Mental State Examination (MSE) & Assessments Flashcards
What is MSE?
A record of the client’s mental state DESCRIBED by the client and OBSERVED by the interviewer
What is the purpose of an MSE?
- Speak common language with other clinicians
- Monitor/observe client’s mental health; history of the presenting issues/illness
What are the Disorders of behaviour:
- Quality and quantity of MOTOR behaviour
- Abnormal movements interaction with the interviewer
- Any purposeless or aimless movements
- Tic: involuntary, spasmodic motor movements
- Akathisia: subjective feelings of muscular tension, causing restlessness and pacing
- Acting out: direct expression of an unconscious wish or impulse in action
Appearance of Mental Health include:
- Mode of dress, odor, weight loss, evidence of self neglect or harm
- Facial expression, posture and gestures
- Eye contact
- Autonomic arousal (dry mouth, perspiration, dilated pupils)
Disorders of Speech:
- Pressure of speech; rapid speech & difficult to interrupt
- Poverty of Speech; restriction in the speech used
- Dysarthria; difficulty in articulation of words
What are the 5 types of Mood that can be experienced?
- Dysphoric mood; unpleasant mood
- Depression; psychopathological feeling of sadness
- Grief; sadness appropriate to a real loss
- Anhedonia; loss of interest in and withdrawal from all regular and pleasurable activities
- Perplexed mood; state of anxious bewilderment
Define Affect
observed expression of emotion
Define Inappropriate Affect
disharmony between the emotional feeling tone and the idea, though or speech accompanying it
Define Blunted Affect
severe reduction in the intensity of the externalized feeling tone
Define Labile affect
rapid and abrupt alteration in emotional feeling tone, unrelated to external stimuli
Define Euthymic mood
normal range of mood
Define Euphoria (content of thought)
intense excitement and happiness
Define Alexithymia
inability or difficulty in describing or being aware of one’s emotions or moods
Define Ambivalence
coexistence of two opposing impulses towards the same thing in the same person at the same time
Define the following:
- Thought stream
- Form
- Content
- Stream; apparent speed
- Form; how well the individual thoughts are connected
- Content; phobias, obsessions, compulsions, delusions, over valued ideas, Suicidal/homicidal thoughts
The types of disorders of thought include (5 types):
- Psychosis; inability to distinguish reality from fantasy
- Formal thought disorder
- Magical thinking; assume power
- Concrete thinking
- Abstract thinking
Define Erotomania
delusional belief that someone is deeply in love with them
The three Disorders of Perception include…
- Illusion; misconception or misinterpretation
- Hallucination; false sensory perception not associated with real external stimuli.
- Pseudohallucination; Hallucinations which appear to occur within the mind
The three Disorders of consciousness include…
- Disorientation: disturbance in orientation
- Clouding of consciousness; incomplete clear mindedness with disturbances in perception and attitude
- Delirium: confused, disoriented reaction associated with fear and hallucinations
The two Disorders of Memory are…?
- Dementia; deterioration of intellectual functioning
- Pseudodementia; clinical features resembling dementia not caused by an organic condition
The Domestic & Community Skills Assessment (DACSA) is … ?
- Commonly used OT assessment
- Not aligned with a model
- Measures person & environment
- Covers domestic tasks
- 1 hr administration time
The Assessment of Motor & Process Skills (AMPS) is … ?
- Focus is on the person
- Aligns with MOHO
- 30-40 minutes to administer
- Provides info on the quality of performance in ADLs
- Large evidence base–reliable and valid
- Requires specific training to administer
The Depression Anxiety Stress Scale is … ?
- 42 item questionnaire covering the past week
- Objective Scoring: 0 (did not apply to me at all) – 4 (much/most of the time)
3 scales (14 items each):
– Depression ( eg.hopelessness & low self- esteem)
– Anxiety (eg. arousal and fear)
– Stress (eg. tension and agitation)
Form of thought
• Flight of ideas; rapid, continuous speech with
constant shifting from one idea to another
• Loosening of associations; ideas shift form one subject to another in a completely unrelated way
• Word Salad; incoherent nature of words and phrases
• Circumstantiality; delay in reaching the point, but is finally achieved
• Tangentiality; inability to follow goal directed association of thought
• Perseveration; persisting response to a prior stimulus after a new stimulus has been introduced
• Clang associations; association of words similar in sound but not meaning
• Thought blocking; abrupt interruption of the train of thinking before a thought or idea has finished
• Neologism; new word created
