Use 0-10 scale (0: extremely sad & wishing to end life immediately, 10: extremely happy).Ĭurrent observed emotional state. Predominant emotion over days/weeks (eg euthymic, apathetic, angry, dysphoric, apprehensive, euphoric). Psychomotor slowing or agitation, sustained or episodic, goal-oriented or erratic coordination, unusual postures or motor patterns (eg tics, stereotypies, odd mannerisms, tremors). Hallucinatory behaviours (eg talking to self laughing incongruently). Manner of relating to clinician and parentsĮase of separation from each parent reactions to meeting the clinician (eg eagerness to please, defiance, overfamiliar) eye contact facial expression. Gender ethnicity body habitus apparent age cleanliness and grooming, hair/clothing style, cosmetics and jewellery syndromic features. You will find you perform many parts of the MSE intuitively every time you interact with or observe others.The MSE is used to gain an understanding of the patient’s psychological functioning at a particular point in time in order to direct care appropriately.If there is any indication of current suicidal or homicidal ideation in the child or adolescent they must be referred for further assessment by a mental health clinician.Interpretation of the MSE must keep in mind the patient’s age and developmental level.A Mental State Examination (MSE) is a part of every mental health assessment.Acute behavioural disturbance: Acute management Acute behavioural disturbance: code response Key points
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