Mental State Examination

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Remember – the mental state should take into account not just your observations during the course of the interview but also information obtained on symptoms and signs during the course of this episode of illness.  If there is evidence of disorder of thought form you should give examples of speech to demonstrate this.

 


Appearance and behaviour

General description

Self-care

Rapport and eye contact

Activity/retardation, pre-occupation/attentiveness, irritability etc


Mood

Euthymic, elated, depressed, labile, incongruous, blunted


Speech

Rate, rhythm, tone, volume


Disorders of thought form (continuity of thought as reflected in speech/writing)

-      acceleration/retardation

-       circumstantiality/loosening of association

-       perseveration

-       neologisms

-       word salad


Disorders of thought content

Pre-occupations (including suicidal ideation)

Overvalued ideas (including ideas of reference)

Obsessions/phobias

Delusions (including disorders of the possession of thought)

-       primary, secondary

-       disorders of the possession of thought (thought insertion, thought withdrawal, thought broadcasting


Disorders of perception

Derealisation/depersonalisation

Illusions

Hallucinations


Cognitive assessment

Orientation

Attention and concentration

Memory

Intelligence and general knowledge

Insight/judgement


Insight

What does the patient think is the explanation for their problems?What is their attitude to treatment/ supervision/ staying in hospital?

Editorial Information

Last reviewed: 21 April 2020

Next review: 21 October 2020

Reviewer Name(s): NHS GGC MyPsych team