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12 Cards in this Set

  • Front
  • Back

What are the areas assessed in the MSE?

1) Appearance and behaviour


2) Speech


3) Mood and affect


4) Thought form and content


5) Perception


6) Cognition


7) Insight

What is evaluated in appearance and behaviour?

Appearance - looks, well kept, age, unwell, features




Behaviour - motor activity, eye contact, rapport, body language, inappropriateness



What is evaluated in speech?

Rate, quantity, rhythm, volume, tone, randomness

What are mood and affect (+ types)?

Mood = overall emotional state


Affect = change of emotions moment to moment




Affect types:


reactive = normal


flattened = limited reaction


blunted = no reaction (psychosis?)


labile = elevated reaction

What is evaluated in mood and affect?

Mood = subjective vs objective


anxious, depressed, euthymic (normal), elevated

What is thought form?

Pattern of thoughts and their logical connections. If normal = "No formal thought disorder"

What is evaluated in thought form?

Flight of ideas (mania), loosening of associations (schizophrenia)

What is evaluated in thought content?

What are they talking about, any focus, delusions, risk of self-harm

What is a delusion and what are the types?

False fixed belief that is not appropriate for the person.


Paranoid = feel like somebody's after you


Grandiouse = over-estimate yourself


Nihilistic = deny your own existence




Contra: over-valued idea = fixed idea causing disability (e.g. anorexia)

What is evaluated in perception?

Disruption in sensory modalities:




Hallucination - perception in the absence of stimulus


Illusion - false perception of real stimulus

What is evaluated in cognition?

Alertness, orientated, memory, focus




* Mini mental state exam is just that?

What is evaluated in insight?

Understanding of their presentation and need for treatment