MSE Flashcards
MSE 10 components
General Observation (appearance, behave, attitude)
Mood
Affect
Speech
Thought
Perception
Sensorium
Insight
Judgment
Risk and Protective Factors
Euthymic
neutral mood
Thought content
subject matter
Delusions
Obsessions
Phobias
Suicide ideation
Homicide ideation
what it’s about
Thought Process
thought formation and expression
How thoughts are linked
Loose associations
shifting from one topic to an unrelated topic, the patient seems unaware that topics are unconnected
Circumstantiality
talking with excessive and unnecessary detail, delay in reaching point, sentences have a meaningful connection but are irrelevant
Echolalia
meaningless repetition/imitating another person’s speech
Clang association
In this speech pattern, the linkage of ideas is based upon sound and not upon related meaning (rhyming: “I have to go you know”; “to and fro before the snow blows”) bipolar, schizophrenia
Tangentiality
Is similar to circumstantiality. The person starts to express a thought but diverts into other streams and never gets around to communicate the central ideas (never answers the question) severe anxiety, schizophrenia, dementia
Thought blocking
sudden interruption in train of though, seems relation to strong emotion
Neologisms
making up words (pepsidiction = pepsi addiction)
Perseveration
persistant repeating of verbal or motor repsonce even with varied stimuli
Flight of ideas
abrupt change, rapid skipping from topic to topic, practically continuous flow of accelerated speech topics usually have recognizable association or are play on words
Word salad
sequence of words with no words, sequence of very muddled words (puppy paper eating)
Depersonalization
feeling of losing ones realith, unreality of self
Somatization
the production of recurrent and multiple medical symptoms with no discernible organic cause.
Derealization
unreality of enviornment
Hallucinations
an experience involving the apparent perception of something not present.
Illusions
a thing that is or is likely to be wrongly perceived or interpreted by the senses. (misinterpretation of a correct sensory input)
- Sensorium
Level of consciousness
Orientation
Memory
Attention and concentration
- Risk and Protective Factors
Risk of harm to self
Risk of harm to others
Risk of worsening illness
Protective factors