Detailed Mental State Examination Findings of Mrs. B

Assessment 3- Case study blog 2

Contents
Detailed Mental State Examination Findings of Mrs. B..................................................................3
General appearance and Behaviour..............................................................................................3
Level of conscious awareness......................................................................................................3
Cooperativeness and support.......................................................................................................3
Speech and language....................................................................................................................4
Emotional State............................................................................................................................4
Thought possession and stream....................................................................................................4
Other assessment information..........................................................................................................4
Diagnostic formulation....................................................................................................................5
Main goals of the care plan during Mrs. B’s stay in hospital..........................................................6
Collaboration with Mrs. B and her family for care planning..........................................................6
References........................................................................................................................................7

Detailed Mental State Examination Findings of Mrs. B
General appearance and Behaviour
Mr. B presented appropriately and her dressing style was suitable for weather. She usually chose dark
colour dresses to wear which can be associated with the gloomy mood. She had a slouching
posture which made her heads and shoulders stoop. She made minimum eye contact and looked
down frequently. These can be thought of as signs of depressive mood. Her body movements
were slow and twisting motion of her hands at the commencement of the interview suggested a
possibility of motor agitation.
Level of conscious awareness
She seemed conscious regarding the location and process of interview but in the middle of the
interviews she lost focus and seemed disoriented at several instances. Her level of alertness also
lowered during the interview. Her GCS was 15.
Cooperativeness and support
It was difficult for the attending professional to develop a rapport with her as she acted suspicious of the
procedure and the professional. She was irritable and also subconsciously had aggressive
feelings for the professional. Interviewing her was a difficult task as her thoughts were
incoherent with no links and interpenetration of personal themes.