Symptom Media

Mental Status Exam Series

Mental Status Exam B-1

Mental Status Exam B-1

During mental status examination, Virgil is anxious and fidgety, often with pauses in his speech. He is coherent without looseness of associations, pressure of speech, flight of ideas, or evidence of hallucinations. He is pleasant and very cooperative. He is oriented to person, place, time, and situation. He has excellent immediate recall as he immediately repeats 3 items and later numbers. He has some concentration difficulty as revealed by struggling and losing his place in subtracting serial 7s and serial 3s. He can reverse the spelling of a 5-letter word but has difficulty with reversing 4 and 5 digit numbers. He has slight impairment of recent memory, having difficulty fully remembering 3 items at 5 minutes. He demonstrates good past memory by recalling general information and describing major current events. He is able to make simple change. He is capable of abstractly describing similarities of items. He is capable of giving abstract interpretations of general proverbs. His affect appears concerned, worried, downcast, and at times appears flat and restricted. He describes his present mood as “heavy,” and his recent mood as “relaxed but heavy and trying to move forward.” He demonstrates good judgment with his answers to formal judgment questions except the question about a gun, saying he would keep it because he likes guns. He demonstrates good insight about why he is being evaluated. When asked about 3 wishes, he replies that he would like to have a better house, a good car, and have the strength to “fix what ever I wanted, a super power.”

Mental Status Exam B-2

Mental Status Exam B-2

During mental status examination, Joseph is mildly anxious and calm. He is coherent without looseness of associations, pressure of speech, flight of ideas, or evidence of hallucinations. He is pleasant and very cooperative. He is oriented to person, place, time, and situation. He has some concentration difficulty as revealed by struggling in subtracting serial 7s (perhaps math difficulty) but is able to perform subtraction with serial 3s at a good rate with few mistakes. He demonstrates poor concentration by being able to spell a 5-letter word but not reverse the spelling. He has difficulty with reversing 4 and 6 digit numbers. He has excellent immediate recall as he immediately repeats 3 items and can repeat back up to 6-digit numbers. He has excellent recent memory, fully remembering 3 items at 5 minutes. He demonstrates excellent past memory by recalling general information and describing major current and past events. He is unable to make simple change. He is capable of abstractly describing similarities of items. He is capable of giving abstract interpretations for general proverbs. His affect is mildly anxious and he has a full range of appropriate affect. He describes his present mood as “a decent mood but with physical discomforts okay,” and his recent mood as “about the same … in the middle of the road.” He demonstrates good judgment with his answers to formal judgment questions. He demonstrates fair insight about why he is being evaluated, realizing he has sleep difficulties but he is not insightful that he abuses substances. When asked about 3 wishes, he replies, “this might sound corny … but peace, lack of hunger, and more love.”

Mental Status Exam B-3

Mental Status Exam B-3

During mental status examination, Barbara is mildly anxious and calm. She is coherent without looseness of associations, pressure of speech, flight of ideas, or evidence of hallucinations. She is pleasant and very cooperative. She is oriented to person, place, time, and situation. She has excellent immediate recall as she immediately repeats 3 items and up to 5-digit numbers. She demonstrates initially good concentration as revealed by subtracting serial 7s accurately but then after several numbers becomes lost and forgets what she is doing. She demonstrates good concentration by being able to spell a 5-letter word forward and backwards, although she has difficulty with reversing 4 and 5 digit numbers. She has good recent memory, almost fully remembering 3 items at 5 minutes. She cannot describe major current events, saying she has been distracted by problems with worrying about her son. She can name major past events and recall important general information. She cannot make simple change and seemed unaware she made mistakes. She varies between being concrete and abstract in describing similarities of items. She is capable of giving very abstract in interpreting general proverbs. Her affect is mildly anxious and she has a full range of appropriate affect, crying at the end of the interview. She describes her present mood as “okay,” and her recent mood as “a little depressed.” She demonstrates good judgment with her answers to formal judgment questions. She demonstrates excellent insight about why she is being evaluated. When asked about 3 wishes, she replies, “wish for my son to be back to normal, be sweet like he used to be, wish for my husband to come back, and I wish to go on a nice family vacation.”

Mental Status Exam B-4

Mental Status Exam B-4

During mental status examination, Peter is fairly anxious and fidgety. He is coherent without looseness of associations, pressure of speech, flight of ideas, or evidence of hallucinations. He is pleasant and cooperative. He is oriented to person, place, time, and situation. He has excellent immediate recall as he immediately repeats 3 items and 3 to 5 digit numbers. He has some concentration difficulty as revealed by losing his place once while subtracting serial 7s but was able to pick back up after one long pause. He initially demonstrates good concentration by repeating and reversing 4 and 5 digit numbers, but then has marked difficulty with a second 5-digit number, both repeating and reversing the number. He demonstrates excellent past memory by recalling general information and describing major current and past events. He has good recent memory, almost fully remembering 3 items at 5 minutes. He varies in being abstract or being concrete in finding similarities of items. He varies in being concrete or abstract when interpreting general proverbs. His affect is mildly anxious and he has a full range of appropriate affect. He describes his present mood as “okay,” and his recent mood as “ups and downs.” He demonstrates excellent judgment with his answers to formal judgment questions. He demonstrates excellent insight about why he is being evaluated, realizing he is having difficulty at work and needs evaluation. When asked about 3 wishes, he replies, “get a billion, health for everyone I know, and a cure for cancer.”

Mental Status Exam B-5

Mental Status Exam B-5

During mental status examination, Evelyn is mildly anxious and calm. She is coherent without looseness of associations, pressure of speech, flight of ideas, or evidence of hallucinations. She is very pleasant and very cooperative. She is oriented to person, place, time, and situation. She demonstrates fair concentration (or math difficulties) as revealed by difficulty subtracting serial 7s accurately but can accurately and rapidly subtracts serial 3s. She demonstrates good concentration by being able to spell a 5-letter word forward and backwards. She has excellent immediate recall as she immediately repeats 3 items and 3 to 6-digit numbers. Her concentration is good as she can reverse 4 and 5-digit numbers. (She cannot reverse 6-digit numbers) She has good recent memory, almost fully remembering 3 items at 5 minutes, needing one cue. Her recent memory is good as she can describe major current events. Her past memory is excellent as she can name major past events and recall important general information. She can make simple change. She gives both concrete and abstract to describe similarities of items. She is capable of giving very abstract interpretations to general proverbs. Her affect is mildly anxious and she has a full range of appropriate affect. She describes her present mood as “pretty upbeat,” and her recent mood as “pretty upbeat, pretty good.” She demonstrates good judgment with her answers to formal judgment questions. She demonstrates excellent insight that she is being evaluated for attention deficit. When asked about 3 wishes, she replies, “I don’t have attention deficit issues, I could live happy, and happy and wealthy.”

Mental Status Exam B-6

Mental Status Exam B-6

During mental status examination, Franklin is calm. He is coherent without looseness of associations, pressure of speech, flight of ideas, or evidence of hallucinations. He is pleasant and cooperative. He is oriented to person, place, time, and situation. He has some concentration difficulty (or math difficulties) as revealed by making mistakes and losing his place while subtracting serial 7s, but is able to do serial 3s. He is able to spell a 5-letter word forward but not backwards. He has fair immediate recall as he repeats 3 and 4 digit numbers but not a 6-digit number. He demonstrates poor concentration in that he can reverse a 3-digit number but not reverse 4 and 5 digit numbers. He demonstrates excellent past memory by recalling general information and describing major current and past events. He varies in being abstract and being concrete in finding similarities of items. He is appropriately abstract when interpreting general proverbs. His affect is calm and he has a bit of restriction in his affect, perhaps being a bit guarded. He describes his present mood as “normal, feel okay,” and his recent mood as “the same, not too up and not too down.” He demonstrates excellent recent memory, almost fully remembering 3 items at 5 minutes. He demonstrates good judgment with his answers to formal judgment questions except saying if he found a gun he might keep it. He demonstrates good insight about why he is being evaluated, realizing he may have depression. When asked about 3 wishes he replies, “maybe be back with my wife, take away the urge to drink so much, and just … all the bad memories, take those away.”

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