Mental State Examination and Intervention for a Patient with Hallucination and Depression

Student Name: Student Number:
Adult Mental Health Services
CONSUMER ASSESSMENT
Date: Time:
URN:
Family name:
Given names:
Date of birth:
Sex:
MENTAL STATE EXAMINATION
General
appearance
Through evaluating the whole interview of Harry, it is clear to know the
exact details and detect the parameters of the mental patients like Harry.
As far as the interview is concerned, Harry is suffering from the
hallucination, anxiety, and the depression. It is more complicated for the
clinicians to discuss the problem from different parameters such as the
behavior and the appearance, perception, thought process, cognition,
insight, speech mood and effect. The MSE (the mental status examination )
is the systematic process of the behavior, appearance
The appearance of Harry provides everything off his mind, when Harry is
found in the street as semi-naked. So through the appearance, it is
understood that the patient somehow is suffering from the hallucination
and depression. Through the interview process, it is clear that when the
patient does deliver the answer, he does not maintain the proper eye
contact with the interviewer. During the interview process, he looks shy
when he delivering the answer (Engdahl, 2010).
Behaviour Behaviors: While conducting the interview, it is very important to
look at the patient's behaviors. The behavior is often considered as
the non-verbal communication. The facial expression of Harry
expresses much about his imagined world where he now lives. But
on the other hand, it is interesting to find in Harry that he maintains
the common rapport with his family member. He also gives the
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exact reply on the question during the interview.
Speech
The speech given by Harry was not based on reality. The speech was
irrelevant and absurd. It did not have any practical relevance. As he stated
that he has the superpower to become invisible.
Mood and
Affect Mood: During the interview process, Harry's mood is not rude. He looks
calm and quiet. It is seen in most of the cases that the patients of the mental
look depressed. But it is the exceptional case for Harry that he happily
gives the exact reply on the question of the interviewer. But the reason for
his mental problem is somehow his hallucination and depression.
Affect: While conducting the interview, it is seen that he has the
appropriateness while giving the answer. But when asking some of the
tough questions, he gives the answer in a roundabout way.
Thought process Process: During the interview process, he has given the answer which is
full of irrelevancy. While giving the answer, he ( Harry) halt his speech. It
is seen that he has the memory loss. While conducting the interview, Harry
expresses his thought which is full of circumstantial thinking. His
irrelevant comments display everything about his mental state.
Thought content
Based on the patient's thinking it is understood the exact thought of the
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patients. But during the interview process, his ideas seem too
unreasonable. His thinking of himself is overweight. But there is no
thought of self-killing. During the interview process, it is known from him
that he has the plan of killing his brother in near future (Quigley, 2007).
Perception
He was not able to perceive the situation. His perception was totally based
on a make belief world. He was hallucinating and showing symptoms of
hallucination
Cognition
Harry showed cognitive impairment. His mental state was not right. He
showed signs of memory loss.
Judgment This process of the medical status examination refers to the proper
guidance whether the patient has the ability to solve the daily problem or
not. But in this case, the patient like Harry does not possess this quality.
Through this process, the practitioner can have the way to lead the
treatment.
Insight
Through this process, it becomes easier to detect the possible problem of
the mental health problem. Through this process, it is important to know
the possibilities of the hallucinations and the impulses of the suicide of the
patient. It also gives the best possible solution to the mental health
problem.
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