Mental State Examination
ASEPTIC
App/Spe/Emot/Perc/Though/Ins-ju/Cog
Appearance: Age, gender, race, build, hairstyle, health, hygiene, dress,
Behaviour: rapport, Eye contact, co-operativeness, motor activity (AIMS), expressive gestures
Speech: Articulation disturbances, rate (rapid, pressured, slow, retarded), volume, quantity (poverty, monotonous, mutism)
Mood (sub) /affect (obj): elevated, depressed, labile, angry, irritable, blunted, flattened, euphoric, incongruent, anxious, stability, appropriateness, congruity.
Thought form:
Amount: poverty of ideas, flight of ideas, perseveration
Continuity: loosening of associations, derailment, tangential, circumstantial, perseveration, thought blocking, concrete thinking, irrelevance.
Disturbances in language: Neologisms, incoherence, word salad, clanging
Thought content:
Psychotic: delusions of persecutions/power, reference, thought insertion/withdrawal/broadcasting
Religious, nihilistic, morbid jealousy/infidelity, grandiose, guilt, worthlessness, somatic/hypocondriacal, phobia, obsessions, compulsions, overvalued ideas
Perception: Hallucinations, auditory, visual, olfactory, gustatory, tactile, depersonalisation, derealisation, illusions
Cognition: APVU/GCS, memory, orientation (time, place, person), concentration, abstract ideas
Insight: understanding of illness, medication. Compliance
Judgement:
Risks: self, others
App/Spe/Emot/Perc/Though/Ins-ju/Cog
Appearance: Age, gender, race, build, hairstyle, health, hygiene, dress,
Behaviour: rapport, Eye contact, co-operativeness, motor activity (AIMS), expressive gestures
Speech: Articulation disturbances, rate (rapid, pressured, slow, retarded), volume, quantity (poverty, monotonous, mutism)
Mood (sub) /affect (obj): elevated, depressed, labile, angry, irritable, blunted, flattened, euphoric, incongruent, anxious, stability, appropriateness, congruity.
Thought form:
Amount: poverty of ideas, flight of ideas, perseveration
Continuity: loosening of associations, derailment, tangential, circumstantial, perseveration, thought blocking, concrete thinking, irrelevance.
Disturbances in language: Neologisms, incoherence, word salad, clanging
Thought content:
Psychotic: delusions of persecutions/power, reference, thought insertion/withdrawal/broadcasting
Religious, nihilistic, morbid jealousy/infidelity, grandiose, guilt, worthlessness, somatic/hypocondriacal, phobia, obsessions, compulsions, overvalued ideas
Perception: Hallucinations, auditory, visual, olfactory, gustatory, tactile, depersonalisation, derealisation, illusions
Cognition: APVU/GCS, memory, orientation (time, place, person), concentration, abstract ideas
Insight: understanding of illness, medication. Compliance
Judgement:
Risks: self, others