Clinical depression physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

Overview

Physical examination of patients with major depressive disorder is usually normal.

Physical examination of patients with major depressive disorder is usually normal. A mental status examination may provide valuable information in patients with major depressive disorder.

General appearance:
- Psychomotor agitation or retardation
- Poor eye contact
- Tearful
- Inattentive to personal appearance
Affect:
- Constricted or labile
Mood:
- Depressed
- Irritable
- Frustrated
- Sad
Speech:
- Little or no spontaneity
- Monosyllabic
- Long pauses
- Soft, low monotone
Thought content:
- Suicidal ideation
- Obsessive rumination
- Pervasive feelings of hopelessness, helplessness, worthlessness, guilt
- Somatic preoccupation
- Indecisiveness
- Poverty of through content
- Mood-congruent hallucinations and delusions
Cognition:
- Distractile
- Difficulty concentrating
- Poor memory
- Apparent disorientation
- Impaired abstract thinking
Insight and judgment:
- Impaired