Sangeeta answered on
Apr 04 2020
You are required to ca
y out a Mental Status Examination (MSE) of the client interviewed in the video trigger, using the following headings:
The mental status examination is considered as being a vital fraction of the clinical evaluation procedure within psychiatric practice (Owen and Harland, 2007). It’s basically a well-thought-out means of witnessing and defining a patient's psychological working at some particular time, under several different spheres of appearance, behavior, attitude, mood, affect, speech, thought content, thought process, perception, insight, cognition and lastly, judgment (Rutter and Taylor, 2003). Moreover, the key purpose of the MSE is obtaining an all-inclusive cross-sectional explanation related to the patient's mental situation that, when united with the biographical as well as historical facts of psychiatric history, enables the clinician to ca
y out co
ect diagnosis and construction that are needed for comprehensible treatment planning. (Rutter and Taylor, 2003) Additionally, the information is gathered via combination of direct as well as indirect approaches: unstructured observation while gaining the social and biographical information, intensive questions regarding the present signs and dignified psychological examinations (Owen and Harland, 2007). Further, the below sections provide MSE of the client interviewed in the provided video trigger.
Clinicians examine the physical traits like the appearance of the patient, taking in age, weight, height and lastly, dress and grooming (Rutter and Taylor, 2003). In the given video, the patient is wearing simple and unkempt clothes, which suggests anxiety or depression. The patient appears quite frightened and anxious about his condition.
Behaviour implies towards the client’s approach towards the interview procedure and the quality of data gathered throughout the evaluation (Owen and Harland, 2007). In the given case, the patient has offered a good amount of information to the interviewer. The client is also repeatedly glancing at one side, which suggests that the patient is going through hallucinations) and there is lack of eye contact with the examiner that suggests depression or autism.
Mood is defined using own terms of the patient's and could also be outlined as per summary terms like neutral, euthymic, euphoric, dysphoric, angry, anxious or apathetic (Rutter and Taylor, 2003). In the given case, the patient is quite anxious and frightened. It seems that he is incapable of experiencing any pleasure and might be going through anhedonia.
Affect is basically described through labelling the obvious emotion stated through the individual’s nonve
al conduct (i.e. anxious and sad) and also through making use of the parameters of suitability, intensity, level, reactivity as well as mobility (Owen and Harland, 2007). In the given case, the patient is highly depressed and experiencing frightening thoughts.
The patient is examined by evaluating the spontaneous speech as well as through making use of structured tests of particular language areas (Owen and Harland, 2007). In the given situation, the patient seems depressed as he is having prolonged speech latency as well as is speaking in a slow, and hesitant manner.
Thought process basically implies towards the quantity, tempo and lastly, the form (or logical consistency) of thoughts (Rutter and Taylor, 2003). Additionally, the thought process couldn’t be witnessed directly but can only be described by the patient, or infe
ed from a patient's speech (Sims, 2005). In the given case, the patient is experiencing flight of ideas. His thoughts are quite rapid that his speech seems disjointed, although a careful observer can discern a chain of poetic...