Poor mental concentration and distraction are seen in cases of cognitive dysfunction. For example, in patients with depression, attention and memory are reduced, reactions are slower, and things are not done efficiently. It can also be seen in patients with manic episodes, where the patient’s emotions are very high, giddy, dancing, thinking is also more runaway, talking a lot, and will appear to shift with the situation, that is, the patient’s attention will be constantly influenced by the outside world, will change and change, not easy to focus on one thing. It can also be seen in patients with disorders of consciousness, such as delirium, where the patient is in a blurred state of consciousness. It can also be seen in patients who are drowsy, lethargic or even comatose, where the patient’s attention is difficult to focus, such as waking the patient up and then falling asleep later, making it difficult to focus on the conversation.