| Sumario: | During mental status examination, Franklin is calm. He is coherent without looseness of associations, pressure of speech, flight of ideas, or evidence of hallucinations. He is pleasant and cooperative. He is oriented to person, place, time, and situation. He has some concentration difficulty (or math difficulties) as revealed by making mistakes and losing his place while subtracting serial 7s, but is able to do serial 3s. He is able to spell a 5-letter word forward but not backwards. He has fair immediate recall as he repeats 3 and 4 digit numbers but not a 6-digit number. He demonstrates poor concentration in that he can reverse a 3-digit number but not reverse 4 and 5 digit numbers. He demonstrates excellent past memory by recalling general information and describing major current and past events. He varies in being abstract and being concrete in finding similarities of items. He is appropriately abstract when interpreting general proverbs. His affect is calm and he has a bit of restriction in his affect, perhaps being a bit guarded. He describes his present mood as 'normal, feel okay,' and his recent mood as 'the same, not too up and not too down.' He demonstrates excellent recent memory, almost fully remembering 3 items at 5 minutes. He demonstrates good judgment with his answers to formal judgment questions except saying if he found a gun he might keep it. He demonstrates good insight about why he is being evaluated, realizing he may have depression. When asked about 3 wishes he replies, 'maybe be back with my wife, take away the urge to drink so much, and just - all the bad memories, take those away.'
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