It implies that the person:
* Is not fully aware of their surroundings or situation.
* Is not thinking clearly or rationally.
* May be experiencing a mental health issue or cognitive impairment.
It's important to remember that this phrase can be offensive and hurtful, and it's best to avoid using it. If you're concerned about someone's mental state, it's best to approach the situation with empathy and understanding.
Here are some alternatives to using "not all there":
* "Not thinking clearly"
* "Having difficulty concentrating"
* "Seeming confused"
* "Experiencing a mental health challenge"
Using respectful and accurate language is crucial when discussing someone's mental health.