Pediatric Mental Status Exam - Indian Health Service
Pediatric Mental Status Exam
Martha J. "Molly" Faulkner, PhD, CNP, LISW University of New Mexico, Dept of Psychiatry,
Division of Community Behavioral Health
Agenda
Mental Status Exam
? What Is a Mental Status Exam? ? General Guidelines ? Who Does a Mental Status Exam? ? Elements of Mental Status Exam ? Tools ? Summary
Objectives
? Recognize the mental status exam (MSE) as both a psychiatric and neurologic evaluation.
? Identify elements of the pediatric MSE. ? Outline, assemble, refine and conduct the
MSE in a systematic manner for individual clinician use.
What Is a Mental Status Exam?
? Mental status examination in USA or mental state examination in the rest of the world, abbreviated MSE, is an important part of the clinical assessment process in psychiatric practice.
What is a Mental Status Exam? (cont'd)
? A structured way of observing and describing a patient's current state of mind, under the domains of
Domain
Appearance (dress, cleanliness, slim, obese, posture, eye contact, quality)
Attitude (demeanor, friendly, hostile,
agitated, relaxed)
Behavior/Motoric (wnl, hyperactive, slow, vegetative,
lethargic)
State of Mind
Thought Processes (goal directed, circumstantial, concrete,
derailed, disorganized)
Thought Content (unremarkable, day's events)
Perception (hallucinations, odd perceptions, paranoia)
Mood and Affect (happy, anxious, sad, manic, bright, congruent, expansive)
Speech (speed, rhythm, volume, prosody)
Cognition (above, average, below, delays)
Insight and Judgment (limited, age appropriate, good, poor, nil)
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