Psychology homework

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MSEChecked.pdf

Mental Status Exam

Provided by TherapistAid.com © 2013

Client Name Date

OBSERVATIONS

Appearance □ Neat □ Disheveled □ Inappropriate □ Bizarre □ Other

Speech □ Normal □ Tangential □ Pressured □ Impoverished □ Other

Eye Contact □ Normal □ Intense □ Avoidant □ Other

Motor Activity □ Normal □ Restless □ Tics □ Slowed □ Other

Affect □ Full □ Constricted □ Flat □ Labile □ Other

Comments:

MOOD

□ Euthymic □ Anxious □ Angry □ Depressed □ Euphoric □ Irritable □ Other

Comments:

COGNITION

Orientation Impairment □ None □ Place □ Object □ Person □ Time

Memory Impairment □ None □ Short-Term □ Long-Term □ Other

Attention □ Normal □ Distracted □ Other

Comments:

PERCEPTION

Hallucinations □ None □ Auditory □ Visual □ Other

Other □ None □ Derealization □ Depersonalization

Comments:

THOUGHTS

Suicidality □ None □ Ideation □ Plan □ Intent □ Self-Harm

Homicidality □ None □ Aggressive □ Intent □ Plan

Delusions □ None □ Grandiose □ Paranoid □ Religious □ Other

Comments:

BEHAVIOR

□ Cooperative □ Guarded □ Hyperactive □ Agitated □ Paranoid

□ Stereotyped □ Aggressive □ Bizarre □ Withdrawn □ Other

Comments:

INSIGHT □ Good □ Fair □ Poor Comments:

JUDGMENT □ Good □ Fair □ Poor Comments:

Linda
12-1-23
Client appeared to be in good spirits & optimistic about her future.
Client appeared to be aware and alert of all behaviors.
Client appeared to be in stable & coherent condition
Client did not speak of, nor was there suspicious of clear & imminent danger to oneself or others.
Client was very accepting & cooperative during sessions.