Depression | Mental State Examination (MSE) | OSCE Guide | SCA Case | UKMLA | CPSA

This video demonstrates how to perform a mental state examination (MSE) on a patient exhibiting features of depression in the context of a psychiatry OSCE station.

Chapters:
00:00 Intro
00:10 Background
00:19 Opening consultation
00:30 Appearance, Behaviour & Speech
00:49 Mood & Affect
05:10 Risk assessment
07:33 Thought
07:55 Perception
08:11 Cognition
08:41 Insight & Judgement
09:30 Closing consultation
09:44 MSE Summary

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Always adhere to medical school/local hospital guidelines when performing examinations or clinical procedures. DO NOT perform any examination or procedure on patients based purely on the content of these videos. Geeky Medics accepts no liability for loss of any kind incurred as a result of reliance upon the information provided in this video.

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[corlendermunyawiri]

If this is a simulated patient then she deserves an award!

[MikeDuddy-qt]

To anyone reading this please be kind to your mind. You are a beautiful person.

[shinegirl]

We automatically learn about symptoms of depression and the management. But I didn't realise how bad depression is! Thank to the doctor and particularly to the actor for the teaching!

[chubaonyejesi]

Very helpful, this. I was thought MC HITS FFFAM: mood, cognition, hallucination (perception), insight, thoughts, suicidality, Friends, family, Finances, Alcohol (and other substances), medical background. Glad to see it simulated so well here.

[samnik]

Would be helpful if videos are kept under 10min… This lady needs an award. How is she acting so realistic? Great video

[yiguyedughh]

Man i almost cried, her acting is so good

[hannahperrone]

This is a good example and helped me a lot with my assessment, although I did find the way the spoke irritating and difficult to listen too.

[Random]

The acting is perfect, I cant even finish watching its so triggering

[AafiyaAli-eupq]

It’s good to be empathetic but still need to be confident and express reassurance

[tehreemazmat]

ITs helpful to ask how long ago it was that she lost her job. Time is in the criteria for major depression

[dr.abraham_mallela]

We get 7 minutes to perform this station in a OSCE setting. This is way above the time limit.

[ashleshanarkhede]

V helpful for understanding depression

[delmarsquire]

I like the video but why the doctor seems like she is the sad one - countertranference

[musabbinaamer]

Miss jayne isn’t looking less depressed than the patient itself😂

[drsatti-nwym]

The drs tone is much much lower than patients . Patient is speaking clear than dr

[aarongeorge]

how am i meant to do this is 7:30 mins :(

[RoxanneFlintwood]

If there was an option of liking a video more than once....

[CoachMatt_hockey]

It would be amazing if these videos could not have the summary at the end.... they would be great for students to be able to write documentation practice, but the summary tells them what to write.... Awesome videos though!!

[rabeyaferdousi]

having hard time hearing the doctor's voice. Please if possible speak up

[allisonjames]

No offence to her personally, but I found how the Dr spoke a bit grating. I felt that she was over emphasising the “gentle empathy” angle, which (in my opinion) comes across as a bit false. Possibly because it’s a training video & they’re acting, as I was more comfortable with her when she was giving her summary & was more confident & straightforward. However, everyone is different & not everyone will feel comfortable with every practitioner. Just as not every practitioner will feel comfortable with every patient & it’s important to recognise that.
I prefer to try to find some way to genuinely connect with patients to ensure I’m not pretending empathy. I try to reassure them when they offer insights & help normalise the way they’re feeling as they express those thoughts & feelings, so they don’t feel so alone & get positive reinforcement to continue opening up. I’m a Paramedic so I assess people & provide some acute crisis management & treatment, but I don’t treat them medium to long term. And one of the most common complaints that people seem to have regarding MH workers, is that they don’t really understand them. And that they don’t really care - they’re just doing our job.
One bit of advice I have given many of my patients who express this, is that if you walk into a room with a lot of strangers, there will be a few you instantly are drawn to, a few who you instinctively dislike, and most will take time to form an opinion on. And that’s without needing to pour out their deepest darkest thoughts & fears to them. So if they find a Dr, counsellor or other practitioner who they don’t like or feel doesn’t understand them, don’t give up on getting help. Just realise that their particular approach doesn’t work for them so they need to find someone else wherever possible. Also, that giving as much information as possible will help the MH practitioner come to understand them so they can find ways to help them. The example was very useful however, as it was a good demonstration of collecting a lot of relevant initial assessment information rapidly.