Brooks W. Baer – Conducting an Effective Mental Status Exam & Risk Assessment
- Maximize the exam to ensure correct diagnosis
- Recognize indicators of violence
- Make decisions about appropriate treatment settings
- Strengthen your core diagnostic skills
- Write clear, comprehensive reports
- Discover a systematic strategy for risk assessment
Watch this recording and learn the essentials of a good mental status exam. Understand how it supports your diagnostic decisions and shapes your treatment plan and interventions. A well conducted mental status exam becomes the cornerstone of accurate diagnosis and effective treatment planning. This seminar is guaranteed to sharpen your interview and diagnostic skills. You will discover the rationale behind this, and learn to use it as an effective tool to help the patient tell their experience. As the patient reveals their inner experience you will uncover the symptoms of mental disorders.
In addition to the identification of mental illnesses, a well conducted mental status exam helps you identify individuals who represent danger to themselves and others. Learn what the signs are for potential violence and as well as the appropriate clinical response.
- Gain an understanding of the purpose of the mental status exam.
- Strengthen your core diagnostic skills.
- Summarize what each section of the mental status exam is intended toreveal to you.
- Enhance your ability to write a mental status exam in a professional manner.
- Recognize precursors to violent behavior.
- Recognize precursors to suicide.
Written Sections of a Psychiatric Evaluation
- Subjective
- Chief complaint
- History of present illness or symptoms
- Social or family history
- Review of systems
Appearance, Attitude, Activity & Movement
Mood
- Six clusters of terms to describe mood and affect
Affect
- Terms to describe parameters of affect
Thought Processes
- Positive and Negative symptoms
- Abnormalities of thought process
- Less common abnormalities
- Abnormalities of thought content and perception
- Types of delusions
- Types of obsessions
- Diagnostic significance of obsession and preoccupations
- Abstraction
- Concreteness
Speech and Language
- Fluency of speech
- Repetition
- Comprehension
- Naming
- Prosody
- Quality of speech
Perception
- Depersonalization
- Derealization
- Hallucinations: auditory, command, & visual
- Tactile
- Gustatory
- Olfactory
Cognition
- Elements of intact cognition
- Attention and concentration
- Deficits in attention and focus
- Short-term memory
- Long-term memory
- Confabulation
- Semantic memory
Insight and Judgment
Defense Mechanisms
- Mature, neurotic, immature, & psychotic
RISK ASSESSMENT
Essential Elements of Danger to Self
- History
- Predictive value of previous attempts
- Stated intent
- Psychosocial risk factors
- Specific suicide inquiry
Essential Elements of Danger to Others
- History
- Affective violence
- Instrumental violence
- Stated intent
- Ego syntonic vs. ego dystonic
- Psychosis
What is health?
The word health refers to a state of complete emotional and physical well-being. Healthcare exists to help people maintain this optimal state of health.
According to the Centers for Disease Control and Prevention (CDC), healthcare costs in the United States were $3.5 trillionTrusted Source in 2017.
However, despite this expenditure, people in the U.S. have a lower life expectancy than people in other developed countries. This is due to a variety of factors, including access to healthcare and lifestyle choices.
Good health is central to handling stress and living a longer, more active life. In this article, we explain the meaning of good health, the types of health a person needs to consider, and how to preserve good health.
In 1948, the World Health Organization (WHO)Trusted Source defined health with a phrase that modern authorities still apply.
“Health is a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity.”
In 1986, the WHOTrusted Source made further clarifications:
“A resource for everyday life, not the objective of living. Health is a positive concept emphasizing social and personal resources, as well as physical capacities.”
This means that health is a resource to support an individual’s function in wider society, rather than an end in itself. A healthful lifestyle provides the means to lead a full life with meaning and purpose.
In 2009, researchers publishing inThe LancetTrusted Source defined health as the ability of a body to adapt to new threats and infirmities.
They base this definition on the idea that the past few decades have seen modern science take significant strides in the awareness of diseases by understanding how they work, discovering new ways to slow or stop them, and acknowledging that an absence of pathology may not be possible.
Brooks W. Baer – Conducting an Effective Mental Status Exam & Risk Assessment
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