the psychiatric mental status examination l.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
The Psychiatric Mental Status Examination PowerPoint Presentation
Download Presentation
The Psychiatric Mental Status Examination

Loading in 2 Seconds...

play fullscreen
1 / 41

The Psychiatric Mental Status Examination - PowerPoint PPT Presentation


  • 372 Views
  • Uploaded on

The Psychiatric Mental Status Examination. Observe. The Psychiatric History. Chief complaint History of Present Illness Past History Medications Family History Social History Review of Systems. Overview. General Emotion Thought Cognition Judgment and Insight Reliability. General.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'The Psychiatric Mental Status Examination' - benjamin


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
the psychiatric history
The Psychiatric History
  • Chief complaint
  • History of Present Illness
  • Past History
  • Medications
  • Family History
  • Social History
  • Review of Systems
overview
Overview
  • General
  • Emotion
  • Thought
  • Cognition
  • Judgment and Insight
  • Reliability
general description
General Description
  • Appearance
  • Motor Behavior
  • Speech
  • Attitudes
general description7
General Description
  • Appearance
    • Prominent features
    • "such that a portrait…”
    • Eye contact
    • Dress and grooming
    • Age/appearance
general description8
General Description
  • Motor Behavior
    • Gait
    • Freedom of movement
    • Firmness and strength of handshake
    • Any involuntary or abnormal movements
    • Pace of movements
    • Purposefulness of movements
    • Degrees of agitation
general description9
General Description
  • Speech
    • Rate
    • Spontaneity
    • Intonation
    • Volume
    • Defects
general description10
General Description
  • Attitudes
    • How the patient related
    • "degree of cooperativeness“
    • Evaluator’s attitude
emotions
Emotions
  • Mood
  • Affect
slide13
Mood
  • Definition
  • Patient report versus inference
slide14
Mood
  • Euthymic
  • Angry
  • Euphoric
  • Apathetic
  • Dysphoric
  • Apprehensive
emotion15
Emotion
  • Affect
    • Definition
affect
Affect
  • Appropriateness
  • Intensity
  • Mobility
  • Range
  • Reactivity
thought18
Thought
  • Process
  • Content
thought19
Thought
  • Process
    • Manner of organ./form. thought.
    • Stream of Thought
    • Goal directedness/Continuity
    • Other Abnormalities of Thought Process
thought20
Thought
  • Process
    • Connectedness/Organization
      • Circumstantiality
      • Tangentiality
      • Loose Association
      • Word Salad
slide21

“And now I’m here”

“I was home”

Start

Finish

“And he called an ambulance”

“I felt some chest pain”

“So I told my son”

slide22

“And now I’m here”

“I was home”

“He’s a doctor too”

Start

Finish

“My son, maybe you know him”

“I felt some chest pain”

“So I told my son”

“He always worries so much”

“What was my point? Oh, yeah”

slide23

“I had five boys…”

“Do you have children”

“I was home”

“And now I’m here”

“If only he’d settle down and have some children”

Start

Finish

“My son, He’s really great”

“I felt some chest pain”

“So I told my son”

thought process
Thought Process
  • Other
    • Clanging
    • Echolalia
    • Neologisms
    • Perseveration
    • Thought blocking
thought25
Thought
  • Content
    • Perceptual disturbances
    • Delusions
    • Other
the cognitive exam
The cognitive exam
  • Consciousness
  • Orientation
  • Concentration and attention
  • Calculations
  • Memory
  • Intelligence
insight31
Insight
  • Patient’s capacity to
    • Acknowledge/Appreciate illness
    • Associated implications
    • Consequences
insight32
Insight
  • Drugs/alcohol
  • Dementia/cognitive problems
  • Psychosis
  • Severe mood problems
  • Somatoform disorders
judgement
Judgement
  • The process of
    • Consideration
    • Formulation
  • Leading to a
    • Decision
    • Action
judgement35
Judgement
  • Requires
    • Insight
    • Cognitive functioning
    • Other abstract abilities
    • Conceptualization
    • Forward thinking
    • Appreciation of what “rational people” would do.
reliability37
Reliability
  • Intellect
  • honesty and motivations
  • psychosis/organic defects
  • magnification/understatement