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Mental State Examination Summary


Mnemonic is ASEPTIC


A = Appearance/Behaviour

Dress / Grooming / Hygiene

Gait

Psychomotor activity

Abnormal movements

Eye contact

Attitude


S = Speech

Rate, Rhythm, Tone, Volume, Clarity and quantity


E = Emotion (mood and affect)

Mood, Affect, Congruent?, quality, range, stability


P = Perception

Hallucinations (auditory/visuaal/olfactory), Illusions, Depersonalisation, Derealisation


T = Thought content and process

Process (connected thoughts? tangential? circumstantial (off topic)?)

Content (delusions, obsessions, compulsions, suicidal, homicidal)

Possession


I = Insight and judgement

Good/partial/poor

Judgement on decisions


C = Cognition

Consciousness (e.g. alert, confused)

Orientation (PPT)

Attention/concentration

Memory

Intelligence

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