MSE Components Flashcards
Apperance
- Age
- Sex
- Body build
- Position
- Posture
- Eye contact
- Dress
- Grooming
- Manner/attitude
- Attentiveness
- Distinguishing Features
- Emotional Facial Expression
- Alertness
Behavior/Motor Activity
- Psychomotor retardation
- Agitation or Hyperactivity
- Unusual movements
- Gait patterns
Speech
- Rate
- Rhythm
- Volume
- Amount
- Articulation
- Spontaneity
Pressured Speech
Rapid but constantly talking, cannot be interrupted. Person appears to have racing thoughts
*often sign of a manic episode
Monotonous Speech
No variation in tone
Mood
Reported by patient
Affect
Observed by examiner
Mood/Affect Components
- Stability
- Range
- Appropriateness
- Intensity
Appropriate Mood
To the situation
Constricted Affect
Restricted range of emotional expression
Blunted Affect
More restricted than constricted
Flat Affect
No change in mood, facial expression. Unemotional
Labile Affect
Rapid change in mood
Full Range of Affect
Appropriate affective response to the entire interview
Thought Content
- Suicidal or homicidal ideations
- Obessions
- Ruminations
- Phobias
- Ideas of reference
- Delusions
Delusions
False belief kept despite supportive evidence that they are not reality based
Thought Process
- Coherence
- Logic
- Stream
Flow of Ideas
Quality of associations the person makes between ideas or between points in the person’s discussion
Spontaneous
Person readily volunteers information
Goal Directed
Answers the main question about why he/she came and what they need. Dose not stray to other related topics
Blocking
Person stops, pauses & starts somewhere else. Interruption to normal flow of speech. May appear to forget where they were in conversation.
Circumstantial
Appears to throw in too many irrelevant details. Too many ideas associated with one another and too many digressions.
Perception
- Hallucinations
- Illusions
Illusions
Misinterpretation of actual external stimuli
