Mental State Examination

Question 1

1st impression => external characteristics => grooming and hygiene
What result in self neglect ?

Answer 1

Depression, substance abuse, schizophrenia

Question 2

1st impression => external characteristics => grooming and hygiene
What does it looks like in a dementia patient ?

Answer 2

Apraxia, loss of decorum.

Question 3

1st impression => external characteristics => grooming and hygiene

What does it looks like in OCD ?

Answer 3

Overly clean appearance and dry hand

Question 4

1st impression => external characteristics => grooming and hygiene

Excessive / bizarre clothes and makeup ?

Answer 4

Mania, schizophrenia

Question 5

1st impression => external characteristics => age

Look older ?

Answer 5

Dementia, depression, substance abuse, chronic stress, physical conditions.

Question 6

1st impression => external characteristics => age

Look younger ?

Answer 6

Intellectual disability

Question 7

1st impression => external characteristics => weight

Remarkably underweight ?

Answer 7

Anorexia, substance abuse, cancer, hyperthyroidism, diabetes mellitus

Question 8

1st impression => external characteristics => weight

Remarkably overweight ?

Answer 8

Poor diet, lack of exercise, side effect of medication

Question 9

1st impression => external characteristics

Are there scars from self mutilation or amputated limb ?

Answer 9

Dissociation, borderline personality disorder

Question 10

1st impression => contact

What kind of eye contact are there and their significances ?

Answer 10

Staring => mania

Absence of eye contact => shame, anxiety, depression, paranoid delusion, delusion of control

Look around => limited attention spam => mania

Question 11

1st impression => posture

What is catalonia and what does it signify

Question 12

1st impression => presentation of complaint

Simulation or dissimulation ?

Question 13

1st impression => feelings and reaction

What feelings can the patient illicit ?