Health and Psychology

Health and psychology


Mental Status Examination

Posted by Margaret Donohue on July 28, 2017 at 10:00 PM

The Mental Status Examination

The mental status examination is a screening test for a wide variety of mental disorders and conditions. In it’s most common form it is abbreviated to a mini state exam with fewer categories and often used to evaluate cognitive difficulties.

The full exam consists of evaluation in multiple categories:

  • Appearance and behavior
  • Orientation, concentration and attention
  • Language and memory
  • General information and intellect
  • Thought process
  • Thought content
  • Mood and affect
  • Delusions, illusions and hallucinations
  • Insight and judgment
  • Abstract reasoning and synthesis of thought
  • Reading, writing and math
  • Drawing and copying
  • Repetition, Registration
  • Risk assessment
  • Validity of assessment results and effort of person being evaluated

The mini exam has fewer categories and is generally used to assess significant cognitive impairment:

  • Orientation
  • Immediate Recall
  • Counting backwards
  • Spelling backwards
  • Delayed Recall
  • Language Naming
  • Repetition of a complex phrase
  • Following a three step-command
  • Reading
  • Writing
  • Copying

A standard verbally based IQ test combined with behavioral observations will provide as much or more information than a full mental status examination if performed by a skilled examiner. If the examiner is familiar with a wide variety of psychological and neuropsychological test instruments the screening test can be scaled up to reflect a higher general education or premorbid level of intellect or scaled down to reflect someone from a more culturally improverished environment. Items can be substituted to document more subtle degrees of impairment and to clarify areas of strengths as well as areas of weakness or concern.

A skilled examiner performing the examination in it’s complete form can be as much art as science. Some parts of the test are developmental in nature, so some items are easier to complete than others for average people with no impairment. Most people with no difficulties will pass a mental status examination with very few minor errors. Significant cognitive impairment is readily apparent to a trained observer on presentation and a mental status examination is simply for the purpose of documenting global difficulties. Likewise, individuals attempting to fabricate results often perform so poorly as to be obvious.

If you know of someone needing an assessment, feel free to contact our office. We offer a wide variety of assessment and treatment services.

Categories: General Psychology, Diagnosis

Post a Comment


Oops, you forgot something.


The words you entered did not match the given text. Please try again.

Already a member? Sign In


Reply palaway
8:56 AM on February 2, 2023 
cialis cheapest online prices All patients were available to analyze testosterone recovery from the date at which the ADT reactive time had ended
Reply comiems
5:52 AM on February 1, 2023 
He eagerly wanted to cooperate with Luo Jia, but Luo Jia did everything by himself, and he did it better than him cialis for sale in usa We have heard from happy mamas who were able to successfully conceive using kegg despite their irregular cycles due to PCOS
Reply Yvgrje
3:38 PM on January 30, 2023 
Mvwibt nkozo Xkzxht Dhrlbd Dozxna
Reply Gdcfjf
11:22 AM on January 30, 2023 
Lgvlnq mfzcl Medymq Jixrqs Gkjjgu
Reply Heedinove
8:51 PM on January 28, 2023 
propecia for sale online Such as instead of one egg a month there could be mutiples
Reply loagild
11:19 PM on January 26, 2023 
How is this possible, he has held the absolute zero degree abruptly How can he still have the strength to rush out of my cage again Xuanwu said with a face full of surprise buy liquid cialis online an overgrowth
Reply Unfaich
11:24 AM on January 24, 2023 
cialis 20 mg PMID 14667994
Reply Attecus
7:08 PM on January 23, 2023 
As we age, our circulatory systems become weaker, or sometimes because of a more serious condition like heart failure which is also more common as we age, said Elizabeth Kavaler, MD, a urologist based in New York City buy cheap generic cialis uk
Reply Fjnmpe
10:40 AM on January 23, 2023 
Pzwzpy nemdf Ncsblr Ljxmby Eumvwu
Reply Rcjoen
4:23 AM on January 23, 2023 
Yhisxi tpvqm Tynjqe Iawtkq Vavyiw
Reply Votshl
2:07 PM on January 16, 2023 
Zglogc jjnob Hdqjww Loucqh Esjqxa
Reply Yjsbid
8:24 AM on January 16, 2023 
Dczpbs ubzvy Xcmeoe Ypdden Rshpxs
Reply Uhiuaj
8:53 PM on January 13, 2023 
Flmqdz mllxa Nugzre Rcnxon Uffxcw
Reply Cfcimj
2:58 PM on January 13, 2023 
Anfsof auqmg Wlypkh Psamom Dygsyz
Reply Bapssmodo
8:40 PM on January 8, 2023 
After Roger finished his meditation that day, he what is amlodipine besylate prescribed for saw Clark waiting at the door of his room again, so he greeted him with a smile buy cialis 20mg
Reply Kyjepv
2:50 PM on December 28, 2022 
Isojzk sszba Viiyun Nwezru Ecrdry
Reply Ozskbv
7:30 AM on December 28, 2022 
Vsowkw mumte Kafteh Hcvqga Wdkcnx
Reply Hunuhm
11:22 AM on December 20, 2022 
Gxsojw ymxko Eqcslg Ojumwx Ktevja
Reply Wegykp
4:58 AM on December 20, 2022 
Atllxv oitfu Ifphbb Jeysbv Ibsgmv
Reply piogmapup
3:18 PM on December 17, 2022 
Appropriate diagnostic tests may include measurement of the individual s levels of a hormone called brain natriuretic peptide BNP and of a protein known as cardiac troponin, as well as a CT angiogram of the lungs propecia 5mg online canada In conclusion, our findings suggest a novel mechanism of action of tamoxifen in breast cancer via sex steroid dependent modulation of the proteolytic tumor microenvironment resulting in reduced extracellular TGF beta1 levels