appearance, behaviour, speech of MSE

Question 1

what to look for in behaviour of patient?

Answer 1

facial expression

body posture

eye contact

motor activity

social communication

under or over engagement

Question 2

what to look for in appearance of patient?

Answer 2

age and age appropriateness

build

self-care (cleanliness, hair)

attire

health/ fitness specifics (bruising, cuts, scars, needle marks)

stigmata of physical disorder (pallor, jaundice, movement disorders)

Question 3

what to look for in speech of patient?

Answer 3

not what they are saying, more how they are saying it

Question 4

what are the problems that arise with speech?

Answer 4

motor abnormalities in language generation and delivery

in psychiatry, latency: time between asking and answering question, manic patient no latency, depression long latency

volume, pressure of speech, mania: number of words more than others

rate and rhythm of speech, depression becomes less expressive and monotone , mania speech speeded up