Mental status examination

The process of estimating psychological and behavioral function by observing the patient, eliciting his or her self-description, and using formal questioning. Included in the examination are 1) assessment of any psychiatric condition present, including provisional diagnosis and prognosis, determination of degree of impairment, suitability for treatment, and indications for particular types of therapeutic intervention; 2) formulation of the personality structure of the subject, which may suggest the historical and developmental antecedents of whatever psychiatric condition exists; and 3) estimation of the subject’s ability and willingness to participate appropriately in treatment. The mental status is reported in a series of narrative statements describing things such as affect, speech, thought content, perception, and cognitive functions. The mental status examination is part of the general examination of all patients, although it may be markedly abbreviated in the absence of psychopathology.


 


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