MSE Flashcards
Main components of an MSE
- Appearance
- Rapport
- Behaviour
- Speech
- Mood
- Affect
- Thought
- Perception
- Cognition
- Insight
- Judgement
Appearance
- description of clothing
- hygiene
- looks their age?
- dishevelled
- makeup
- tattoos
- jewellery
- signs of drug use
Behaviour/Rapport
- eye contact
- psychomotor disturbance (agitation, retardation)
- rapport
- gait
- abnormal movements
- posture
Speech
- rate
- tone
- volume
Mood
- quote
- 1-10
Affect
- rhythm
- range
- reactivity
- mood-congruent
Terms for affect
- mood
- euthymic - normal
- euphoric - excited
- dysphoric - depressed - quality
- emotive words (frustrated, anxious) - range
- reactivity
- mobility
- congruence
Thought
- form
- stream
- content
Thought form
- tangentiality
- circumstantiality
- over inclusiveness
- loosening of associations
Thought content
- theme
- relevant +ve (suicidality, psychotic)
- relevant -ve
Perception
- patient report
- what you saw
Cognition
- gross conscious state
- gross orientation
- awareness of context
- attentiveness
Insight
- overall rating
- patient beliefs about illness
Judgement
- current plans
- past actions
Pressure of speech
ability to be interrupted
Labile affect
expansive range and increased mobility
Blunted affect
diminished intensity and range
aka schizophrenia
flat affect
lack of range + reactivity + overall sadness
aka depression
Perplexed affect
unsure/confused
aka delirium, dementia, psychosis
Thought blocking
patient seems interrupted mid sentence by internal stimuli
aka schizophrenic auditory hallucinations
Capras delusion
delusion that significant person has been replaced with imposter/alien/spy
may also have desire to kill
Circumstantiality
talks around a point but eventually gets to it
Tangentiality
thoughts are logically connected by veer away from conversation point
Clang associations
loosening of associations that are connected by sound (not meaning)
Derailment (loosening of associations)
thoughts are not logically connected
Word salad
Fluent but nonsensical
Neologisms
Made up words
Obsessions
Persistent unwanted thoughts that are egodytonic
egodystonic
patient knows its nonsensical
Nihilistic delusions
belief that patient is dead/empty/lost organs
aka psychotic depression
Grandiose delusions
belief one is special/has abilities
aka mania, psychosis
Paranoid delusions (persecutory delusions)
belief that patient is under threat/being watched/manipulated
Overvalued idea
idea that is held firmly but not to a delusional intensity
Ideas/delusions of reference
special meaning/messages from meaningless stimuli
Passivity phenomenon (delusion of control)
belief someone else is controlling emotions/actions
thought insertion
thought withdrawal
Command hallucinations
asking patient to do something
DANGEROUS
Derogatory hallucinations
negative/threatening things
