Please enable JavaScript.
Coggle requires JavaScript to display documents.
Mental State Examination - Coggle Diagram
Mental State Examination
1) Appearance and Behaviour
Is self care impaired?
Eye contact?
Agitation ( mania, depression (elderly)
Motor retardation ( slowing)
Superimposed Abnormal Movements ( Tremor, Stupor “
complete loss of activity, no response to stimuli),
Sterotypies “ uniform, repetitive non goal directed movement”,
Dyskinesias “ rocking, wide range of movement covered”, waxy flexibility
2) Mood
Persistent abnormalities may indicate an affective disorder
This could be secondary to other psychiatric disorders ( e.g organic)
3) Speech
Echolalia and echopraxia (dementia, schizophrenia)
Slowing (could indicate retardation)
Mutism (elective or involuntary)
Fast speech (could just be nerves, or a sign of mania, etc)
‘pressure’-mania
Neologism- structural brain disease/schizo
Incoherence
Perseveration- dementia
4) Memory
5) Thought
Content
Form
Flight of Ideas
Word Salad
Concrete thinking
Over-valued ideas
Delusions
Obsessions
6) Attention and Concentration
7) Perception
Hallucinations (auditory most common) ( visual- sign of organic brain disease)
Illusions
Depersonalisation
Derealisation
8) Insight ( 3 facets of awareness)
a) Open to medical intervention
b) Aware abnormal experiences are extraordinary
c) Aware these experiences are as a result of disease
9) Orientation
10) Cognitive Testing
Test Patient’s ability to perform on that task
Delirium/dementia etc