Watch the attached video of the mental status exam (MSE) between a psychiatric provider and a depressed patient. Use the MSE template attachment provided
Directions:
Watch the attached video of the mental status exam (MSE) between a psychiatric provider and a depressed patient. Use the MSE template attachment provided to document your findings. NOTE: be as detailed as possible! i. e. patient appears to have good hygiene "as evidenced by presenting in clean and appropriate clothing and does not emit body odor"; patient is calm and relaxed "as evidenced by..."; DO NOT USE any abbreviations such as "A/O x'3"... that is NOT acceptable. Please use full sentences and "as evidenced by" in your findings.
Also, reflect on the process, considering how it enhanced your understanding of the MSE in a separate paragraph.
Use full APA 7th edition format; Minimum of 5 references
Mental Status Exam
(Follow Kaplan and Sadock template on p. 25)
Please see the rubric for details.
References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Use scholarly sources to support your claims. PEER REVIEW ARTICLES ONLY. Scholarly articles from 2021 to 2026 only. (Within the last five years) Please review your spelling and the rubric. Please use North American peer-reviewed journals ONLY.DO NOT use any European Journal.
- Boland, R. J., Verduin, M. L., & Ruiz, P. (2022). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (12th ed.). Lippincott Williams & Wilkins. Ch. 1 p. 1-89
- Wheeler, Kathleen (2022). Psychotherapy for the advanced practice psychiatric nurse: a how-to guide for evidence-based practice (4th ed.). New York, NY: Springer Publishing Company LLC. Wheeler, Ch. 3, pp. 105-145
- Carlat, D. J. (2026). The psychiatric interview (5th ed.). Lippincott Williams & Wilkins. Ch 1-4, pp. 15-35.
https://youtu.be/5fK3IDR-Rp8?si=YhyKOyVslkiRASFs
transcript:
Intro
0:03
[Music]
Background
0:18
hello I'm Jade I'm one of the doctors
Opening consultation
0:21
from the Psychiatry team
0:23
can I please just check your name and
0:25
date of birth
0:27
um it's it's
0:29
um Jane
Appearance, Behavior & Speech
0:32
Jane Sheraton and um
0:36
it's the 3rd of May
0:39
68. okay
0:42
and I've been told that you've come into
0:44
hospital because one of your friends was
0:46
worried about your mental health is that
0:48
right
Mood & Affect
0:50
yeah yeah
0:52
could you tell me a bit about how you've
0:54
been feeling
0:57
it's very really sad
1:02
just
1:04
just sad
1:08
how long has that been going on for
1:11
foreign
1:12
a few weeks now
1:17
so anything in particular that's been
1:19
going on recently
1:24
so I I am
1:27
I lost my job
1:32
you really love that
1:37
that sounds really really difficult it
1:40
was it is it's really hard
1:46
I guess you know that all sounds like a
1:48
lot going on
1:51
if you've been able to kind of do
1:53
anything you enjoy
1:56
I I don't do anything any I I don't
2:01
enjoy anything I
2:05
don't do anything I don't do anything
2:08
anymore
2:12
it's done
2:16
I just
2:18
cry I just can't stop crying I just
2:22
hmm
2:25
kind of things would you have done
2:26
before
2:31
damn
2:34
I don't see friends
2:38
I I don't really I don't
2:42
I don't have really friends now
2:49
I
2:50
um I'd quite right
2:52
go running but I just don't come can't
2:56
don't
2:58
just don't have don't have any one or
3:03
don't do anything
3:07
hey
3:08
I hope you've been sleeping
3:12
oh
3:14
I just slipped really bad because I am
3:19
I just keep waking up just
3:24
just waking up and just
3:27
thinking about
3:30
how
3:32
how bad I am I've done
3:35
I've let I've let so many people down I
3:39
just I can't sleep
3:43
just let lots of people
3:45
[Music]
3:47
okay why is everything
3:54
I I've lost my job it must be my fault
3:58
I've I've left I left the team down and
4:05
it's really let my son down
4:09
because I
4:11
I I have
4:15
I've got no more money now and I I
4:19
just really want to pay for him
4:24
you know for University and I I'm just a
4:28
really bad mum because I just can't I
4:30
can't afford to no I haven't got a job
4:36
just in terms of with the way that
4:39
you've been feeling and everything
4:40
that's been going on have you been
4:42
managing to look after yourself
4:46
I just can't
4:47
it
4:49
just don't see the point
4:53
have you been eating
4:56
no
5:00
no just some mum
5:05
it's a bit of toast
5:08
oh
Risk assessment
5:10
okay
5:12
sometimes when people have been dealing
5:14
with things like this they might try
5:16
drugs or alcohol as a way of coping
5:19
is that something that you've tried
5:23
no
5:25
and things ever felt so bad that you've
5:29
thought of harming yourself or ending
5:32
your life
5:36
okay yes
5:40
I'm really sorry I'm really sorry I'm
5:43
just okay
5:44
I'm sorry I know it's a really difficult
5:46
thing no I'm just sorry to waste your
5:48
time I'm just not worth helping there'll
5:51
be other people there's other people
5:53
that you should be helping not me I'm
5:55
just not worth it
5:57
what is it that you've thought about
5:59
doing
6:01
well I mean I don't know if I'd actually
6:04
do it but I am
6:05
I I I I am I but I I've been buying
6:11
paracetamols
6:14
okay I just don't think things are gonna
6:18
get any better I just
6:21
I just say
6:24
did you made any plans to take those
6:27
pills
6:29
I
6:30
um
6:34
I I
6:35
I don't want to be here but I I
6:39
um
6:40
I I don't know if if I would but I am
6:45
feel so bad that I just
6:48
thought I should let me write a note for
6:51
my son or
6:54
yeah I did think about checking my wheel
7:00
I mean I I don't know if I would do it
7:02
but I
7:06
I think
7:08
is there anything that would stop you
7:10
from doing something like that
7:16
no I
7:20
don't think so because I just don't
7:23
think anything's going
7:25
to have you had any thoughts about
7:27
wanting to harm anyone else at any point
7:31
no no
Thought
7:33
have you ever been worried that other
7:36
people might be able to hear or
7:39
interfere with your thoughts at all
7:42
no no
7:44
or have you ever been worried that
7:46
someone might be controlling your
7:48
thoughts or what you do
7:52
no no okay
7:54
and
Perception
7:56
to the questions sometimes people have
7:59
been feeling the way you do at the
8:01
moment they might have seen or heard
8:04
kind of abnormal things they can't
8:06
explain is that something you've
8:08
experienced no no no no no
Cognition
8:11
then just a couple questions and
8:15
do you do you know where we are right
8:17
now
8:19
yeah yeah would you be able to tell me
8:22
I'm just
8:23
with the a e that my friend brought me
8:27
to yeah
8:28
and
8:29
you know roughly what time it is
8:36
and can you remember who I am
8:40
um I've forgotten your name but yours
Insight & Judgement
8:41
that you're the doctor yeah yeah
8:44
I think it's possible that the way
8:46
you've been feeling recently might be
8:48
affecting your thinking
8:53
um
8:55
I I know I'm I'm depressed
9:02
pot
9:06
no I died just
9:09
things won't get better
9:12
is there anything that you think we
9:14
could do to help you that might help you
9:16
get through this
9:21
I just don't think anyone can help
9:24
I don't think anyone can
Closing consultation
9:31
well thank you very much for speaking to
9:33
me today I know that must be really
9:35
difficult to talk about
9:37
think it'd be best if I go speak with my
9:40
team to see what we can do to help you
9:42
would that be okay
MSE Summary
9:46
you got any questions for me at the
9:48
moment
9:50
no thanks no no
9:53
okay well thank you very much for
9:55
speaking to me today today I assessed
9:58
Jane Sheraton a 48 year old lady
10:00
presenting with low mood and suicidal
10:03
ideation on a background of significant
10:06
social stresses for the last couple of
10:08
weeks she has been struggling with
10:10
suicidal ideation and has been
10:12
stockpiling paracetamol
10:14
she states that her friends and family
10:16
would be better off without her on
10:19
examination she appeared sad and tearful
10:22
with poor eye contact and evidence of
10:24
psychomotor retardation Jane's speech
10:28
was slow and monotonous she described
10:31
her mood as low with evidence of
10:33
anhedonia poor concentration and early
10:36
morning waking her affect was blunted
10:40
Jane described mood congruent cognitions
10:43
of hopelessness
10:45
burdensomeness and guilt her thoughts
10:48
were linear and there was no evidence of
10:50
formal thought disorder she denied any
10:53
perceptual abnormalities Jane was
10:55
oriented to time place and person
10:58
Jane demonstrated partial Insight but
11:01
she does not believe that her cognitions
11:03
of guilt or hopelessness could be
11:05
related to a mental health disorder in
11:08
terms of risk during reports ongoing
11:10
thoughts of suicide with plans to take
11:13
paracetamol overdose she is at risk of
11:15
self-neglect due to struggling with
11:18
self-care she denied any thoughts or
11:20
intent to harm others
11:23
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11:43
[Music]
