Examination: Mental State ExaminationThis examination is used in a psychiatric setting for examining a patient's mental state.
Appearance and behaviour
- Dress - appropriate for weather and day?
- Well kempt or showing signs of self neglect
- Excessive or very little movements (agitation vs depression)
- Additional movements, e.g.: abnormal posturing, tardive dyskinesia etc.
- Eye contact
- Facial expression
- Quantity - pressure of speech vs. poverty of speech
- Affect - how the patient is right now
- Congruous on incongruous to thoughts and/or actions?
- Content of the thoughts
- Thought disorders
- Thought insertion
- Thought withdrawal
- Thought broadcasting
- Of control - passivity
- Obsessional thoughts
- Phobic thoughts
- Flight of ideas (seen in mania)
- Loosening of associations (seen in schizophrenia)
- Neologisms (seen in schizophrenia)
- Auditory. 3rd person - schizophrenia
- Does the patient have insight into any abnormalities in their mental state?
- Of harm to self
- Include self harm and suicide risk
- Harm to others
- Include criminal record
- Harm to children
- Harm from others
- Any accidents
- Substance abuse
- Previous psychiatric illness
- Family history of psychiatric illness
- Support - family and friends
Summarywritten by: celine_lakra, first posted on: 05/01/13, 12:29
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