Mental Health Assessments Flashcards
What are the components of a Mental State Examination (MSE)
Appearance
Behaviour
Speech
Emotion - Mood/affect
Thought form
Thought content
Perception
Cognition/orientation
Judgement
Insight
Behaviour
Eye contact, co-operativeness, motor activity, abnormal movements, expressive gestures
Emotion - Mood/affect
How are you feeling today on a scale of 1-10 (10 being the best you have ever felt)
Elevated, depressed, liable, angry, irritable, blunted, flattened, euphoric, incongruent, anxious; range & intensity, stability, appropriateness & congruity
Thought form
Is the conversation logical and linear, are they able to stay on topic?
Flights of ideas
Thought blocking, irrelevance
Incoherence, word salad
Thought content
Grandiose or over valued ideas / worthlessness
Delusions
Thought withdrawal
Perception
Are you hearing any other voices other than mine? Can you tell me more about this?
Hallucinations: auditory, visual, olfactory, gustatory, tactile
Illusions
Cognition/orientation
Can you tell me where you are and what brought you here today?
Level of consciousness/alertness, memory
Judgement
What would you do if you saw a fire?
Insight
What do you know about your medication
Compliance with treatment
Appearance
ADL’s, age, gender, race/ethnic background, build, hairstyle & colour, apparent health, level of hygiene, mode of dress, physical abnormalities, state of intoxication
Speech
Articulation disturbances, rate (rapid, pressured, slow, retarded). Volume (loud, quiet, whispered), quantity (poverty of speech, monotonous, mutism)
What are the components of a functional assessment
Sleep
Mood
Appetite
Activity/motivation
Anxiety
Enjoyment
Self-care/ADL’s
Concentration/memory/attention
Alcohol & other drugs
Psychological inquiry
Physical health
Sleep
How have you been sleeping?
Appetite
What is your food intake like in a normal day?
Activity/motivation
How has your energy levels been lately? What does your average day involve?
