Sie sind auf Seite 1von 3

MENTAL STATUS EXAMINATION 1. General Appearance The patient, E.D.

was a man of average height, dark-skinned stout man wearing green shirt, green shorts, and slippers, with a paper stuck to his shirt bearing his name. He makes good eye contact with the interviewer. He has a round face, bushy eyebrows, trimmed nails and his hair appears to be neatly combed, other than that, the patient seems to be prim and proper, and well-groomed. 2. Behavior and Psychomotor Activity The patient, E.D. was active. He sits upright with his hands on the table. His hands were noted to have slight tremors and mannerisms whenever he speaks and gestures. 3. Attitude Towards Examiner The patient, E.D. was very friendly and cooperative with the examiner. He did not hesitate to answer any questions that the examiner had and was very enthusiastic during the whole interview. 4. Speech The patient, E.D. was talkative and fluent. He had spontaneous flow of words and his voice was loud enough to be heard. His response time was normal, not prolonged nor interrupting. The patient was noted to have varied melody during speech and a distinct Caviteo accent. He was also noted to stutter at times whenever he wants to explain something. 5. Mood The patient, E.D. presented with a shallow mood where he was cheerful and happy the whole interview. He was also noted to be alert and a little tensed at times, but he showed a consistent light mood during the interview. 6. Affect The patients affect was appropriate to his thoughts and mood. He showed a full range of affect by expressing appropriate facial expressions, tone of voice and movements. 7. Perception

The patient, E.D. claimed that he was not experiencing any hallucinations, feelings of depersonalization/derealization or fugue. The patient has a clear sense and perception of reality.

8. Thought Process The patient, E.D. was noted to have rapid processing and organization of thoughts, and appropriate response to questions. He was able to see appropriate association between objects and relate cause-effect statements. 9. Thought Content The patient, E.D. was noted to have preoccupative thoughts about the future. He constantly speaks of his fears of possible upcoming disasters or natural phenomena that may occur in the near future. His fear brought him to the idea of being always ready and alert when disaster strikes. He confessed that he still wanted to have a family and that a lifetime partner is all that's missing in his life. He also hoped that when he finally leaves the institution (CCMH), the government or the private sectors will continuously extend help to him and those like him. 10.Sensorium and Cognition (consciousness, orientation, memory, concentration & attention, reading & writing, visuospatial activity, abstract thinking, information & intelligence, impulse control, judgement and insight) The patient, E.D. was fully conscious, alert and oriented to time, place and person. His memory was very sharp, had perfect concentration and undivided attention. He was able to construct sensible sentences, copy a figure drawn by the interviewer, and did not have any difficulties in reading and writing. He was able to deal with abstract concepts and was able to determine the difference between 2 objects. He was also able to give a smart definition and understanding of a proverb according to his beliefs. His calculation skills were excellent and had a vivid understanding of vocabulary. He was well aware and updated of current and had a wide grasp of general knowledge. Based on the history and observation, his very cheerful and friendly mood makes him capable of social appropriate behavior. He had critical judgment in certain situations thrown at him by the interviewer. However, he blames a certain medication given to him by the institution, for his present condition and he is slightly aware of his condition but denies of totally having a psychiatric condition.

Das könnte Ihnen auch gefallen