MSE

Question 1

What are the different sections of the MSE? (7)

Answer 1

Appearance + Behaviour
Speech
Affect/Mood
Thoughts - including suicide risk
Perception
Cognition
Insight

Question 2

What are the different sections to a full psychiatric history? (8)

Answer 2

HPC
Past psych Hx
PMH
Drug Hx
FH
Personal Hx
Premorbid personality
MSE

Question 3

What are the different sections to personal Hx? (6)

Answer 3

Infancy/early childhood
Adolescence + education
Occupational record
Sexual development/relationships
Alcohol/drugs
Forensic

Question 4

What should be assessed in appearance/behaviour?

Answer 4

Describe how they look
Psychomotor activity
Tics
Rapport
Any other abnormal behaviours

Question 5

What should be assessed in speech?

Answer 5

Rate
Rhythm
Flow
Content
Tone

Question 6

When asking about suicide what questions should be covered?

Answer 6

Acute phase - did they drink alcohol, did they do anything to avoid discovery, what did they think was going to happen
Pre suicidal - Why then, How long had they been thinking about it, notes, will
Post suicidal - How do they feel about what happened, intentions, plans to try again

Question 7

What is assessed in affect/mood?

Answer 7

Subjection - how they feel on a scale
Objective - how you think they look. (Uthimic - nothing wrong with mood)
How do they react to what you say
Symptoms of anxiety

Question 8

What is assessed in thought?

Answer 8

Form - delusions, overvalued ideas, is it formed normally
Content
Suicidal ideation

Question 9

What is assessed in perception?

Answer 9

Hallucinations
Pseudohallucinations
Illusions
Self vs outside space
3rd person auditory - first rank symptom of schizophrenia

Question 10

What is assessed in cognition?

Answer 10

General observations
AMT or MMSE
Specific lobe exams - if applicable

Question 11

What is assessed in insight?

Answer 11

Do they appreciate;
Presence of illness
Need for treatment
Usefulness of treatment - do they know why taking it