Mental Status Exam Psychiatry

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  1. Start by introducing yourself to the patient, clarify their identity and explain that you would like to talk to them about their thoughts.
  2. There are 8 components to this assessment.

    To assess appearance, behaviour and speech begin by asking some general open questions:

  3. Appearance and behaviour

    • Appearance – dress, posture, facial expression, mannerisms
    • Activity – sitting still/fidgeting
    • Social and emotional behaviour – apathy, irritable, co-operative
  4. Speech

    • Rate
    • Tone
    • Quality
    • Content – depressive ideas, delusions
  5. Now ask more specific questions relating to the other parts of the assessment:

  6. Mood

    • Symptoms of anxiety – e.g. sweating, palpitations
    • Current mood state – (both subjective and objective)
    • Any biological symptoms – e.g. sleep, appetite, libido, or loss of concentration
    • Suicidal ideation
  7. Phobias and obsessions

    • Phobias: determine the stimulus, its psychological and physiological effect and the nature of any avoidance behaviour
    • Obsessions: determine the underlying thoughts, the nature of the obsession, the effect on daily life and if it’s a senseless obsession?
  8. Abnormal experiences

    • Illusions/misperceptions
    • Hallucinations: visual, ophthalmic, auditory (second or third person)
  9. Abnormal beliefs

  10. Insight – to determine this you should ask a few directed questions.

    • What do you think is wrong with you?
    • Do you think you need any treatment?
    • What do you think the treatment will do for you?
  11. Cognition – this should be done by the mini mental state examination, although this is generally not part of the OSCE.

  12. Thank the patient for speaking to you.

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Q&A

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How do I schedule a mental status evaluation? | Yahoo Answers

John ... start by seeing your regular physician. They will give you a full blood workup checking for things like blood sugar disorders and glandular problems. If they don't find anything, then see a psychiatrist for diagnosis and treatment. There are very good medicines today to treat most mental disorders and well as therapy once the medication(s) take effect. Take care of yourself by eating healthy, doing cardio exercise and getting quality sleep, which are also needed for positive brain chemistry. Chip

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