATE

1

Dr. Mohammed sayyad
STUDY FROM HERINGS GUIDING SYMPTOM BY DIVIDING
MENTAL SYMPTOM INTO A/F ,lt,gt, EMOTION,
INTELLECT,EXPRESSION, DISPOSITION
MENTAL STATE
2
MENTAL STATE
Melancholy remose,anguish fear of thieves
every trifle Anxiety as if he has
committed Crime

Memory weak untrustworthy Delirium alter
behaviour confusion insanity fix idea
A/f grief, bad news, mortification
disappointment of love, anxiety fright
Anger irritable on slight contradiction Brooding
over imaginary think,
INTELLECTUAL
REACTIONS
EMOTIONAL
Hysterical
I M B A L A N C E
ltnoise ltcontradiction
ACTIVITY
A C T I O N
BEHAVIOUR
Hurry changeable quarrelsome impatient weep,
indifference, Desire to be alone
EVIDENCE
Appetite, sleep, decrease Stool constipated or
loose motion
FUNCTIONING
FAMILY
DISSATISFACTION
SOCIETY
WORK
3
From CONTRADICTION, SLIGHTEST BLAME
EMOTIONAL STATE
After losing person Or very dear
CAUSATION CHARCTERISTICS / INTENSITY
ANGER IRRITABLE FRETFUL EXCITABLE   VEXATION
INDIGNATION   IRRASCIBLE QUARRELSOME
ABUSIVE RAGE FURY VIOLENCE OBJECTS /
PERSONS   IMPULSIVE WEEPY   SUPPRESSED
MORTIFICATION   HATRED / MISANTHROPY   REPRESSED
GUILT    
SAD NESS
MOROSE, GRIEF, SORROW, INDIFFERENCE,
ENNUI   AVERSE WORK / PLEASURE,
QUIET   HYPOCHONDRIAC / MELANCHOLY   BROODING /
DIS-SATISFIED   ESTRANGED / REMORSE /
ANGUISH   SELF-PITY / DESPAIR / SUICIDAL   SEX /
ALCOHOL / SQUANDER   DEPRESSION
Over imaginary or real trouble
Unsuccessful attempt After embarrassment Of
business
ANGER FOLLOEWE D BY GRIEF AND SORROW
SOMATISATION Empty feeling in pit of stomach
Twitching of one muscle at a time Suppression
of menses Senseless staring at one object Spinal
symptom after disappointment of love
Intolerance to noise Want to be alone
4
LOVE OBJECTS HATE
CRITICAL CENSORIOUS CRUEL   MALICE SLANDER
REVENGE   OBJECTS   PERSONS   RELATIONS   WORK   S
ADISM PLEASURE   MISANTHROPY   ENVY
AFFECTIONATE / SYMPHATHETIC   ATTACHEMENT SELF
/ PERSONS / OBJECT MONEY / POWER / WORK /
CAREER   ROMANTIC / SENTIMENTAL   SEX
MATURBATION HOMOSEXUAL SELF-LOVE HETEROSEXUAL
PREMARITAL / MARITAL / EXTRAMARITAL   LEWD
GESTURE SONG TALK DREAMS ,   EGOTISM PROUD
RUDE CONTEMPT ARROGANT IMPERIOUS   JEALOUSY
SUSPICIOUS  
Amativeness
5
Every trifle especially thing coming near him. Of
thieves on waking after midnight
As if had committed some crime
FEAR FRIGHT ANXIETY is followed by
grief
ANXIOUS   NERVOUS   WORRY   TIMID   STARTLED   GU
ILT   RESTLESS   SLEEPLESS   AUTONOMIC
IMBALANCE ENDOCRINE  
ANTICIPATORY
DEPRESSIVE
AGITATIONAL
DREAMS
BEHAVIOUR
Doesn't like to talk prefer alone
As though something terrible had happen can Not
speak because of it
SOMATIZATION
Rush of blood to the head and heart Trembling of
hands disturb her very much in writing mostly
when She has write any once present get worse as
soon as she fancies anyone Might notice it

6

• INTELLECTUAL STATE
• (FORMULATION)

CAPACITY PERFORMANCE
About mortification
Untrustworthy reaction at evening
PERCEPTION MEMORY
THINKING
ACUTE CLEAR CONFUSED
DULL   ECSTASY ALTERED   CLAIRVOYANC
E HALLUCINATION   VISIONS
ILLUSIONS   STARTS
LOSS WEAK SHARP   IMMEDIATE   RECENT
FANCIES   REMOTE   PATCHY   TRANSIENT
ACTIVE   EMOTIONAL   FANCIES / DAY
DREAMS  REVERY   ABUNDANT   FIXED   GRANDIOSE /
UNREAL
SLUGGISH   LOGICAL   DIFFICULT   SYSTEMATIC   PATH
CY   CHANGEABLE   PRAGMATIC
After catamenia Believe herself married and
pregnant
Confusion of writing is caused by profusion of
thought
DELUSIONS IMAGINATIONS PERSECUTIONS ? ACTION
7
Imaging her soul cannot be saved cried very
much at the time of rage tear the cloth
C O N S C I O U S N E S S
DECISION
CONFIDENCE
DELIRIUM DULL COMA   ACUTE STUPOR   SOPOR  
ABSORBED   CONTRACT TIME   RECOGNITION PLACE  
RESPONSE PERSONS       ORIENTATION
HASTY PROCRASTINATION   OBSTI
NATE CHANGEABLE  
IMPULSIVE   CONTRADICTORY
IRRESOLUTE   CONTRARY
INDECISIVE
POOR ADEQUATE   SHAKY EXCESSIVE
  PERFECTIONIST UNRELIABLE   CENSORIOUS APPRECIATI
VE   GOAL-ORIENTED PERSON- ORIENTED   TYRANT
WEAK   PERSON
WORK
GOOD JUDGEMENT POOR
MOTIVATION WILL DRIVE
8
PRECOCITY PERFORMANCE LATE SENILITY
SCHOLASTIC   SPORTS ATHLETIC   ARTISTIC   FAMILY  
MARITAL   SOCIAL   RELIGIOUS   WORK
EFFICIENCY   SATISFACTION   PROBLEMS
ADJUSTMENT / CONSCIENCE / POSITION
BLOCKS
MOTIVATIONAL   INTELLECTUAL   OPPORTUNITY   EMOTIO
NAL   INTER-PERSONAL
DELICATE CONSCIENTIOUSNESS
9
3. REACTIONS A.F., lt, gt STATE EFFECTS
EMOTIONS
A/F
A/F
A/F
ANGER, EXCITEMENT, JOY, VEXATION   ENVY,
JEALOUSY, HATRED, PERSONS   CONTRADICTION   ANT,
ANXIETY, APPROACH, BAD NEWS   CHAGRIN, FRET,
REPROACH, SCORN   ADMONITION, INSULTS,
MORTIFICATION   REPRESSION   INSECURITY, THREAT
DISAPPOINTMENT LOVE   GRIEF, LOSS-LOVE OBJECT,
SORROW   BROODING, PAST, SELF-PITY   COMPANY,
CONSOLATION, WEEPING   FEAR, FRIGHT, SHOCK,
WORRY   ACTION, CARRIED, LOOKED,
MOTION   MOVEMENT, ROCKED, TOUCHED,
WALKING   NARRATING ALONE, WHEN
A/F
A/F
Trembling palpitation sleeplessness
oppression Of breathing
A/F
A/F
A/F delirium
A/F
10
LIFE-SITUATION
INTELLECTUAL ACTIVITY
MENTAL EXERTION   SPOKEN TO, READING   THINKING  
FRUSTRATION   COMMUNICATION BLOCK
PERSONAL       FAMILY       WORK
SOCIO-ECONOMIC-POLITICAL-CULTURAL-RELIGIOUS   ILLN
ESS SELF / OTHERS   ADAPTATION
11
Behaviour

• Changeable- laugh and cried almost in same
  breath.
• Incredible change of mood alternate every 3-4
  hours.
• Hurried- at morning, make mistake in talking and
  writing and awkward action require constant
  correction.
• Inconsistent.
• Impatient.
• Hysterical.
• Inclined to be secretive passive
• Quarrelsome

12
FUNCTIONING

• Appetite decrease during anxiety.
• Stool constipated or loose during anxiety
• Urine frequency increase during anxiety .
• Sleep disturb during anxiety after fright

13
Hears everything even distance sound .
Grief, business fear , sadness , depressing
emotion inwards restlessness Before midnight
THOUGHTS IDEAS ANXIETY FORE-BODINGS COMPLAINTS
DREAMS
SLEEP DURATION POSITION CHARACTER LIGHT CATNA
PS DEEP DISTURBED UNREFRESHING POOR SIESTA
CONCOMITANTS ON GOING TO (FALLING INTO)
BEGINNING DURING AFTER CHEWING EMISSIONS
ENURESIS FIGHTING GROANING JERKS
(MYOCLONUS) MOANING PERSPIRATION SALIVATION SCR
EAMS STARTS TALKING TEETH-GRINDING WALKING WEE
PING (SOBBING) MODALITIES ON FALLING
INTO BEGINNING DURING AFTER (WALKING ON)
Single limb or muscles
Children after punished
Spasmodic yawning With pain in lower jaws
14
Occupied thinking of same object throughout
whole night,
DREAMS (Describe)
ACCIDENT BATTLES BUSY DEAD BODIES DISGUSTING EXHAU
STING FALLING FLYING GHOST JOURNEY MONEY NIGHT
MARES POLICE RAPE SNAKES UNPREPARED VEXATIOUS WEEP
ING
AMOROUS (SEX) BIRDS CRIMES DEATH DROWNING EVENTS
REMOTE / RECENT / FUTURE FEASTS FRIENDS HISTORIC M
ANY MURDER PARTIES PROPHETIC RELIGIOUS STOOLS UNRE
MEMBERED VIVID WILD
ABSURD ANXIETY BUSINESS (WORK) DEAD DISEASE EXAMIN
ATION FAILING TASK FIRE FUNERALS INSECTS MISSING
TRAIN MUTILATION PLEASENT QUARRELS SAD UNPLEASANT
URINATING WEDDING
ANIMALS BURIAL DANGER DEVILS EMBARRASMENT FIGHT F
RIGHTFUL HUMILIATION MISFORTUNE BEING
MURDERED PERSISTENT PURSUIT ROBBERS TEETH
BREAKING UNSUCCESSFUL WATER
SEA