Mental Status Exam

affect

visible manifestation of mood

persaiveness

how affect changes throughout the day

mood

patient experience

medical presentation of anxiety

nausea, headache, dizziness

depersonalization

being detached from ones body, viewing in 3rd person

derealization

feels detached from surroundings

anhedonia

lack of interest and/or enjoyment from things

rate of speech examples

fast, slow, pressured

pressured speech

words falling on top of each other

rhythm of speech

staccato, monotone

thought content (what to include)

helpless, worthless, hopeless

overvalued ideas?

orientation to future activities

intrusive thoughts ?

grandeur delusion

I am god

persecution delusion

ppl are after me

somatic delusion

about medical subjects

nihilistic delusion

very pessimistic

tangentiality (thought form)

on and on but not the point

circumstantiality (thought form)

always goes back to the same subject

looseness (thought form)

random

ideas of reference (thought form)

something is connected to you

poverty of thought

empty brain

most common hallucination

auditory 1st

visual 2nd

assessing voices

internal vs external

do they tell you what to do

what do they say (positive, negative?)

orientation (cognition)

sense of time passing

abstraction (cognition)

do they understand metaphors

how to test concentraation

serial 7s, spell world forward and backward

serial 7s

count down from 100 by 7s

how to test recall

5 words in 5 mins, what did you have for breakfast

how to test cognition formally

MMSE

how to test abstraction

what is alike about an apple and orange

insight

degree of awareness and understanding of ones self and causes of current situation

judgement

pts ability to make decisions that are constructive and adaptive