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Mental Status Exam
Psych
50
Medical
Graduate
10/24/2011

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Cards

Term
MSE
Definition
-psychiatric equivalent of a physical exam
-confirms/clarifies the pathology presented int he evaluation interview
-describes and quantifies specific pathology
-employs specific items and terminology
Term
administration techniques of the MSE
Definition
-requires PASSIVE and ACTIVE data gathering
-observation during the initial interview
-specific questions regarding suspected pathology
-standardized tests of specific functions
Term
content of the MSE
Definition
-appearance & behavior
-psychomotor behavior
-speech
-mood
-affect
-thought
-sensorium & intellectual functions
-insight
-judgement
Term
appearance and behavior
Definition
-dress, grooming, hygiene
-eye contact (and relatedness to examiner)
-cooperation with exam
-how the patient makes you feel
Term
psychomotor behavior
Definition
-how much the patient is using their body/motor activity to communicate who they are
-posture and gait
-frequency and normality of gestures
-motor activity
-other mannerisms or behavior
Term
speech
Definition
-mechanic of speech (+/- language, account for lang either here or in cognitive section)
-rate
-quantity
-volume
-fluency
-clarity/articulation (mumbling, accent, impediment)
Term
mood
Definition
-pervasive and sustained emotional state
-patient's subjective experience (may be given in the pt's own words)
-part of a patient's emotion
-3 major components: 1)degree of happiness/sadness; 2) degree of anger; 3) degree of anxiety
-"euthymic" = "normal" or balanced
Term
affect
Definition
-outward manifestation of mood
-how the patient shows feelings
-manifested through facial expression, tone of voice, posture, gestures, etc
-part of a pt's emotional state
-2 components: 1) range; 2) content
Term
range of affect
Definition
-intensity and variability/reactivity
-how the patient expresses their emotional state moment to moment
-REACTIVE
-LABILE
-BLUNTED
-FLAT
-CONSTRICTED
Term
reactive affect
Definition
normal responsiveness and range of emotions
Term
labile affect
Definition
highly variable range of affect
Term
blunted affect
Definition
reduced expressiveness
Term
flat affect
Definition
no emotional response
Term
constricted affect
Definition
affect never changes
Term
content of affect
Definition
-predominant and secondary
-appropriateness
Term
thought
Definition
1. process or form: how thoughts are formed, fit togeher and flow
2. content: what is being thought
3. perceptions
Term
though process/form
Definition
-associations
-poverty of thought
-blocking
-racing thoughts
-loose associations
-circumstantiality
-tangentiality
Term
associations
Definition
-thought process or form
-associations: how things fit together, including rate and flow
Term
poverty of thought
Definition
-thought process or form
-poverty of thought: few thoughts
Term
blocking
Definition
-thought process or form
-blocking: inability to form thoughts or losing track of thoughts
Term
racing thoughts
Definition
-thought process or form
-racing thoughts, flight of ideas: rapid thoughts
Term
loose associations
Definition
-thought process or form
-loose associations: disconnected thoughts
Term
circumstantiality
Definition
-thought process or form
-circumstantiality: lots of extra details but eventually gets to the point
Term
tangentiality
Definition
-thought process or form
-tangentiality: connections between thoughts are apparent, but they drift away from the topic at hand
Term
thought content
Definition
-what is being thought
delusions, ideas of reference, insertion/withdrawal, reading or broadcasting, obsessions, compulsions, phobias, suicidal or homicidal ideation
Term
delusions
Definition
-thought content: what is being thought
-delusions = fixed, false beliefs
Term
ideas (or delusions) of reference
Definition
-thought content: what is being thought
-ideas of reference = belief that some often unimportant event is related specifically to the patient
Term
thought insertion or withdrawal
Definition
-thought content: what is being thought
-insertion/withdrawal = belief that thoughts are being taken out of or put into head
Term
thought reading or broadcasting
Definition
-thought content: what is being thought
-reading/broadcasting = belief that others are hearing or sending thoughts
Term
obsessions
Definition
-thought content: what is being thought
-obsessions = distracting, persistent thoughts
Term
compulsions
Definition
-thought content: what is being thought
-compulsions = irresistible urges to perform meaningless tasks
Term
phobias
Definition
-thought content: what is being thought
-phobias = irrational fears of specific things
Term
suicidal or homicidal ideation
Definition
-thought content: what is being thought
-suicidal or homicidal ideation = want to hurt oneself or others
Term
thought perceptions
Definition
-illusions
-hallucinations
-dissociative states
Term
illusions
Definition
misinterpreted sensory inputs
Term
hallucinations
Definition
perceiving input in absence of external stimulation
Term
types of hallucinations
Definition
-visual
-auditory
-olfactory
-gustatory (taste)
-tactile (haptic)
-hypnagogic/hypnapompic: hallucinations while falling asleep or waking
Term
dissociative states
Definition
-depersonalization
-derealization
Term
depersonalization
Definition
dissociate state of feeling that one is not oneself
Term
derealization
Definition
dissociative state of feeling that the world, people, and things around are not real or don't make sense
Term
sensorium and intellectual (cognitive) functions
Definition
-level of consciousness
-orientation
-concentration/attention
-memory
-use of language
-fund of knowledge
-abtraction
Term
level of consciousness
Definition
-sensorium
-is the patient awake and alert?
Term
orientation
Definition
orientation to person, time, and place
Term
concentration/attention
Definition
can the patient pay attention to your questions and answer them
Term
memory
Definition
-immediate, new learning - remembering 3 things and recalling in 5 minutes
-recent
-remote, asking is they remember their own story/history
Term
use of language
Definition
(tested here in cognition section or earlier during assessment of speech)
-comprehension, follow 2-step directions
-repetition
-naming
-reading
-writing
Term
fund of knowledge
Definition
-general intellectual level
-ex: identifying past presidents, current events
Term
abstraction
Definition
-proverb interpretation
-similarities (what do apple and orange have in common)
Term
insight
Definition
does the patient understand what they are in treatment
Term
judgement
Definition
ex: what would you do if you found a stamped addressed envelope on the ground
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