MENTAL STATUS EXAMINATION

a. IDENTIFICATION DATA:

Name : Mr.XXX
Age : 41yrs
Sex : Male
Code no : 280765
WARD : 111
Education :
Occupation :
Income :
Marital status :
Religion :
Diagnosis : Acute psychosis
Address :

A. General appearance and behavior:

1. General appearance:
- Body built and physical experience: moderately built and healthy, young and wheatish in
complexion
- Grooming : well groomed
- Hygiene : not maintained
- Dress : poorly dressed
- Facial expression : smiling
- Eye contact : maintained
- Posture : normal

2. Attitude towards examiner : not co-operative

3. Rapport : fairly rapport built up
4. Motor behavior : no abnormal motor behavior like tics and
Mannerism.
B. Thought and speech:
1. Form of thought:
Q. Why do you come here with your brother?
A. I have some business meetings.
Inference: abnormal form of thought.
2. Content of thought
Q. what is your problems?
A. I don’t have any problem
Inference: no flight of ideas, no OCD.

3. Speech:
- Evaluation of speech: High volume, tone and speed is abnormal. Reaction time, prosody
and pressure is abnormal
- Disorder of speech : no aphonia and others disorders

C. Mood and affect:

-Mood: Q. How are you feeling now?
A. I am very happy.
-Affect: patient is dull
Inference: affect is not congruent to mood.
D. Perception:
Q. when you are alone, are you seeing anything that other person can’t see and hear?
A. yes I can hear some noises
Inference: Presence of auditory hallucinations

E. Sensorium and cognition:

Consciousness: conscious, alert, not oriented to time, place and person.

H. Orientation:
Q. what must be the time now?
A. I don’t know
21 Q. who brought you here?
A. I came along with my brother.
Q. who is that lady wearing white saree?
A. she is my co worker.
Q. Where are you now?
A. I am in my office.
Inference: he is not oriented to time, place, and person.

Attention and concentration:

Q. How many days in a week and tell them?
A. 7 days, he says from Monday to Sunday
Q. Subtract 100-5?
A. I don’t know
Reference: Attention is aroused and concentration is poor.
F. Memory
a. Immediate: immediate memory is impaired as patient can’t recall what he talk previous.
b. Recent memory: Q. what you had in breakfast?
A. idly and sambar
Inference: Recent memory is intact.
c. Remote memory: Q. which primary school you studied?
A. I am not remembering
Inference: Remote memory is impaired.

I. Abstraction:
Q. what is the different between the table and chair?
A. table is use to write and chair is used to sit.
Q. What is the similarity of banana and orange?
A. both are fruits
Inference: Abstraction is good.

J. Comprehension:
Q. What will you do, if u misses the bus?
A. I’ll go by a taxi.
Q. what you will do if you feel cold?
A. I’ll wear sweater.
Inference: comprehension is good.

k. Intelligence:
Q. What is the capital of India?
A. New Delhi
Inference: Intelligent is good.

L. Judgment:
-Personal judgment:
Q. What are you planning to do after discharging from here?
A. I will go to home.
-Social judgment:
Q. What do you wear in marriage ceremony?
A. Nice marriage dress.
-Test judgment:
Q. What you will you do if your ward is fire?
A. I’ll pour water.
Inference: Judgment of the patient is good.

M. Insight:
Q. Why you are coming and staying here?
A. I have some business meeting.
Inference: Insight is poor.