Is a mental state examination the same as a history?
No, history is patient's account
MSE is a technical description
When is a mental state examination carried out?
At the same time as the history
What is the difference between mood and affect?
Mood - subjective, how the patient feels when you ask them, recorded in the patient's own words
Affect - objective, how you think the patient appears throughout the interview
How do you describe a patient's affect?
How it varies throughout the interview
Can mood and affect be different?
What is a reactive affect?
Normal swings between "happy" and "sad"
What is a flattened affect?
Negative affect can be seen but positive affect doesn't come out to same degree, even if patient says they're in a good mood
What is a blunted affect?
Affect which doesn't vary much throughout the interview
Which psychiatric illness is a flattened affect a feature of?
What is an unreactive affect?
Persistently negative affect
What is a labile affect?
Exaggerated swings between positive and negative
Which psychiatric disorder is a labile affect a feature of?
How can cognitive function be tested?
i.e orientation, concentration, memory