The Psychiatric Mental Status ExaminationObserveThe Psychiatric HistoryOverviewGeneralGeneral DescriptionSlide 7Slide 8Slide 9Slide 10EmotionEmotionsMoodSlide 14Slide 15AffectThoughtSlide 18ThoughtSlide 20Slide 21Slide 22Slide 23Thought ProcessSlide 25The cognitive examSlide 27Slide 28Insight and JudgmentInsightInsightSlide 32JudgmentJudgementJudgementReliabilitySlide 37ExamplesSlide 39Slide 40Slide 41The Psychiatric Mental Status ExaminationObserveThe Psychiatric HistoryChief complaintHistory of Present IllnessPast HistoryMedicationsFamily HistorySocial HistoryReview of SystemsOverviewGeneral EmotionThoughtCognitionJudgment and InsightReliabilityGeneralGeneral DescriptionAppearanceMotor BehaviorSpeechAttitudesGeneral DescriptionAppearanceProminent features"such that a portrait…”Eye contactDress and groomingAge/appearanceGeneral 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 agitationGeneral DescriptionSpeechRateSpontaneityIntonationVolumeDefectsGeneral DescriptionAttitudesHow the patient related"degree of cooperativeness“Evaluator’s attitudeEmotionEmotionsMoodAffectMoodDefinitionPatient report versus inferenceMoodEuthymicAngryEuphoricApatheticDysphoricApprehensiveEmotionAffectDefinitionAffectAppropriatenessIntensityMobilityRangeReactivityThoughtThoughtProcessContentThought ProcessManner of organ./form. thought.Stream of ThoughtGoal directedness/ContinuityOther Abnormalities of Thought ProcessThoughtProcessConnectedness/OrganizationCircumstantialityTangentialityLoose AssociationWord SaladStart Finish“I felt some chest pain”“So I told my son”“And he called an ambulance”“I was home”“And now I’m here”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”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…”Thought ProcessOtherClangingEcholaliaNeologismsPerseverationThought blockingThought ContentPerceptual disturbancesDelusionsOtherThe cognitive examConsciousnessOrientationConcentration and attentionCalculationsMemoryIntelligence0-45-8HSCollege55-592226282960-642326282965-692226282970-742226272875-792125272880-842025252785+19232627Insight and JudgmentInsightInsightPatient’s capacity toAcknowledge/Appreciate illnessAssociated implicationsConsequencesInsight Drugs/alcoholDementia/cognitive problemsPsychosisSevere mood problemsSomatoform disordersJudgmentJudgementThe process ofConsiderationFormulationLeading to aDecisionActionJudgement RequiresInsightCognitive functioningOther abstract abilitiesConceptualizationForward thinkingAppreciation of what “rational people” would do.ReliabilityReliabilityIntellecthonesty and motivationspsychosis/organic