PsychEd Episode 50: The Mental Status Examination

Welcome to PsychEd — the psychiatry podcast for medical learners, by medical learners. This episode covers the mental status examination and makes use of practical and fictional examples to delve deeper into the skills and concepts   Learning Objectives:   The learning objectives for this episode are as follows: By the end of this episode, the listener will be able to… Explain the utility and purpose of the mental status examination in psychiatry Describe the major components of the mental status examination and be familiar with some of the common vocabulary used Incorporate the mental status in a way that respects patients in presentation, documentation and formulation in clinical practice    Topics: 2:37 - Learning objectives 3:10 - Definition of the MSE 6:48 - History of the MSE 9:00 - Limitations of the MSE 15:37 - Strengths of the MSE 21:30 - ASEPTIC Mnemonic 23:04 - Appearance and Behaviour 37:42 - Speech 51:51 - Emotion (mood and affect) 1:03:51 - Perception 1:08:38 - Thought Form and Content 1:17:30 - Insight and Judgement 1:27:40 - Cognition   Hosts: Andreea Chiorean (CC4), Saja Jaberi (IMG), Dr. Weam Seiffien (PGY2), Angad Singh (CC2), Dr. Annie Yu (PGY1), and Dr. Alex Raben, staff psychiatrist.   Guest Experts: Us!   Video clips: Speech:  Mojo Jojo: https://youtu.be/y4qNWPPlYE4?t=48 Family guy video: no longer available   Emotion Eeyore: https://youtu.be/7xPnUe6Xcbw?t=12   Squidward: https://youtu.be/FjrOWnywPok?t=195   Bubbles: https://youtu.be/rAC4W563Ayk?t=339   Perception A Beautiful Mind: https://youtu.be/vNa37tOB4rE   Insight and Judgement Simpsons: no longer available Mr. Magoo: https://youtu.be/eWEnzLFd4P4?t=201   Cognition Still Alice: https://youtu.be/mhiXAJO8kBc?t=67 Resources: MSE template: https://www.therapistaid.com/therapy-worksheet/mental-status-exam Emotion wheel: https://feelingswheel.com/ MSE vocabulary: http://www.columbia.edu/itc/hs/medical/psychmed/1_2004/mental_status_exam.pdf References: Bell, R. (1977). The Mental Status Examination. 16(5).Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). “Mini-mental state”: a practical method for grading the cognitive state of patients for the clinician. Journal of psychiatric research, 12(3), 189-198. Donnelly, J., Rosenberg, M., & Fleeson, W. P. (1970). The evolution of the mental status—past and future. American Journal of Psychiatry, 126(7), 997-1002. Norris, D. R., Clark, M. S., & Shipley, S. (2016). The Mental Status Examination. 94(8). Norton, J. W., & Corbett, J. J. (2000, February). Visual perceptual abnormalities: hallucinations and illusions. In Seminars in neurology (Vol. 20, No. 01, pp. 0111-0122). Copyright© 2000 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Notes, T. (2020). Comprehensive Medical Reference and Review for the Medical Council of Canada Qualifying Exam (MCCQE) Part I and the United States Medical Licensing Exam (USMLE) Step II 36th ed: Toronto Notes for Medical Students. Recupero, P. R. (2010). The Mental Status Examination in the Age of the Internet. The Journal of the American Academy of Psychiatry and the Law, 38(1). Robinson D. J. (2002). Mental status exam explained (2nd ed.). Rapid Psychler Press. Robinson D. J. (1998). Brain Calipers: a guide to a successful mental status exam. Rapid Psychler Press. Ross, C. A., & Leichner, P. (1988). Residents Performance on the Mental Status Examination. The Canadian Journal of Psychiatry, 33(2), 108–111. https://doi.org/10.1177/070674378803300207 Sadock, B. J., & Sadock, V. A. (2007). Kaplan & Sadock's synopsis of psychiatry: Behavioral sciences/clinical psychiatry (10th ed.). Lippincott Williams & Wilkins Publishers. Segal, D. L. (Ed.). (2019). Diagnostic interviewing. Springer. Snyderman, D., & Rovner, B. (2009). Mental status examination in primary care: a review. American family physician, 80(8), 809-814. Spencer, R. J., Noyes, E. T., Bair, J. L., & Ransom, M. T. (2022). Systematic Review of the Psychometric Properties of the Saint Louis University Mental Status (SLUMS) Examination. Clinical Gerontologist, 45(3), 454–466. https://doi.org/10.1080/07317115.2022.2032523 The Collected Papers of Adolf Meyer. Volume III: Medical Teaching. (1952) JAMA. 148(17):1544. https://www.statpearls.com/ArticleLibrary/viewarticle/24998 CPA Note: The views expressed in this podcast do not necessarily reflect those of the Canadian Psychiatric Association. For more PsychEd, follow us on Twitter (@psychedpodcast), Facebook (PsychEd Podcast), and Instagram (@psyched.podcast). You can provide feedback by email at [email protected]. For more information, visit our website at psychedpodcast.org.