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Mental State Examination (Speech
Rate
Volume
Flow
Tonality
Quantity
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Mental State Examination
To Determine:
- Person's capacity to function
- Psych. follow up needed.
Always consider
- Developmental level of the patient
*Age-appropriateness
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Behavior/Co-operation
Psychomotor Activity
Mannerisms
Facial expression
Eye Contact
Gait
response to assessment itself
Rapport and Social Engagement
Anxious/aggressive behavior
Un-cooperative
Manneristic
Stereotypical
Bizarre
Aggressive/abusive
Restless
Psychomotor change (withdrawn)
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Affect (Climate)
What you describe
- The way a patient conveys emotional state
- Assess:
appropriateness, intensity, range, reactivity and mobility.
- Appropriate/inappropriate OR Congruent or Incongruent with thoughts.
- Intensity: Normal, Blunted, flat, exaggerated, heightened or dramatic
- Mobility: Fixed, mobile, immobile, constricted/restricted or labile.
- Range: Full range or restricted
- Reactive/unreative
- Indifferent
- Blunt/Flat → schizophrenia, depression or post-traumatic stress disorder;
- Heightened → might suggest mania
- Overly dramatic/ exaggerated → personality disorders.
Perceptual Disturbances
Dissocative Symptoms: de-realization, de-personalsation
Illusions: Perceives thing different what they are ( response to real stimulus)
Hallucinations: Visual, Auditory,tactile/gustatory ( Not real stimulus)
Thought Content
Delusions
Overvalued Ideas
Preoccupations
Depressive Thoughs
Self-harm,suicidal, aggressive/homicidal ideation
Obsessions
Anxiety/Phobia
Paranoia
Thought Form
Formulation and coherence of thoughts
Relevance
Frequent changes of topis
Excessive Vaguesness
Nonsense words
Pressured or halted speech
Thought insertion/Deletion
Circumstantial
Tangential
Loosening of associations
Word Salad
Flight of Ideas
Blocking
Neologisms
Derailment
Insight
Acknowledgement of problem
Level of understanding
Full, Partial,None
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Cognition
MMSE
Alertness and level of consciousness
Orientation
Short-term Memory
Long-term memory
Concentration
General knowledge and intelligence