No past medical or psychiatric history. Presented to psychiatry unit 10 months ago due to apathy, withdrawn, loss of appetite and loss of weight; which has occurred within several months. He was diagnosed with Major Depressive Disorder and treated as such. He represented 6 months ago with severe loss of weight and withdrawn, his speech output has reduced to minimal and currently can't hold conversation at all. He also appeared very cachectic. Also noted one possible episode of auditory hallucination. Noted this afternoon had stiffness of unilateral lower limb. No fever.