Mental Status Examination

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Comprehensive mental status examination for initial assessment

MSE mental status assessment psychiatric

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1

Appearance Behavior

Dress: [Appropriate/disheveled/etc]
Grooming: [Well-groomed/poor hygiene]
Eye contact: [Good/poor/avoidant]
Motor activity: [Normal/agitated/retarded]

2

Mood Affect

Mood: [Depressed/anxious/euthymic/etc]
Affect: [Congruent/incongruent]
Range: [Full/restricted/blunted]
Stability: [Stable/labile]

3

Speech

Rate: [Normal/pressured/slow]
Volume: [Normal/loud/soft]
Quality: [Clear/mumbled/etc]
Content: [Relevant/tangential]

4

Thought Process

Form: [Linear/tangential/circumstantial]
Flow: [Logical/disorganized]
Blocking: [Present/absent]
Associations: [Loose/tight]

5

Thought Content

Delusions: [Present/absent]
Hallucinations: [Present/absent]
Obsessions: [Present/absent]
Phobias: [Present/absent]

6

Cognition

Orientation: [Person/place/time]
Memory: [Recent/remote]
Concentration: [Good/poor]
Insight: [Good/fair/poor]
Judgment: [Good/fair/poor]

7

Safety Assessment

Suicidal ideation: [Present/absent]
Homicidal ideation: [Present/absent]
Self-harm: [Present/absent]
Risk level: [Low/medium/high]

How to Use This Template

1
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2
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3
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