MSE

Question 1

appearance

Answer 1

Dress, self-care, objects, what they’re wearing

Question 2

behaviour

Answer 2

Eye contact, agitation/psychomotor retardation, overall rapport (overfamiliar?), body language, restlessness

Question 3

speech

Answer 3

rate: pressured
quantity: excessive
tone: monotonous/tremulous
fluency: slow in depression/stilted speech in thought block
rhythm

Spontaneous, rate/rhythm/volume, pressure of speech, neologisms, echolalia

Question 4

mood

Answer 4

Subjective (what patient says), objective (doctor – euthymic/depressed/elated/ labile),

affect (congruent = emotions match the situation) - fixed, restricted, labile
affect intensity - heightened/blunted
congruency

Question 5

thought form

Answer 5

Flight of ideas→loosening of associations→word salad

Thought interference (withdrawal, insertion, broadcasting)

Circumstantiality, tangentiality, clang associations

Question 6

thought content

Answer 6

Delusions (persecutory, grandiose, nihilistic i.e. derealisation)
Congruent/incongruent thought

Question 7

perception

Answer 7

Auditory (1st/2nd/3rd)/visual hallucinations, pseudohallucination

Illusions

Depersonalisation, derealisation

Question 8

insight

Answer 8

Illness, need for medication, need to be in hospital

Question 9

cognition

Answer 9

Likely not formerly assessed (AMTS) - appear orientated in time, place and person

Question 10

risk & judgement

Answer 10

To self (e.g. self-harm, suicide, neglect and impulsivity), to others and from others

judgement - what would you do if fire starts