advertisement

CPY5250I_psychopath_mse_week_one_vo

67 %
33 %
advertisement
Information about CPY5250I_psychopath_mse_week_one_vo
Entertainment

Published on March 14, 2014

Author: jvuncannon

Source: authorstream.com

advertisement

Psychopathology Mental Status Exam: 1 Psychopathology Mental Status Exam CPY 5250I - Week 1 Mental Status Exam: Mental Status Exam This presentation focuses on the mental status examination—which is a key mental health assessment approach grounded within the psychiatric discipline. 2 Some Tools: Some Tools MSE Terms MSE Format Sample MSE’s 3 Mental Status Exam: Mental Status Exam Objectivity It is very difficult to be objective. Too often we’re very subjective, but think we’re being objective. Be sure to keep your emotional sensitivity in your MSE process. 4 Mental Status Exam: Mental Status Exam What is a Mental Status Examination? It is a method of organizing and evaluating clinical observations during an interview. It is very common to medical settings. It usually results in one medium-length paragraph describing the client’s mental status. 5 Mental Status Exam: Mental Status Exam The Generic MSE includes the following content areas: Appearance Behavior/psychomotor activity Attitude toward the examiner Affect and mood Speech and thought 6 Mental Status Exam: Mental Status Exam The Generic MSE (Cont.) Perceptual disturbances Orientation and consciousness Memory and intelligence Reliability, judgment, and insight 7 Mental Status Exam: Mental Status Exam Individual and Cultural Considerations It is imperative to keep in mind the many ways individuals vary in their behavior and abilities. Normal behavior within one culture may appear disturbed or irrational within another culture. 8 Mental Status Exam: Mental Status Exam Appearance in an MSE focuses on physical characteristics: Grooming Dress Makeup Facial expressions Weight/height Body piercing/tattoos Others? 9 Mental Status Exam: Mental Status Exam Behavior or Psychomotor Activity in an MSE focuses on physical movement: Excessive or limited movement Eye contact and eye movement Grimacing or fidgeting Gestures Posture 10 Mental Status Exam: Mental Status Exam Attitude Toward the Examiner in an MSE refers to how the client behaves toward the interviewer; examples include: Cooperative Hostile Indifferent Manipulative Open Seductive Suspicious 11 Mental Status Exam: Mental Status Exam Affect and Mood refers to moment-to-moment emotional tone as observed by the interviewer (affect) and the client’s subjective and self-reported mood state. Affect is usually judged in terms of content, range/duration, appropriateness, and depth/intensity. Mood is based on client self-report. 12 Mental Status Exam: Mental Status Exam Speech and Thought Speech is evaluated on the basis of: Rate (speed) Volume (loudness) Amount (density) Thought is evaluated in terms of both process and content. 13 Mental Status Exam: Mental Status Exam Thought Process descriptors include: Blocking Circumstantiality Clanging Loose associations Neologisms Perseveration Word salad 14 Mental Status Exam: Mental Status Exam Thought Content descriptors indicative of psychopathology primarily include: Delusions (of persecution, grandiosity, etc.) Obsessions 15 Mental Status Exam: Mental Status Exam Perceptual Disturbances include hallucinations, illusions, and flashbacks. Hallucinations may occur in any sensory modality, but are most commonly auditory. Illusions have some basis in reality. Flashbacks consist of sudden and vivid sensory-laden recollections of previous experiences. 16 Mental Status Exam: Mental Status Exam Orientation and Consciousness refers to a client’s awareness of his or her self and situation. Clients are evaluated in terms of their orientation to person, place, and time. Consciousness is rated from alert to comatose. 17 Mental Status Exam: Mental Status Exam It can be risky to assess Memory and Intelligence in a short interview, but some general statements are usually made: Remote, recent, and immediate memory can be assessed. Because intelligence is often based on verbal facility, special care should be taken when working with diverse clients. 18 Mental Status Exam: Mental Status Exam Reliability, Judgment, and Insight Reliability refers to a client’s credibility or trustworthiness. Judgment involves client ability to make constructive or adaptive choices. Insight refers to the client’s understanding of his or her problems. 19 Mental Status Exam: Mental Status Exam When to Use MSEs MSEs are more appropriate as the client’s suspected level of psychopathology increases. MSEs must be used with great caution with culturally diverse clients. 20 References: References American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author. Maddux, J. E., & Winstead, B. A. (2012). Psychopathology: Foundations for a contemporary understanding. New York, NY: Routledge . 21

Add a comment

Related presentations