Concrete thinking. Mental Status Examination A direct and indirect, subjective and objective observation and formal testing of the client’s mental, emotional, behavioral functioning. Mental Status Examination I Definitions of Some Mental Status Examination Findings Behavior psychomotor agitation - noticeable and marked increase in body movements; eg hand wringing, pacing psychomotor retardation - significant slowing of speech and body movements, lack of usual It is especially important in neurologic and psychiatric evaluations. Even to pain Attitude Towards Interviewer Cooperative, Open Genuine. Objective: Observable behavior: Appearance, speech, affect, cognition, interaction Subjective: Emotional tone, intensity, quality. Mental Status Examination (MMSE) - A pilot study. Am J Geriatr Psych 14:900-10, 2006. Day? Condensation. Mini-Mental State Examination (MMSE) Patient’s Name: Date: Instructions: Score one point for each correct response within each question or activity. State of Consciousness Alert Lethargic, Drowsy, Stupor Unresponsive. Before a physician performs a mental status examination, s/he must explain the procedure to the patient and ensure the patient understands that exam results will be documented. A standard format for a psychiatric history is presented in Table 7.1-1. Maximum Score Patient’s Score Questions 5 “What is the year? l: normal, decreased, increased • Distractibility: normal, increased • Apparent Age: as stated, younger, older • Race / Ethnicity: • Habitus Compulsion. Month?” 5 “Where are we now? A mental status examination, just like a physical examination, is an intrusion on the patient’s rights and should not be conducted against the patient’s will. The structure of the history and mental status examination presented in this section is not intended to be a rigid plan for interviewing a patient; it is meant to be a guide in organizing the patient's history prior to its being written. Repetitive ritualistic behaviour or mental activity. If a State… remain in a fixed stuporous state for long periods; the catatonia may give way to short periods of extreme excitement. POINTS TOTAL MEMORY NAMING VISUOSPATIAL / EXECUTIVE ATTENTION LANGUAGE ABSTRACTION DELAYED RECALL ORIENTATION Read list of words, subject must repeat them. The Psychiatric Mental Status Exam (MSE) Appearance and behavior Dress, grooming, hygiene Posture and gait Facial expression Eye contact (and relatedness to examiner) Motor activity Other mannerisms or behaviors Degree of cooperation with exam How the patient makes you feel Date? Your sense of how truthful the client is. The mental status examination (MSE) is a component of all medical exams and may be viewed as the psychological equivalent of the physical exam. Thinking characterised almost exclu-sively by immediate sensory experience, rather than cognitive abstractions. Season? Mental Status Exam Items American Physician Institute for Advanced Professional Studies LLC 877-225-8384 GENERAL APPEARANCE • Alertness: normal, decreased, increased • Arousa. Attentive Control, Domineering Oppositional/ Provocative Hostile Overly Compliant Suspicious, Guarded Resistant, Evasive The purpose is to evaluate, quantitatively and qualitatively, a range of mental