Learn more about assessing mental status: http://www.merckmanuals.com/professional/neurologic-disorders/neurologic-examination/how-to-assess-mental-status This video shows an examiner assessing a patient’s mental status, including components such as orientation to time, place, and person, attention and concentration, memory, verbal and mathematical abilities, judgment, and reasoning. About the Merck Manuals: First published in 1899 as a small reference book for physicians and pharmacists, The Merck Manual grew in size and scope to become one of the world's most widely used comprehensive medical resources for professionals and consumers. As The Manual evolved, it continually expanded the reach and depth of its offerings to reflect the mission of providing the best medical information to a wide cross-section of users, including medical professionals and students, veterinarians and veterinary students, and consumers. • Merck Manual Professional Version: http://www.MerckManual.com/Professional • Facebook for Professionals: http://www.Facebook.com/MerckManualUS • Twitter for Professionals: http://www.Twitter.com/MerckManualPro Examiner: Gary Horowitz, DO. Department of Neurology, Einstein Medical Center, Philadelphia, PA
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)
The sixth section of this video training on the mental status examination explores assessment of interpersonal issues.
This video demonstrates how to administer a mini-mental status exam in a counseling setting.
THE BRIEF: To produce a training DVD on behalf of the Perth Co-occurring Disorders Capacity Building Project (PCDBP) Consortium. The DVD, together with an accompanying booklet, was developed to strengthen the capacity of alcohol and other drug (AOD) clinicians in completing a baseline Mental State Examination (MSE) with their clients. The production contained three visual case study scenarios that clinicians can use to test their knowledge and skills in conducting an MSE. THE RESULT: A run of 1,000 DVDs and booklets was produced and distributed to AOD clinicians, general practitioners and other related health professionals including trainers and educators.
Learn how to perform a psychiatric history and mental status examination. Ace USMLE/COMLEX/SHELF exams. Psychiatric history taking should be linked with what you already know. I'll keep these videos free.. all I ask is that you like and subscribe. #MedEASY www.patreon.com/medeasy
OT Functional Outcomes Troy Beaumont