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MENTAL STATUS EXAMINATION:
Appearance: Patient is , , , . is OBESE is OVERWEIGHT is UNDERWEIGHT is EMACIATED appears OLDER THAN STATED AGE appears YOUNGER THAN STATED AGE has DYSMORPHIC features is UNSHAVEN has WOUNDS has SCARS has BLOOD STAINS has BRUISES has BANDAGES is in RESTRAINTS has TATTOOS has worn JEWELLERY has glasses has dental braces has missing LIMB is REEKING OF SMELL OF ALCOHOL emanates BODY ODOUR has worn SOILED CLOTHES has EXCORIATIONS has INFESTATIONS has INJECTION TRACK MARKS has signs of SELF HARM is UNDRESSED is UNDERDRESSED is OVERDRESSED is BIZARRELY DRESSED has worn UNIFORM was TEARFUL during interview.
Behavior: Psychomotor activity appears . has no epse has no abnormal involuntary movements has FINE TREMORS has FINE TREMORS IN OUTSTRETCHED HANDS has COARSE TREMORS has PERIORAL TREMORS has RESTING TREMORS has ACTION TREMORS has INTENTION TREMOR has MOTOR TICS has CHOREA has ATHETOID MOVEMENTS has DYSTONIA has MYOCLONUS has reduced ARM SWING has walks WITH A LIMP has SHUFFLING GAIT needs ASSISTANCE for ambulation is on a WHEELCHAIR is on a STRETCHER was observed FORMICATING was observed PULLING THREADS FROM CLOTHES was observed SELF-MUTTERING was observed GESTURING IN AIR suggestive of HALLUCINATORY BEHAVIOR demonstrates STEREOTYPIES demonstrates MANNERISM demonstrates WAXY FLEXIBILITY demonstrates POSTURING demonstrates GRIMACING demonstrates MITMACHEN demonstartes MITGEHEN demonstartes GEGENHALTEN demonstrates NEGATIVISM demonstrates ECHOPRAXIA demonstrates AUTOMATISM demonstrates AMBITENDENCY demonstartes PSYCHOLOGICAL PILLOW Pseudoseizure could be elicited with suggestion Movement disorder could be elicited with suggestion demonstrates hysterical paralysis parasthesia ataxia blindness aphonia other conversion features Suggestibility was tested using falling backward suggestion tired eyelid test hand sticking test circle test.
Speech: Patients speech , , , , SLURRING STAMMERING TREMULOUS VOICE MUMBLING DIFFICULTY FINDING WORDS LOW VOCABULARY NEOLOGISM ECHOLALIA PERSEVERATION DYSPROSODY DYSARTHRIA ANOMIA MOTOR APHASIA SENSORY APHASIA GLOBAL APHASIA APHASIA.
Affect & Mood: Presents with , affect which is , , reported mood (inferred as ).
Thought process: , , PREOCCUPATIONS RUMINATIONS RACING THOUGHTS FLIGHTS OF IDEAS PROLIXITY CLANG ASSOCIATIONS LOOSE ASSOCIATIONS THOUGHT BLOCKING WORD SALAD PERSEVERATION NEOLOGISMS IRRELEVANT ANSWERS CONCRETE IDEAS.
WORRIES FEARS PREOCCUPATIONS RUMINATIONS SOMATIC PREOCCUPATIONS PHOBIA SITUATIONAL ANXIETY LOW SELF ESTEEM NEGATIVE COGNITIONS SELF BLAME EGOMANIA MONOMANIA HYPOCHONDRIACAL THOUGHTS OBSESSION COMPULSION OVERVALUED IDEAS PARANOID IDEAS OVERVALUED IDEAS OF PERSECUTION OVERVALUED IDEAS OF REFERENCE RAISED SELF ESTEEM GRANDIOSE IDEAS DELUSION OF PERSECUTION DELUSION OF REFERENCE DELUSION OF CONTROL DELUSION OF INFIDELITY DELUSION OF GRANDIOSE SOMATIC DELUSION NIHIISTIC DELUSION DELUSION OF GUILT DELUSION OF POVERTY DELUSION OF INFESTATION DELUSION OF LOVE DELUSIONAL MISIDENTIFICATION CAPGRAS DELUSION FREGOLI DELUSION THOUGHT INSERTION THOUGHT BROADCASTING PRIMARY SECONDARY MOOD CONGRUENT MOOD INCONGRUENT BIZARRE SYSTEMATIZED BODY IMAGE ISSUES IDEAS THAT IS TOO FAT IDEAS THAT IS TOO THIN SEXUAL PREOCCUPATIONS MASTURBATION WORRIES EMISSION WORRIES.
Perception: demonstrates AUDITORY HALLUCINATIONS simple noises music voices male female both male and female inside head outside head from near from far distance clear whispering 1st person 2nd person 3rd person derogatory content pleasant content commanding causing distress patient acts on commands patient resists commands, demonstrates VISUAL HALLUCINATIONS demonstrates LILLIPUTIAN HALLUCINATIONS demonstrates OLFACTORY HALLUCINATIONS demonstrates TACTILE HALLUCINATIONS demonstrates PHANTOM LIMB demonstrates GUSTATORY HALLUCINATIONS SYNESTHETIC/REFLEX HALLUCINATIONS CENESTHETIC HALLUCINATIONS EXTRACAMPINE AUTOSCOPIC MOOD CONGRUENT MOOD INCONGRUENT FUNCTIONAL PSEUDOHALLUCINATION HYPNOGOGIC HYPNOPOMPIC reported HYPERAESTHESIA reported HYPOACUSIS reported VISUAL DISTORTION reported MICROPSIA reported MACROPSIA reported ILLUSION reported FANTASTIC ILLUSION reported PAREDOLIA reported DEREALIZATION reported DEPERSONALIZATION reported DISSOCIATION reported ABNORMAL EXPERIENCE OF PASSAGE OF TIME.
Insight:
Judgment:
based on the ability to attend during the interview process understand the questions and respond recall verifiable historical information. with appropriate attention span and concentration intact ability to recall recent and remote information normal abstraction.

Patient was DISORIENTED to person place time day of week date month yearorientation
During interview patient appeared attentive. DISTRACTIBLE. APATHIC. Attention and concentration was assessed using digit span serial seven subtraction from 100 serial three subtraction from 30 serial one subtraction for 20 naming of month backwards naming of days of weeks backwards spelling word backwards . Attention and concentration was intact. . Had PROBLEMS WITH ATTENTION AND CONCENTRATION.attention and concentration
Perseveration was assessed using copying of changing patterns repeating number letter combination tapping a letter A . Did not show perseveration . SHOWED SIGNS OF PERSEVERATIONperseveration
Immediate recall was tested by 3 word repetition brief paired associate test learning of name and address figure drawing . Immediate memory was intact . IMMEDIATE MEMORY WAS IMPAIREDimmediate memory
Recent memory was tested by delayed 3 word repetition delayed brief paired associate recall delayed recall of name and address delayed figure drawing asking the patient to describe last meal . Recent memory was intact . RECENT MEMORY WAS IMPAIREDrecent memory
Remote memory was tested by recall of historic events recall of personal verifiable information . Remote memory was intact . REMOTE MEMORY WAS IMPAIREDremote memory
Language was assessed by having him/her write having him/her repeat sentences observing the patients fluency having him/her carry our commands having him/her name parts of objects having him/her read and comprehend . The patient did not have any aphasia alexia agraphia . The patient showed signs of APHASIA ALEXIA AGRAPHIAlanguage
Agnosia was assessed for by writing letter on patients hand having him/her identify coins having him/her name his fingers having him/her point to right and left body parts . The patient did not have agnosia. . The patient showed signs of AGNOSIA.agnosia
Apraxia was assessed for by asking the patient to perform action such as blow out a match stick(buccofacial) use a hammer(limb) swing a bat(body) act of toothbrushing(ideational) draw or copy figure(s) draw a clock face . The patient did not have apraxia. . The patient showed signs of APRAXIA.apraxia
Considering patients educational background calculation ability was assessed using simple addition and multiplication slightly difficult arithmetic without using paper and pencil difficult arithmetic using paper and pencil . Patient did not show dyscalculia. . Patient showed signs of DYSCALCULIA.calculation
Executive functions were assessed using think about similarities proverb interpretation set generation (letter) set generation (animal) Luria motor test Go-no-go test frontal release reflexesfrontal lobe function
Visual agnosia was assessed for by matching test incomplete letter test matching dissimilar objects having him/her identify faces of famous people color naming color pointing global letter test mixed figure test . The patient did not have visual agnosia. . The patient showed signs of VISUAL AGNOSIA.visual agnosia

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