MENTAL STATE EXAMINATION Feature Findings Appearance Dress, Smoking, Level of consciousness, Mannerisms, Expressions, Gait, Tremor, Cuts, Needle marks, Tattoos Behaviour Hyperactive, Subdues, Threatening, Frightened, Preoccupied, Sexually inappropriate Mood Grandiose, Elated, depressed, Anxious, Guilty Thoughts Rate & quantity of speech, Style of utterances, Flow of speech, Disordered thinking, Flight of ideas, Thought insertion/ blocking Perceptions Hallucinations (eg visual, auditory, somatic), Illusions, Depersonalisation, Somatic symptoms Beliefs Delusions, Reaction to testing beliefs, Assess how strongly beliefs are held Insight How does pt explain their symptoms? Does the patient recognise their illness? Have friends & family noticed a change?
Will they accept treatment? Cognitive + CNS Assessment Orientation, Attention & Concentration, Memory, Intelligence
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Mini Mental State Examination (MMSE)
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