Mental State Examination Flashcards
Main bullet points of MSE
Appearance Behaviour Speech Mood (subjective) Affect (objective) Perceptions Thought Cognition Insight
All Borderline Subjects Make A Proper Tough Criminal Investigation
Appearance bullet points
General appearance Age Race Clothes Cleanliness
Behaviour bullet points
Appropriate behaviour Rapport Engaged Eye contact Aggressive Distracted Abnormal Movements
Speech bullet points
Volume Rate Tone Fluency Abnormal associations Flight of ideas
Mood and Affect bullet points
Subjective
- Mood
- Anxiety
Objective
- Mood, facial expressions
- Congruence of affect
Perceptions bullet points
Auditory hallucinations Visual hallucinations Pseudo- hallucinations Illusions Imagery (PTSD)
Thought bullet points
Thought process Thought disorders Thought content - delusions - over-valued ideas - obsessive thoughts - impulses - thoughts of self harm - thoughts to harm others
Cognition bullet points
Attention Concentration Orientation (time, place, person) Comprehension level Short term memory
Insight bullet points
Are they aware they are unwell
Willingness to accept help
Inability to answer question without giving excessive detail
Circumstantiality
Wandering from a topic without returning
Tangentiality
New word formations
Neologisms
Ideas are related to each other because they rhyme or sound similar
Clang associations
Incoherent speech where real words are strung together in nonsensical sentences
Word salad
Unexpected and illogical leaps from one idea to another occur (extreme illogical leaps)
Knight’s move thinking
- seen in schizophrenia
Leaps from one idea to another, with discernible links between them (extreme but slightly logical leaps)
Flight of ideas
Repetition of words and ideas despite an attempt to change topic
Perseveration
Repetition of someone else’s speech
Echolalia
False unshakable (fixed) belief that is out-with of ones’ social norms and culture
Delusions
Real world perception in the absence of a stimulus
Hallucination
Consistent repetition of a movement
Stereotypy
Mimicking of someone else’s behaviour
Echopraxia
Mini Mental State Examination (MMSE) = 0-17 = ?
Severe cognitive impairment
Mini Mental State Examination (MMSE) = 18-23 = ?
Mild cognitive impairment
