Mental Status Examination Record Form Date:
Client Name: Jim Circumstance of presentation: Presented in the
paediatric ward by his parents in order to understand
the reasons behind this mood swings, irritability and
repetitive behaviour. He is presented with other
children between the age group of three to 7 years
who have various other mental health complication
Date of Birth: 26th
Jan 2014
Gender: Male
Appearance and Behaviour
General
Appearanc
e
Clothing:
Normal and
clean
Grooming:
Normal
Other Features: Unable to
adjust the clothes while out of
washroom unlike children of
same age group
Attention
and
Attitude
Posture:
Walking
slowing with
head held
low and
staring at
the fllow
Communication
style: Mono
syllable
communication
with repetitive
words
Other Features: Refusing to
communicate with elder
however, communicating with
the children of same age
group but communication in
limited
Behaviour Rapport:
Having
limited
rapport with
the children
of same age
groups
Eye contact:
Refusal to
maintain eye
contact
Psychomotor activity:
Frequent nodding to head and
blinking of eyes when asked to
answer any question along
with Hand wringing
Other Features:
Speech
Rate: Pressured Rhythm: monotone Volume: loud
Content: The child repeats the same words three to four times in order to
answer any particular question but speaks in monosyllables. When asked to
reply do you love to eat food:, Jim said, Chicken..... Chicken.., chicken.... with
nodding to head and eyes staring at floor. Response came after 2 mins with
limited facial expression. Moreover, when asked to speak in sentence his
content is tangential that is never returning back to the original topic
Mood: Irritable
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+13062052269

info@desklib.com

Mental Status Examination Record Form

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