Mental status exam

This is a brief video on the mental status exam in psychiatry.

I created this presentation with Google Slides.
Images were created or taken from Wikimedia Commons
I created this video with the YouTube Video Editor.

ADDITIONAL TAGS:
Appearance: “general appearance of a patient, including apparent age, height, weight, and manner of dress and grooming.”
Eg, disheveled, proper/poor hygiene, appears (older/younger than) staged age
Behavior: “observations of specific abnormal movements, as well as more general observations of the patient's level of activity and arousal, and observations of the patient's eye contact and gait.”
Eg, (un)cooperative with exam, proper/poor eye contact, proper/poor engagement, repetitive movements (perhaps indicating OCD)
Motor: psychiatric disturbances manifesting in changes/deficiencies in motor function
Eg, psychomotor agitation, psychomotor retarded, tremors, restlessness (perhaps indicating parkinsonism)
Speech: “concerned with the production [rather than content] of speech”
Eg, speed, rate, volume, pressured, fluent/understandable versus impoverished speech, tone, delay/latency
Mood: description of patient's internal emotional state in their own words (report in quotes)
Eg, happy, sad, OK, good, great, depressed
Affect: description of patient’s “apparent emotion conveyed by the person's nonverbal behavior (anxious, sad etc.), and also by using the parameters of appropriateness, intensity, range, reactivity and mobility”
Eg, neutral, euthymic, dysphoric, euphoric, angry, anxious, apathetic, irritable, guarded, inappropriate (out of context)
Eg of range: flat (nothing elicits reactivity) → blunted → restricted / constricted (mild/moderate depression) → full / normal → labile / expansive (pt apparently not in control of emotions)
Congruence with reported mood
Thought process: description of “quantity, tempo (rate of flow) and form (or logical coherence) of thought”
Eg, linear, logical, goal-directed, disorganized, flight of ideas (thoughts so rapid → incoherent), tangential, circumferential
Tangential - thought process that goes off on a tangent and never returns to the matter at hand
Circumferential - thought process that goes off with extraneous details but does circle back to the matter at hand
Thought content: description of “a patient's delusions, overvalued ideas, obsessions, phobias, and preoccupations”
Eg, comments endorsing or denying suicidal ideations, homicidal ideations, and paranoid ideations; ideas of reference; any fixations or preoccupations
Perceptual disturbances: description of disruption in one’s organization, identification, or interpretation of sensory information
Eg, auditory / visual hallucinations and illusions, whether or not patient responds to them; other internal stimuli
Insight: understanding of his or her mental illness, evaluated by exploring his or her explanatory account of the problem and available treatment options
Eg, good, fair, poor
Judgement; patient's capacity to make sound, reasoned, and responsible decisions
Eg, good, fair, poor; (un)cooperative with plan, forced by family to come, handling treatment well/poorly
Memory: three words to remember for later
Concentration: ability to concentrate assessed by serial 7s or spelling world backwards
Orientation: to person (name, date of birth), place (state, town, current location/building/floor), time (season, year, month, date, day of the week)

[andikingcc]

I love the way you do not try to make it all complicated with big words and unknown meanings! This was so helpful! I have heard the MSE explained several different ways and this by far is the best one!

[shayona]

You saved me, I have a psychiatric exam today . Thanks you !!

[AllisonNelson-kk]

Very easy to follow and yet detailed explanation of the Mental status exam!! Thank you!

[alip]

What a great explanation you have given. Thank you for breaking it down in simple terms!

[smoothmove]

Your presentation is so neat. Thank you so much!

[A-N-D-Y-O-U]

Clear descriptions of the term meanings! Thanks!

[katherinekirby]

these are truly the best DSM V video explanations - includes duration and straight up DSM V criteria - very well done this whole channel. Thank you so much. Please do Sexual Dysfunction and SUD

[simranmatta]

Everything was to the point and apt. The presentation and explanation were both very clear and coherent. Thanks alot :)

[handzupchump]

Yes this was the best vid I found so far on this topic. I think if one was to do good in all these topics he spoke of they would pass no problem.

[lourdescorrales]

Thank you! I'm used to do this in spanish so learning it in english is such a change of perspective! :D

[BeingTrueLove]

Very, very helpful. Literally black and white; Easy to understand, easy to digest, and apply. Great work!

[Killerofdemons]

ill probably fail this exam cuz i can concentrate, remember some things from earlier in the session, not wanting to be at the exam (nervousness, not caring, etc..), rambling on about things, losing focus on whatever was asked of me.

I truly think this exam will hurt my chances of getting benefits and I am not happy about it and am in fear and having panic attacks thinking about it. Ill try my very best and thats all I can give for this and my physical exam. I just want to get these exams over with so I can live my life and hope i can get my SSI or SSDI benefits because if not I dont know what I am going to do with my life if I even have one left after all of this 😞

[lilithrose]

Nice presentation! Thanks for posting!

[twmax]

Good video to watch!! This will help so much with my work!

I saved the summary!!

[AKnapp.Coaching.and.Counseling]

Great work! Is it possible to get a copy of the PowerPoint?

[bagenzibrenda]

This is perfect, it has made my mental health presentations very easy. You used simple words, it's quiet understandable

[ghanpreetkaur]

Awesomely informative and perfectly explained! Thank you so much.

[JaspreetKaur-wdzk]

thank you so much, you provided information very nice and clear. Really appreciate your efforts.

[eliana]

Absolutely #BRILLIANT 💯 ! TYSM ⭐️ #BESTMSE #MSE #CLINICALMSE

[bsks]

Brilliant video! Thank you :)

Maybe you could make about the interpretation of MSE?