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The Psychiatric Mental Status Examination PowerPoint Presentation

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Description : Check out this medical PowerPoint presentation titled "The Psychiatric Mental Status Examination". Know about the Psychiatric Mental Status Examination (PMSE), a clinical tool used by mental health professionals to evaluate a patients current mental state. It involves gathering information about the patients thoughts, feelings, behaviors, and perceptions. The purpose of the exam is to assess the patients mental health status, diagnose mental disorders, and plan appropriate treatment.

Tags : Psychiatric Mental Status Examination, PMSE, mental health, mental health status, diagnose mental disorders, treatment

Published on : Mar 15, 2023 | Views : 2142 | Downloads : 1

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Slide 1-

The Psychiatric Mental Status Examination
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Observe
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The Psychiatric History Chief complaint History of Present Illness Past History Medications Family History Social History Review of Systems
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Overview General Emotion Thought Cognition Judgment and Insight Reliability
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General
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General Description Appearance Motor Behavior Speech Attitudes
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General Description Appearance Prominent features "such that a portrait…” Eye contact Dress and grooming Age/appearance
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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
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General Description Speech Rate Spontaneity Intonation Volume Defects
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General Description Attitudes How the patient related "degree of cooperativeness“ Evaluator’s attitude
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Emotion
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Emotions Mood Affect
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Mood Definition Patient report versus inference
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Mood Euthymic Angry Euphoric Apathetic Dysphoric Apprehensive
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Emotion Affect Definition
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Affect Appropriateness Intensity Mobility Range Reactivity
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Thought
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Thought Process Content
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Thought Process Manner of organ./form. thought. Stream of Thought Goal directedness/Continuity Other Abnormalities of Thought Process
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Thought Process Connectedness/Organization Circumstantiality Tangentiality Loose Association Word Salad
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Start Finish “I felt some chest pain” “So I told my son” “And he called an ambulance” “I was home” “And now I’m here”
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Start Finish “I felt some chest pain” “So I told my son” “My son, maybe you know him” “I was home” “And now I’m here” “He’s a doctor too” “He always worries so much” “What was my point? Oh, yeah”
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Start Finish “I felt some chest pain” “So I told my son” “My son, He’s really great” “I was home” “And now I’m here” “If only he’d settle down and have some children” “Do you have children” “I had five boys…”
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Thought Process Other Clanging Echolalia Neologisms Perseveration Thought blocking
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Thought Content Perceptual disturbances Delusions Other
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The cognitive exam Consciousness Orientation Concentration and attention Calculations Memory Intelligence
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Insight and Judgment
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Insight
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Insight Patient’s capacity to Acknowledge/Appreciate illness Associated implications Consequences
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Insight Drugs/alcohol Dementia/cognitive problems Psychosis Severe mood problems Somatoform disorders
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Judgment
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Judgement The process of Consideration Formulation Leading to a Decision Action
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Judgement Requires Insight Cognitive functioning Other abstract abilities Conceptualization Forward thinking Appreciation of what “rational people” would do.
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Reliability
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Reliability Intellect honesty and motivations psychosis/organic defects magnification/understatement
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Examples
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