The Psychiatric Interview and Mental Status Examination

2017 ◽  
Author(s):  
Donald W. Black
Keyword(s):  
Differential Diagnosis ◽  
Social History ◽  
Mental Status ◽  
Treatment Plan ◽  
Essential Elements ◽  
Comprehensive Treatment ◽  
Psychiatric Interview ◽  
Psychomotor Activity ◽  
History Of ◽  
Mental Status Examination

The interview and mental status examination are integral to the comprehensive patient assessment and typically follow a standard approach that most medical students and residents learn. The psychiatrist should adjust his or her interview style and information-gathering approach to suit the patient and the situation. For example, inpatients are typically more symptomatic than outpatients, may be in the hospital on an involuntary basis, and may be too ill to participate in even the briefest interview. Note taking is an essential task but should not interfere with patient rapport. The interview should be organized in a systematic fashion that, although covering all essential elements, is relatively stereotyped so that it allows the psychiatrist to commit the format to memory that, once learned, can be varied. The psychiatrist should start by documenting the patient’s identifying characteristics (age, gender, marital status) and then proceed to the chief complaint, history of the present illness, past medical history, family and social history, use of drugs and alcohol, medications, and previous treatments. A formal mental status includes assessment of the patient’s appearance, attitude, and behavior; orientation and sensorium; mood and affect; psychomotor activity; thought process, speech, and thought content; memory and cognition (including attention and abstraction); and judgment and insight. With the data collected, the psychiatrist will construct an accurate history of the symptoms that will serve as the basis for developing a differential diagnosis, followed by the development of a comprehensive treatment plan. This review contains 1 figure, 3 tables, and 12 references. Key words: assessment, differential diagnosis, interviewing, mental status examination, treatment plan

The Psychiatric Interview and Mental Status Examination

2017 ◽  
Author(s):  
Donald W. Black
Keyword(s):  
Differential Diagnosis ◽  
Social History ◽  
Mental Status ◽  
Treatment Plan ◽  
Essential Elements ◽  
Comprehensive Treatment ◽  
Psychiatric Interview ◽  
Psychomotor Activity ◽  
History Of ◽  
Mental Status Examination

The interview and mental status examination are integral to the comprehensive patient assessment and typically follow a standard approach that most medical students and residents learn. The psychiatrist should adjust his or her interview style and information-gathering approach to suit the patient and the situation. For example, inpatients are typically more symptomatic than outpatients, may be in the hospital on an involuntary basis, and may be too ill to participate in even the briefest interview. Note taking is an essential task but should not interfere with patient rapport. The interview should be organized in a systematic fashion that, although covering all essential elements, is relatively stereotyped so that it allows the psychiatrist to commit the format to memory that, once learned, can be varied. The psychiatrist should start by documenting the patient’s identifying characteristics (age, gender, marital status) and then proceed to the chief complaint, history of the present illness, past medical history, family and social history, use of drugs and alcohol, medications, and previous treatments. A formal mental status includes assessment of the patient’s appearance, attitude, and behavior; orientation and sensorium; mood and affect; psychomotor activity; thought process, speech, and thought content; memory and cognition (including attention and abstraction); and judgment and insight. With the data collected, the psychiatrist will construct an accurate history of the symptoms that will serve as the basis for developing a differential diagnosis, followed by the development of a comprehensive treatment plan. This review contains 1 figure, 3 tables, and 12 references. Key words: assessment, differential diagnosis, interviewing, mental status examination, treatment plan

Managing the Health of Chosŏn Kings: Illness and Treatment in the Daily Records of the Royal Secretariat

2016 ◽  
Vol 11 (1-2) ◽  
pp. 171-191 ◽  
Author(s):  
Wung Seok Cha
Keyword(s):  
Social History ◽  
Mental Status ◽  
Daily Activities ◽  
The Political ◽  
Korean Language ◽  
Historical Source ◽  
Choson Dynasty ◽  
The Social ◽  
History Of ◽  
Shed Light

TheSŭngjŏngwŏn ilgi (Daily Records of the Royal Secretariat)is one of the major chronicles of the events of the Chosŏn Dynasty (1392–1910). Although the records prior to the year 1622 are no longer extant, the remaining records from the years 1623 to 1910 meticulously recount the daily activities of the reigning Chosŏn kings, including copious information on their physical and mental status. Because the king’s health was considered as important as other official affairs in many respects, detailed records were kept of royal ailments and how court doctors treated them. This article surveys the state of Korean-language scholarship on the medical content of theDaily Recordsand presents selected translations to demonstrate how this valuable historical source can shed light on both the social history of Chosŏn medicine and the political importance of kingly health at the Chosŏn court.

Mental Status Examination of an Exceptional Case of Longevity

1995 ◽  
Vol 166 (2) ◽  
pp. 229-235 ◽  
Author(s):  
Karen Ritchie
Keyword(s):  
Mental Status ◽  
Verbal Memory ◽  
Protective Factor ◽  
Depressive Symptomatology ◽  
Extreme Case ◽  
Exceptional Case ◽  
Intellectual Ability ◽  
Language Fluency ◽  
History Of ◽  
Mental Status Examination

BackgroundThe mental status examination of an extreme case of longevity, J. C., aged 118 years and 9 months, is documented in order to further knowledge regarding profiles of morbidity in the extremely elderly. J. C. is presently considered to have the longest authenticated life-span in the history of the human species.MethodNeuropsychological tests were improvised taking into account the subject's severe perceptual deficits. The examination was carried out over a six-month period. A CT scan was also conducted.ResultsThe subject's performance on tests of verbal memory and language fluency is comparable to that of persons with the same level of education in their eighties and nineties. Frontal lobe functions are relatively spared and there is no evidence of depressive symptomatology or other functional illness. Cognitive functioning was found to slightly improve over a six-month period.ConclusionsThe subject shows no evidence of progressive neurological disease. A high initial level of intellectual ability may have constituted a protective factor.

Diagnostic Procedures

2017 ◽  
Author(s):  
Anil Bachu
Keyword(s):  
Mental Status ◽  
Rating Scales ◽  
Neuropsychological Testing ◽  
Diagnostic Procedures ◽  
Psychological Testing ◽  
Laboratory Monitoring ◽  
Imaging Studies ◽  
Psychiatric Interview ◽  
Sleep Studies ◽  
Mental Status Examination

In this chapter important aspects of diagnostic procedures are reviewed including psychiatric interview, mental status examination, psychological testing, neuropsychological testing, diagnostic assessments and rating scales, laboratory monitoring, imaging studies, EEG and sleep studies

Application of neuropsychology and imaging to brain injury and use of the integrative cognitive rehabilitation psychotherapy model

2021 ◽  
Vol 49 (2) ◽  
pp. 307-327
Author(s):  
Mark Pedrotty ◽  
Tiffanie S. Wong ◽  
Elisabeth A. Wilde ◽  
Erin D. Bigler ◽  
Linda K. Laatsch
Keyword(s):  
Brain Injury ◽  
Functional Imaging ◽  
Cognitive Rehabilitation ◽  
Treatment Plan ◽  
Neuropsychological Testing ◽  
Comprehensive Treatment ◽  
Imaging Studies ◽  
Treatment Techniques ◽  
History Of ◽  
Tools And Techniques

BACKGROUND: An early approach to cognitive rehabilitation therapy (CRT) was developed based on A. R. Luria’s theory of brain function. Expanding upon this approach, the Integrative Cognitive Rehabilitation Psychotherapy model (ICRP) was advanced. OBJECTIVE: To describe the ICRP approach to treatment of clients post brain injury and provide a comprehensive list of evaluation tools to determine the client’s abilities and needs. Finally, to provide a link between CRT and functional imaging studies designed to improve rehabilitation efforts. METHODS: History of cognitive rehabilitation and neuropsychological testing is reviewed and description of cognitive, academic, psychiatric, and substance abuse tools are provided. Cognitive and emotional treatment techniques are fully described. Additionally, a method of determining the client’s stage of recovery and pertinent functional imaging studies is detailed. RESULTS: Authors have been able to provide a set of tools and techniques to use in comprehensive treatment of clients with brain injury. CONCLUSIONS: Inclusive treatment which is outlined in the ICRP model is optimal for the client’s recovery and return to a full and satisfying life post brain injury. The model provides a framework for neuropsychologists to integrate issues that tend to co-occur in clients living with brain injury into a unified treatment plan.

Detecting a History of Incest: A Predictive Syndrome

1985 ◽  
Vol 66 (9) ◽  
pp. 525-532 ◽  
Author(s):  
Gerald S. Ellenson
Keyword(s):  
Women Survivors ◽  
Mental Status ◽  
History Of ◽  
Mental Status Examination

The author describes thought content and perceptual symptoms shared by women survivors of childhood incest. The syndrome, if confirmed, may make it possible to detect such incest, through the expanded use of a mental status examination, in one unstructured interview.

The Mental Status Examination for Dementia: A Review of Practice in a Psychiatric Hospital*

1983 ◽  
Vol 28 (4) ◽  
pp. 287-290 ◽  
Author(s):  
B.A. Martin ◽  
A.M. Peter ◽  
M.R. Eastwood
Keyword(s):  
Cognitive Function ◽  
Mental Status ◽  
Discharge Diagnosis ◽  
Hospital Discharge Diagnosis ◽  
Organic Mental Disorders ◽  
Diagnosis Of Dementia ◽  
Recent Developments ◽  
History Of ◽  
Mental Status Examination

The mental status examinations of 63 patients with a hospital discharge diagnosis of dementia were reviewed. The examination and documentation of most areas of cognitive function were found to be incomplete in the majority of cases. The need for a complete examination of cognitive function is discussed in relation to the natural history of dementia and in the context of recent developments in the classification of organic mental disorders.

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