VI. MENTAL STATUS EXAMA.BASELINE DATA
27 years old
August 16, 1981
Brgy. Tangub, Bacolod City
Thought broadcasting, nervousness, agitation, sleeplessness/ insomnia
Ineffective individual coping related to inadequate support system asevidenced by disturbances on REM sleep
B.History of the Present Illness
Last October 2006, M.P. was brought to BCMHCC because of the event that he knifed bothof his arms. At first, he refused to take his medications. And on that the same year, heattempted to cut his mother’s arms with a knife and hit her at the back of her head.
I.General Appearance and Behavior
The patient is a young adult male, fair-skinned, with several cut marks on both armsdressed with the institution’s provided clothing. He is also well-groomed and nails areclean. Facial expressions depend on the patient’s way of conversing. He looks at the person he talks to as a direct eye contact. He was helpful during the putting of decorations during the occupational therapy activity. Though he always came late, itis of noticeable of preparing himself to be presentable and only after his everymorning ritual of eating breakfast and grooming. There were no problems with theway he walks. He was active in doing activities.
II.Characteristics of Speech
The patient is coherent and his words are easy to understand. And due to the reason thathe had been staying in Texas for years, he already had the American accent inspeaking English. He talks fast but can be understood easily. He talks in a moderatevolume enough to be heard each time of conversation.
III.Mood and Affect
The patient on the first day of interview was laughing whenever he hears jokes. He iseven familiarized with the songs playing and asked for its artist and title, sortremembering and organizing memories. He showed emotions of missing his family but then shows a stable mood that does not affect his daily activities almost akin toenthusiasm.
IV.Forms of Thought or Content of Thought
The patient answered to questions being asked and even admitted that he was confinedin a rehabilitation center in Manila. He gave a statement that he came from the statesand wanted to have “freedom”. He also admitted of having auditory and convincedhallucinations letting him hurt himself and others.