Mental Status Assessment Guideline
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Psychosocial Assessment form:Sensorium, Mental Grasp and Capacity:Consciousness: Alert, Clouded, Fluctuating, Stuporous Orientation: Normal, Mild, Moderate, Severe, Disorientation to (time, place, person, situation) Memory: Intact, Mild, Moderate, Severe, Memory Deficits (Immediate, Recent, Remote) Digit Span: Forward (good, poor), Backward (good, poor)Disorders of: Counting, Calculation, Reading, Writing, Attention, Concentration, Comprehension General Knowledge: Good, Poor, Consistent with education, Inconsistent with education, Personalized, Superficial, Pseudoabstraction Intelligence: Normal, Below Normal, Above Normal Insight: Good, Fair, Poor, None Judgment: Good, Fair, Poor, None, Feelings of worthlessness or guilt, Diurnal mood variation Emotional State/Reaction:Affect: Unremarkable, Indifferent, Fearful, Angry, Euphoric, Anxious, Sad Range: Normal, Labile, Constricted Depth: Normal, Shallow, Increased Vegetative Symptoms of Depression: Depressed mood, Loss of interest of pleasure, Appetite Disturbance, Sleep Disturbance, Psychomotor Agitation or Retardation, Fatigue of Loss of energy, Decreased concentration Suicidal/Homicidal: Denies, Ideation, Plan, Attempt General Attitude and Behavior: Behavior: Cooperative, Passive, Domineering, Withdrawn, Restless, Dramatic, Hostile, Intimidating, Suspicious, Uncooperative, Other __________ Appearance: Unkempt, Disheveled, Clean, Neat, Unusual Attire: Appropriate, Seductive, Loud, Meticulous, Untidy, Atypical Facial Expression: Unremarkable, Sad, Angry, Perplexed, Fearful, Elated, Immobile, Grimacing, Atypical Gait: Normal, Parkinsonian, Ataxic, Shuffling, Unusual, Other__________ Motor Activity: Unremarkable, Agitated, Hypoactive, Tremor, Tic, Hyperactive, Pacing, Handwringing, Mannerisms
Stream of Mental Activity:Productivity: Spontaneous, Verbose, Pressured, Slow, Soft, Mute, Atypical Progression: Logical, Association, Loose Association Circumstantiality: Perseveration, Halting, Incoherent, Fragmented, Tangential, Flight of Ideas, Ruminations, Confabulation, Neologism Language: Normal, Childlike, Peculiar, Stilted
Mental Trend and Thought Content:Perception: Unremarkable, Depersonalization, Derealization, Dissociation Hallucinations: Auditory, Visual, Tactile, Olfactory, Gustatory Cognitive Style: Obsessive, Self Deprecatory, Intellectualized, Autistic, Global (Histrionic), Other__________ Cognitive Content: Obsessions, Phobias, Compulsive Rituals, Religiosity, Ideas of Reference, Bizarre Ideas, Self Depreciations, Delusions, Nihilistic, Somatic, Grandiose, Paranoid, Guilt
Last edited by Daytonite : May 03, 2008 at 07:39 AM.
Reason: added link
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