Deviations from expected, normal behavior (as described in western cultures) can indicate ongoing mental health concerns. If a patient’s affect, emotional state, or clothing choices do not reflect the situation and season at hand, he or she may be struggling with mental health. If the patient fails to make eye contact and uses only a monotonous voice, he or she may be exhibiting symptoms of depression. These observations aid in completing a complete assessment of the patient. The initial presence or absence of family is not a behavioral clue provided by the patient, although it should be documented.