[Solved] Mental Status-WEEK 3

Assignment Prompt & Instructions

## Mental Status

– a month ago

**files (6)**

– ## Module3-ASSIGNMENT.docx

– MSEtemplate.docx
– PsychiatricEvaluationTemplate.docx
– PsychiatricReviewofSystems.docx
– Table_1-7_Psychiatric_Repor-pg25.pdf
– Wheeler_Chapter_3_pp_105-145.pdf

**## Module3-ASSIGNMENT.docx**

**Directions:**

Watch the attached video of the mental status exam (MSE) between a psychiatric provider and a depressed patient. Use the
**MSE template** **attachment provided** to document your findings.
**NOTE: be as detailed as possible!** _i. e. patient appears to have good hygiene "as evidenced by presenting in clean and appropriate clothing and does not emit body odor";  patient is calm and relaxed  "as evidenced by…";_ **DO NOT USE any abbreviations such as  "A/O x'3"… that is NOT acceptable**. Please use full sentences and "as evidenced by" in your findings.

**Also, reflect on the process, considering how it enhanced your understanding of the MSE in a separate paragraph.**

Use full APA 7th edition format;
**Minimum of 5 references**

**Mental Status Exam**

**(Follow Kaplan and Sadock template on p. 25)**

**Please see the rubric for details.**

**References:** Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions.
**Use scholarly sources to support your claims. PEER REVIEW ARTICLES ONLY.** Scholarly articles
**from**
**2021 to 2026 only. (Within the last five years) Please review your spelling and the rubric.** **Please use North American peer-reviewed journals ONLY.DO NOT use any European Journal.**

1. Boland, R. J., Verduin, M. L., & Ruiz, P. (2022). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (12th ed.). Lippincott Williams & Wilkins.
**Ch. 1 p. 1-89**

2. Wheeler, Kathleen (2022). Psychotherapy for the advanced practice psychiatric nurse: a how-to guide for evidence-based practice (4th ed.). New York, NY: Springer Publishing Company LLC.
**Wheeler, Ch. 3, pp. 105-145**

3. Carlat, D. J. (2026). The psychiatric interview (5th ed.). Lippincott Williams & Wilkins.
**Ch 1-4, pp. 15-35.**

[https://youtu.be/5fK3IDR-Rp8?si=YhyKOyVslkiRASFs](https://youtu.be/5fK3IDR-Rp8?si=YhyKOyVslkiRASFs)

transcript:

**Intro**

0:03

[Music]

**Background**

0:18

hello I'm Jade I'm one of the doctors

**Opening consultation**

0:21

from the Psychiatry team

0:23

can I please just check your name and

0:25

date of birth

0:27

um it's it's

0:29

um Jane

**Appearance, Behavior & Speech**

0:32

Jane Sheraton and um

0:36

it's the 3rd of May

0:39

68. okay

0:42

and I've been told that you've come into

0:44

hospital because one of your friends was

0:46

worried about your mental health is that

0:48

right

**Mood & Affect**

0:50

yeah yeah

0:52

could you tell me a bit about how you've

0:54

been feeling

0:57

it's very really sad

1:02

just

1:04

just sad

1:08

how long has that been going on for

1:11

foreign

1:12

a few weeks now

1:17

so anything in particular that's been

1:19

going on recently

1:24

so I I am

1:27

I lost my job

1:32

you really love that

1:37

that sounds really really difficult it

1:40

was it is it's really hard

1:46

I guess you know that all sounds like a

1:48

lot going on

1:51

if you've been able to kind of do

1:53

anything you enjoy

1:56

I I don't do anything any I I don't

2:01

enjoy anything I

2:05

don't do anything I don't do anything

2:08

anymore

2:12

it's done

2:16

I just

2:18

cry I just can't stop crying I just

2:22

hmm

2:25

kind of things would you have done

2:26

before

2:31

damn

2:34

I don't see friends

2:38

I I don't really I don't

2:42

I don't have really friends now

2:49

I

2:50

um I'd quite right

2:52

go running but I just don't come can't

2:56

don't

2:58

just don't have don't have any one or

3:03

don't do anything

3:07

hey

3:08

I hope you've been sleeping

3:12

oh

3:14

I just slipped really bad because I am

3:19

I just keep waking up just

3:24

just waking up and just

3:27

thinking about

3:30

how

3:32

how bad I am I've done

3:35

I've let I've let so many people down I

3:39

just I can't sleep

3:43

just let lots of people

3:45

[Music]

3:47

okay why is everything

3:54

I I've lost my job it must be my fault

3:58

I've I've left I left the team down and

4:05

it's really let my son down

4:09

because I

4:11

I I have

4:15

I've got no more money now and I I

4:19

just really want to pay for him

4:24

you know for University and I I'm just a

4:28

really bad mum because I just can't I

4:30

can't afford to no I haven't got a job

4:36

just in terms of with the way that

4:39

you've been feeling and everything

4:40

that's been going on have you been

4:42

managing to look after yourself

4:46

I just can't

4:47

it

4:49

just don't see the point

4:53

have you been eating

4:56

no

5:00

no just some mum

5:05

it's a bit of toast

5:08

oh

**Risk assessment**

5:10

okay

5:12

sometimes when people have been dealing

5:14

with things like this they might try

5:16

drugs or alcohol as a way of coping

5:19

is that something that you've tried

5:23

no

5:25

and things ever felt so bad that you've

5:29

thought of harming yourself or ending

5:32

your life

5:36

okay yes

5:40

I'm really sorry I'm really sorry I'm

5:43

just okay

5:44

I'm sorry I know it's a really difficult

5:46

thing no I'm just sorry to waste your

5:48

time I'm just not worth helping there'll

5:51

be other people there's other people

5:53

that you should be helping not me I'm

5:55

just not worth it

5:57

what is it that you've thought about

5:59

doing

6:01

well I mean I don't know if I'd actually

6:04

do it but I am

6:05

I I I I am I but I I've been buying

6:11

paracetamols

6:14

okay I just don't think things are gonna

6:18

get any better I just

6:21

I just say

6:24

did you made any plans to take those

6:27

pills

6:29

I

6:30

um

6:34

I I

6:35

I don't want to be here but I I

6:39

um

6:40

I I don't know if if I would but I am

6:45

feel so bad that I just

6:48

thought I should let me write a note for

6:51

my son or

6:54

yeah I did think about checking my wheel

7:00

I mean I I don't know if I would do it

7:02

but I

7:06

I think

7:08

is there anything that would stop you

7:10

from doing something like that

7:16

no I

7:20

don't think so because I just don't

7:23

think anything's going

7:25

to have you had any thoughts about

7:27

wanting to harm anyone else at any point

7:31

no no

**Thought**

7:33

have you ever been worried that other

7:36

people might be able to hear or

7:39

interfere with your thoughts at all

7:42

no no

7:44

or have you ever been worried that

7:46

someone might be controlling your

7:48

thoughts or what you do

7:52

no no okay

7:54

and

**Perception**

7:56

to the questions sometimes people have

7:59

been feeling the way you do at the

8:01

moment they might have seen or heard

8:04

kind of abnormal things they can't

8:06

explain is that something you've

8:08

experienced no no no no no

**Cognition**

8:11

then just a couple questions and

8:15

do you do you know where we are right

8:17

now

8:19

yeah yeah would you be able to tell me

8:22

I'm just

8:23

with the a e that my friend brought me

8:27

to yeah

8:28

and

8:29

you know roughly what time it is

8:36

and can you remember who I am

8:40

um I've forgotten your name but yours

**Insight & Judgement**

8:41

that you're the doctor yeah yeah

8:44

I think it's possible that the way

8:46

you've been feeling recently might be

8:48

affecting your thinking

8:53

um

8:55

I I know I'm I'm depressed

9:02

pot

9:06

no I died just

9:09

things won't get better

9:12

is there anything that you think we

9:14

could do to help you that might help you

9:16

get through this

9:21

I just don't think anyone can help

9:24

I don't think anyone can

**Closing consultation**

9:31

well thank you very much for speaking to

9:33

me today I know that must be really

9:35

difficult to talk about

9:37

think it'd be best if I go speak with my

9:40

team to see what we can do to help you

9:42

would that be okay

**MSE Summary**

9:46

you got any questions for me at the

9:48

moment

9:50

no thanks no no

9:53

okay well thank you very much for

9:55

speaking to me today today I assessed

9:58

Jane Sheraton a 48 year old lady

10:00

presenting with low mood and suicidal

10:03

ideation on a background of significant

10:06

social stresses for the last couple of

10:08

weeks she has been struggling with

10:10

suicidal ideation and has been

10:12

stockpiling paracetamol

10:14

she states that her friends and family

10:16

would be better off without her on

10:19

examination she appeared sad and tearful

10:22

with poor eye contact and evidence of

10:24

psychomotor retardation Jane's speech

10:28

was slow and monotonous she described

10:31

her mood as low with evidence of

10:33

anhedonia poor concentration and early

10:36

morning waking her affect was blunted

10:40

Jane described mood congruent cognitions

10:43

of hopelessness

10:45

burdensomeness and guilt her thoughts

10:48

were linear and there was no evidence of

10:50

formal thought disorder she denied any

10:53

perceptual abnormalities Jane was

10:55

oriented to time place and person

10:58

Jane demonstrated partial Insight but

11:01

she does not believe that her cognitions

11:03

of guilt or hopelessness could be

11:05

related to a mental health disorder in

11:08

terms of risk during reports ongoing

11:10

thoughts of suicide with plans to take

11:13

paracetamol overdose she is at risk of

11:15

self-neglect due to struggling with

11:18

self-care she denied any thoughts or

11:20

intent to harm others

11:23

if you enjoyed this video check out the

11:25

geeky Medics collection of over 500 oski

11:27

stations and put your Roski skills to

11:29

the test you can practice with friends

11:31

create your own study group or team up

11:34

with another member of the geeky Medics

11:36

Community with our oski match feature

11:38

sign up today to access our selection of

11:41

free oski stations

11:43

[Music]

**MSEtemplate.docx**

This file is too large to display. [View in new window](https://www.sweetstudy.com/files/msetemplate-docx-10596363)

**PsychiatricEvaluationTemplate.docx**

This file is too large to display. [View in new window](https://www.sweetstudy.com/files/psychiatricevaluationtemplate-docx-10596365)

**PsychiatricReviewofSystems.docx**

This file is too large to display. [View in new window](https://www.sweetstudy.com/files/psychiatricreviewofsystems-docx)

**Table_1-7_Psychiatric_Repor-pg25.pdf**

This file is too large to display. [View in new window](https://www.sweetstudy.com/files/table-1-7-psychiatric-repor-pg25-pdf-10596367)

**Wheeler_Chapter_3_pp_105-145.pdf**

This file is too large to display. [View in new window](https://www.sweetstudy.com/files/wheeler-chapter-3-pp-105-145-pdf)

**Wheeler_Chapter_3_pp_105-145.pdf**

This file is too large to display. [View in new window](https://www.sweetstudy.com/files/wheeler-chapter-3-pp-105-145-pdf)

**## Module3-ASSIGNMENT.docx**

**Directions:**

Watch the attached video of the mental status exam (MSE) between a psychiatric provider and a depressed patient. Use the
**MSE template** **attachment provided** to document your findings.
**NOTE: be as detailed as possible!** _i. e. patient appears to have good hygiene "as evidenced by presenting in clean and appropriate clothing and does not emit body odor";  patient is calm and relaxed  "as evidenced by…";_ **DO NOT USE any abbreviations such as  "A/O x'3"… that is NOT acceptable**. Please use full sentences and "as evidenced by" in your findings.

**Also, reflect on the process, considering how it enhanced your understanding of the MSE in a separate paragraph.**

Use full APA 7th edition format;
**Minimum of 5 references**

**Mental Status Exam**

**(Follow Kaplan and Sadock template on p. 25)**

**Please see the rubric for details.**

**References:** Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions.
**Use scholarly sources to support your claims. PEER REVIEW ARTICLES ONLY.** Scholarly articles
**from**
**2021 to 2026 only. (Within the last five years) Please review your spelling and the rubric.** **Please use North American peer-reviewed journals ONLY.DO NOT use any European Journal.**

1. Boland, R. J., Verduin, M. L., & Ruiz, P. (2022). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (12th ed.). Lippincott Williams & Wilkins.
**Ch. 1 p. 1-89**

2. Wheeler, Kathleen (2022). Psychotherapy for the advanced practice psychiatric nurse: a how-to guide for evidence-based practice (4th ed.). New York, NY: Springer Publishing Company LLC.
**Wheeler, Ch. 3, pp. 105-145**

3. Carlat, D. J. (2026). The psychiatric interview (5th ed.). Lippincott Williams & Wilkins.
**Ch 1-4, pp. 15-35.**

[https://youtu.be/5fK3IDR-Rp8?si=YhyKOyVslkiRASFs](https://youtu.be/5fK3IDR-Rp8?si=YhyKOyVslkiRASFs)

transcript:

**Intro**

0:03

[Music]

**Background**

0:18

hello I'm Jade I'm one of the doctors

**Opening consultation**

0:21

from the Psychiatry team

0:23

can I please just check your name and

0:25

date of birth

0:27

um it's it's

0:29

um Jane

**Appearance, Behavior & Speech**

0:32

Jane Sheraton and um

0:36

it's the 3rd of May

0:39

68. okay

0:42

and I've been told that you've come into

0:44

hospital because one of your friends was

0:46

worried about your mental health is that

0:48

right

**Mood & Affect**

0:50

yeah yeah

0:52

could you tell me a bit about how you've

0:54

been feeling

0:57

it's very really sad

1:02

just

1:04

just sad

1:08

how long has that been going on for

1:11

foreign

1:12

a few weeks now

1:17

so anything in particular that's been

1:19

going on recently

1:24

so I I am

1:27

I lost my job

1:32

you really love that

1:37

that sounds really really difficult it

1:40

was it is it's really hard

1:46

I guess you know that all sounds like a

1:48

lot going on

1:51

if you've been able to kind of do

1:53

anything you enjoy

1:56

I I don't do anything any I I don't

2:01

enjoy anything I

2:05

don't do anything I don't do anything

2:08

anymore

2:12

it's done

2:16

I just

2:18

cry I just can't stop crying I just

2:22

hmm

2:25

kind of things would you have done

2:26

before

2:31

damn

2:34

I don't see friends

2:38

I I don't really I don't

2:42

I don't have really friends now

2:49

I

2:50

um I'd quite right

2:52

go running but I just don't come can't

2:56

don't

2:58

just don't have don't have any one or

3:03

don't do anything

3:07

hey

3:08

I hope you've been sleeping

3:12

oh

3:14

I just slipped really bad because I am

3:19

I just keep waking up just

3:24

just waking up and just

3:27

thinking about

3:30

how

3:32

how bad I am I've done

3:35

I've let I've let so many people down I

3:39

just I can't sleep

3:43

just let lots of people

3:45

[Music]

3:47

okay why is everything

3:54

I I've lost my job it must be my fault

3:58

I've I've left I left the team down and

4:05

it's really let my son down

4:09

because I

4:11

I I have

4:15

I've got no more money now and I I

4:19

just really want to pay for him

4:24

you know for University and I I'm just a

4:28

really bad mum because I just can't I

4:30

can't afford to no I haven't got a job

4:36

just in terms of with the way that

4:39

you've been feeling and everything

4:40

that's been going on have you been

4:42

managing to look after yourself

4:46

I just can't

4:47

it

4:49

just don't see the point

4:53

have you been eating

4:56

no

5:00

no just some mum

5:05

it's a bit of toast

5:08

oh

**Risk assessment**

5:10

okay

5:12

sometimes when people have been dealing

5:14

with things like this they might try

5:16

drugs or alcohol as a way of coping

5:19

is that something that you've tried

5:23

no

5:25

and things ever felt so bad that you've

5:29

thought of harming yourself or ending

5:32

your life

5:36

okay yes

5:40

I'm really sorry I'm really sorry I'm

5:43

just okay

5:44

I'm sorry I know it's a really difficult

5:46

thing no I'm just sorry to waste your

5:48

time I'm just not worth helping there'll

5:51

be other people there's other people

5:53

that you should be helping not me I'm

5:55

just not worth it

5:57

what is it that you've thought about

5:59

doing

6:01

well I mean I don't know if I'd actually

6:04

do it but I am

6:05

I I I I am I but I I've been buying

6:11

paracetamols

6:14

okay I just don't think things are gonna

6:18

get any better I just

6:21

I just say

6:24

did you made any plans to take those

6:27

pills

6:29

I

6:30

um

6:34

I I

6:35

I don't want to be here but I I

6:39

um

6:40

I I don't know if if I would but I am

6:45

feel so bad that I just

6:48

thought I should let me write a note for

6:51

my son or

6:54

yeah I did think about checking my wheel

7:00

I mean I I don't know if I would do it

7:02

but I

7:06

I think

7:08

is there anything that would stop you

7:10

from doing something like that

7:16

no I

7:20

don't think so because I just don't

7:23

think anything's going

7:25

to have you had any thoughts about

7:27

wanting to harm anyone else at any point

7:31

no no

**Thought**

7:33

have you ever been worried that other

7:36

people might be able to hear or

7:39

interfere with your thoughts at all

7:42

no no

7:44

or have you ever been worried that

7:46

someone might be controlling your

7:48

thoughts or what you do

7:52

no no okay

7:54

and

**Perception**

7:56

to the questions sometimes people have

7:59

been feeling the way you do at the

8:01

moment they might have seen or heard

8:04

kind of abnormal things they can't

8:06

explain is that something you've

8:08

experienced no no no no no

**Cognition**

8:11

then just a couple questions and

8:15

do you do you know where we are right

8:17

now

8:19

yeah yeah would you be able to tell me

8:22

I'm just

8:23

with the a e that my friend brought me

8:27

to yeah

8:28

and

8:29

you know roughly what time it is

8:36

and can you remember who I am

8:40

um I've forgotten your name but yours

**Insight & Judgement**

8:41

that you're the doctor yeah yeah

8:44

I think it's possible that the way

8:46

you've been feeling recently might be

8:48

affecting your thinking

8:53

um

8:55

I I know I'm I'm depressed

9:02

pot

9:06

no I died just

9:09

things won't get better

9:12

is there anything that you think we

9:14

could do to help you that might help you

9:16

get through this

9:21

I just don't think anyone can help

9:24

I don't think anyone can

**Closing consultation**

9:31

well thank you very much for speaking to

9:33

me today I know that must be really

9:35

difficult to talk about

9:37

think it'd be best if I go speak with my

9:40

team to see what we can do to help you

9:42

would that be okay

**MSE Summary**

9:46

you got any questions for me at the

9:48

moment

9:50

no thanks no no

9:53

okay well thank you very much for

9:55

speaking to me today today I assessed

9:58

Jane Sheraton a 48 year old lady

10:00

presenting with low mood and suicidal

10:03

ideation on a background of significant

10:06

social stresses for the last couple of

10:08

weeks she has been struggling with

10:10

suicidal ideation and has been

10:12

stockpiling paracetamol

10:14

she states that her friends and family

10:16

would be better off without her on

10:19

examination she appeared sad and tearful

10:22

with poor eye contact and evidence of

10:24

psychomotor retardation Jane's speech

10:28

was slow and monotonous she described

10:31

her mood as low with evidence of

10:33

anhedonia poor concentration and early

10:36

morning waking her affect was blunted

10:40

Jane described mood congruent cognitions

10:43

of hopelessness

10:45

burdensomeness and guilt her thoughts

10:48

were linear and there was no evidence of

10:50

formal thought disorder she denied any

10:53

perceptual abnormalities Jane was

10:55

oriented to time place and person

10:58

Jane demonstrated partial Insight but

11:01

she does not believe that her cognitions

11:03

of guilt or hopelessness could be

11:05

related to a mental health disorder in

11:08

terms of risk during reports ongoing

11:10

thoughts of suicide with plans to take

11:13

paracetamol overdose she is at risk of

11:15

self-neglect due to struggling with

11:18

self-care she denied any thoughts or

11:20

intent to harm others

11:23

if you enjoyed this video check out the

11:25

geeky Medics collection of over 500 oski

11:27

stations and put your Roski skills to

11:29

the test you can practice with friends

11:31

create your own study group or team up

11:34

with another member of the geeky Medics

11:36

Community with our oski match feature

11:38

sign up today to access our selection of

11:41

free oski stations

11:43

[Music]

**MSEtemplate.docx**

This file is too large to display. [View in new window](https://www.sweetstudy.com/files/msetemplate-docx-10596363)

**PsychiatricEvaluationTemplate.docx**

This file is too large to display. [View in new window](https://www.sweetstudy.com/files/psychiatricevaluationtemplate-docx-10596365)

**PsychiatricReviewofSystems.docx**

This file is too large to display. [View in new window](https://www.sweetstudy.com/files/psychiatricreviewofsystems-docx)

**Table_1-7_Psychiatric_Repor-pg25.pdf**

This file is too large to display. [View in new window](https://www.sweetstudy.com/files/table-1-7-psychiatric-repor-pg25-pdf-10596367)

**Wheeler_Chapter_3_pp_105-145.pdf**

This file is too large to display. [View in new window](https://www.sweetstudy.com/files/wheeler-chapter-3-pp-105-145-pdf)

**## Module3-ASSIGNMENT.docx**

**Directions:**

Watch the attached video of the mental status exam (MSE) between a psychiatric provider and a depressed patient. Use the
**MSE template** **attachment provided** to document your findings.
**NOTE: be as detailed as possible!** _i. e. patient appears to have good hygiene "as evidenced by presenting in clean and appropriate clothing and does not emit body odor";  patient is calm and relaxed  "as evidenced by…";_ **DO NOT USE any abbreviations such as  "A/O x'3"… that is NOT acceptable**. Please use full sentences and "as evidenced by" in your findings.

**Also, reflect on the process, considering how it enhanced your understanding of the MSE in a separate paragraph.**

Use full APA 7th edition format;
**Minimum of 5 references**

**Mental Status Exam**

**(Follow Kaplan and Sadock template on p. 25)**

**Please see the rubric for details.**

**References:** Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions.
**Use scholarly sources to support your claims. PEER REVIEW ARTICLES ONLY.** Scholarly articles
**from**
**2021 to 2026 only. (Within the last five years) Please review your spelling and the rubric.** **Please use North American peer-reviewed journals ONLY.DO NOT use any European Journal.**

1. Boland, R. J., Verduin, M. L., & Ruiz, P. (2022). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (12th ed.). Lippincott Williams & Wilkins.
**Ch. 1 p. 1-89**

2. Wheeler, Kathleen (2022). Psychotherapy for the advanced practice psychiatric nurse: a how-to guide for evidence-based practice (4th ed.). New York, NY: Springer Publishing Company LLC.
**Wheeler, Ch. 3, pp. 105-145**

3. Carlat, D. J. (2026). The psychiatric interview (5th ed.). Lippincott Williams & Wilkins.
**Ch 1-4, pp. 15-35.**

[https://youtu.be/5fK3IDR-Rp8?si=YhyKOyVslkiRASFs](https://youtu.be/5fK3IDR-Rp8?si=YhyKOyVslkiRASFs)

transcript:

**Intro**

0:03

[Music]

**Background**

0:18

hello I'm Jade I'm one of the doctors

**Opening consultation**

0:21

from the Psychiatry team

0:23

can I please just check your name and

0:25

date of birth

0:27

um it's it's

0:29

um Jane

**Appearance, Behavior & Speech**

0:32

Jane Sheraton and um

0:36

it's the 3rd of May

0:39

68. okay

0:42

and I've been told that you've come into

0:44

hospital because one of your friends was

0:46

worried about your mental health is that

0:48

right

**Mood & Affect**

0:50

yeah yeah

0:52

could you tell me a bit about how you've

0:54

been feeling

0:57

it's very really sad

1:02

just

1:04

just sad

1:08

how long has that been going on for

1:11

foreign

1:12

a few weeks now

1:17

so anything in particular that's been

1:19

going on recently

1:24

so I I am

1:27

I lost my job

1:32

you really love that

1:37

that sounds really really difficult it

1:40

was it is it's really hard

1:46

I guess you know that all sounds like a

1:48

lot going on

1:51

if you've been able to kind of do

1:53

anything you enjoy

1:56

I I don't do anything any I I don't

2:01

enjoy anything I

2:05

don't do anything I don't do anything

2:08

anymore

2:12

it's done

2:16

I just

2:18

cry I just can't stop crying I just

2:22

hmm

2:25

kind of things would you have done

2:26

before

2:31

damn

2:34

I don't see friends

2:38

I I don't really I don't

2:42

I don't have really friends now

2:49

I

2:50

um I'd quite right

2:52

go running but I just don't come can't

2:56

don't

2:58

just don't have don't have any one or

3:03

don't do anything

3:07

hey

3:08

I hope you've been sleeping

3:12

oh

3:14

I just slipped really bad because I am

3:19

I just keep waking up just

3:24

just waking up and just

3:27

thinking about

3:30

how

3:32

how bad I am I've done

3:35

I've let I've let so many people down I

3:39

just I can't sleep

3:43

just let lots of people

3:45

[Music]

3:47

okay why is everything

3:54

I I've lost my job it must be my fault

3:58

I've I've left I left the team down and

4:05

it's really let my son down

4:09

because I

4:11

I I have

4:15

I've got no more money now and I I

4:19

just really want to pay for him

4:24

you know for University and I I'm just a

4:28

really bad mum because I just can't I

4:30

can't afford to no I haven't got a job

4:36

just in terms of with the way that

4:39

you've been feeling and everything

4:40

that's been going on have you been

4:42

managing to look after yourself

4:46

I just can't

4:47

it

4:49

just don't see the point

4:53

have you been eating

4:56

no

5:00

no just some mum

5:05

it's a bit of toast

5:08

oh

**Risk assessment**

5:10

okay

5:12

sometimes when people have been dealing

5:14

with things like this they might try

5:16

drugs or alcohol as a way of coping

5:19

is that something that you've tried

5:23

no

5:25

and things ever felt so bad that you've

5:29

thought of harming yourself or ending

5:32

your life

5:36

okay yes

5:40

I'm really sorry I'm really sorry I'm

5:43

just okay

5:44

I'm sorry I know it's a really difficult

5:46

thing no I'm just sorry to waste your

5:48

time I'm just not worth helping there'll

5:51

be other people there's other people

5:53

that you should be helping not me I'm

5:55

just not worth it

5:57

what is it that you've thought about

5:59

doing

6:01

well I mean I don't know if I'd actually

6:04

do it but I am

6:05

I I I I am I but I I've been buying

6:11

paracetamols

6:14

okay I just don't think things are gonna

6:18

get any better I just

6:21

I just say

6:24

did you made any plans to take those

6:27

pills

6:29

I

6:30

um

6:34

I I

6:35

I don't want to be here but I I

6:39

um

6:40

I I don't know if if I would but I am

6:45

feel so bad that I just

6:48

thought I should let me write a note for

6:51

my son or

6:54

yeah I did think about checking my wheel

7:00

I mean I I don't know if I would do it

7:02

but I

7:06

I think

7:08

is there anything that would stop you

7:10

from doing something like that

7:16

no I

7:20

don't think so because I just don't

7:23

think anything's going

7:25

to have you had any thoughts about

7:27

wanting to harm anyone else at any point

7:31

no no

**Thought**

7:33

have you ever been worried that other

7:36

people might be able to hear or

7:39

interfere with your thoughts at all

7:42

no no

7:44

or have you ever been worried that

7:46

someone might be controlling your

7:48

thoughts or what you do

7:52

no no okay

7:54

and

**Perception**

7:56

to the questions sometimes people have

7:59

been feeling the way you do at the

8:01

moment they might have seen or heard

8:04

kind of abnormal things they can't

8:06

explain is that something you've

8:08

experienced no no no no no

**Cognition**

8:11

then just a couple questions and

8:15

do you do you know where we are right

8:17

now

8:19

yeah yeah would you be able to tell me

8:22

I'm just

8:23

with the a e that my friend brought me

8:27

to yeah

8:28

and

8:29

you know roughly what time it is

8:36

and can you remember who I am

8:40

um I've forgotten your name but yours

**Insight & Judgement**

8:41

that you're the doctor yeah yeah

8:44

I think it's possible that the way

8:46

you've been feeling recently might be

8:48

affecting your thinking

8:53

um

8:55

I I know I'm I'm depressed

9:02

pot

9:06

no I died just

9:09

things won't get better

9:12

is there anything that you think we

9:14

could do to help you that might help you

9:16

get through this

9:21

I just don't think anyone can help

9:24

I don't think anyone can

**Closing consultation**

9:31

well thank you very much for speaking to

9:33

me today I know that must be really

9:35

difficult to talk about

9:37

think it'd be best if I go speak with my

9:40

team to see what we can do to help you

9:42

would that be okay

**MSE Summary**

9:46

you got any questions for me at the

9:48

moment

9:50

no thanks no no

9:53

okay well thank you very much for

9:55

speaking to me today today I assessed

9:58

Jane Sheraton a 48 year old lady

10:00

presenting with low mood and suicidal

10:03

ideation on a background of significant

10:06

social stresses for the last couple of

10:08

weeks she has been struggling with

10:10

suicidal ideation and has been

10:12

stockpiling paracetamol

10:14

she states that her friends and family

10:16

would be better off without her on

10:19

examination she appeared sad and tearful

10:22

with poor eye contact and evidence of

10:24

psychomotor retardation Jane's speech

10:28

was slow and monotonous she described

10:31

her mood as low with evidence of

10:33

anhedonia poor concentration and early

10:36

morning waking her affect was blunted

10:40

Jane described mood congruent cognitions

10:43

of hopelessness

10:45

burdensomeness and guilt her thoughts

10:48

were linear and there was no evidence of

10:50

formal thought disorder she denied any

10:53

perceptual abnormalities Jane was

10:55

oriented to time place and person

10:58

Jane demonstrated partial Insight but

11:01

she does not believe that her cognitions

11:03

of guilt or hopelessness could be

11:05

related to a mental health disorder in

11:08

terms of risk during reports ongoing

11:10

thoughts of suicide with plans to take

11:13

paracetamol overdose she is at risk of

11:15

self-neglect due to struggling with

11:18

self-care she denied any thoughts or

11:20

intent to harm others

11:23

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11:25

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11:43

[Music]

**MSEtemplate.docx**

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**PsychiatricEvaluationTemplate.docx**

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**PsychiatricReviewofSystems.docx**

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**Table_1-7_Psychiatric_Repor-pg25.pdf**

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**Wheeler_Chapter_3_pp_105-145.pdf**

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