MSE of Schizophrenia

Question 1

Appearance and Behaviour ?

Answer 1

Withdrawn, suspicious

Catotonic - rigid posture/increased flexibility

Question 2

Speech?

Answer 2

Fragmented

Question 3

Mood?

Answer 3

Flattened, odd
Incongruous affects (can be inappropriate e.g. laughing at sad things

Question 4

Thought form?

Answer 4

Though disorder:

• Loosening of associations/knight’s move thinking
• Clang associations (rhyming)
• Omission and drivelling – word salad

Question 5

Though content?

Answer 5

Grandiose/paranoid delusions
Delusional perception/passivisity
Thought broadcast, withdrawal, insertion, echo, and block
Neologisms

Question 6

Perceptions?

Answer 6

Hallucinations - auditory:
3rd person
Echo
Commentary
Commands

Question 7

Insight?

Answer 7

Often lack insight

Question 8

Cognition/IQ?

Answer 8

Intact

If impaired - consider delirium/dementia