Brooks W. Baer – Conducting an Effective Mental Status Exam & Risk Assessment

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 Brooks W. Baer – Conducting an Effective Mental Status Exam & Risk Assessment

• Maximize the exam in order to get a proper diagnosis
• Recognize signs of violence
• Take the right decisions regarding treatment settings
• Develop your core diagnostic skills
• Write clear, comprehensive reports
• A systematic strategy for risk assessment

This video will teach you the basics of a mental status exam. It will help you make the right diagnostic decisions and shape your treatment plan. A good mental status exam is the foundation of accurate diagnosis and effective planning. This seminar will improve your diagnostic skills and interviewing skills. This seminar will help you understand the reasoning behind it and how to apply it. an It is a powerful tool that allows the patient to share their experiences. The symptoms of mental disorders will be revealed as the patient shares their inner experience.

An accurate mental status exam will help you determine if someone is a danger to others and your mental health. You can learn the signs and the correct clinical response to potential violence.

• Gain an Understanding the purpose of the mental state exam.
• Your core diagnostic skills should be strengthened.
• Summarize what each section is meant to reveal about your mental state.
• Professionally improve your ability to write a mental state exam.
• Recognize the signs and symptoms of violent behavior.
• Recognize signs that may indicate suicide.

Written sections of a Psychiatric Assessment

• Subjective
• Chief complaint
• Histories of symptoms or past illness
• Social and family history
• Systems review

Appearance, Attitude, Activity & Movement

Mood

• Six groups of terms that describe mood and affect

Affect

• Parameters of affect described in terms

Thought Processes

• Both positive and negative symptoms
• Abnormalities in thought process
• A few more common abnormalities
• Abnormalities in thought content or perception
  • Types of delusions
• Types of obsessiveness
  • Diagnostic significance of obsessions and preoccupations
• Abstraction
• Concreteness

Language and speech

• Fluency in speech
• Repetition
• Comprehension
• Naming
• Prosody
• Quality of speech

Perception

• Depersonalization
• Derealization
• Hallucinations: auditory, command, & visual
  • Tactile
  • Gustatory
  • Olfactory

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Cognition

• The elements of intact cognition
• Concentration and attention
• Attention and focus deficits
• Short-Memory term
• Long-Memory term
• Confabulation
• Semantic memory

Insight and judgment

Defence Mechanisms

• Mature, neurotic, immature, & psychotic

RISK ASSESSMENT

The Essential Elements of Danger to Oneself

• History
• Predictive value of past attempts
• Declared intent
• Psychosocial risk factors
• Specific suicide inquiry

The Essential Elements of Danger To Others

• Histories
  • Affective violence
  • Instrumental violence
• Declared intent
• Ego syntonic vs. ego dystonic
• Psychosis