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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Mental State Examination
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