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Mental Status Evaluation (MSE) Checklist

1. Appearance 7. Thought
a. Physical Appearance. Client appears a. Thought Content. Delusions,
stated age, appears older, or appears obsessions, phobias, suicidal ideation,
younger, hairstyle, fingernails, and so homicidal ideation, and so on.
on. b. Thought Processes. Flight of ideas,
b. Dress. Appropriate, clean, pressed, poverty of thought, relevancy, and so
wrinkled, disheveled, and so on. on.
c. Hygiene. Clean, well groomed, 8. Sensorium and Cognition
presence of body odor, and so on. a. Alertness. Awareness of
2. Behavior and Mannerisms surroundings, goal-directed thinking,
responding to the environment, and
a. Gait limping, slow, hurried, and so on. so on.
b. Posture. Slumped or rigid. b. Orientation. Person, place, time, and
c. Eye Contact. situation.
d. Mannerisms. Foot tapping, eye blinking, c. Memory and Concentration.
hand rolling, head nodding, and so on. Remote, recent past, recent, and
immediate recall.
3. Attitude
d. Abstract Thinking. Conceptual
a. Toward Interviewer. thinking, ability to understand abstract
b. Toward Treatment. ideas, ability to use inductive and
c. Toward Others. deductive reasoning.
e. Intellect and Fund of Knowledge
4. Mood and Affect basic knowledge and intelligence.
a. Mood. Sad, elated, happy, bored, and 9. Impulse Control
so on.
a. Sexual. Ability or lack of ability to
b. Affect. Outward expression of mood control sexual impulses.
such as smiling, frowning, crying, or b. Physical. Ability or lack of ability to
laughing. control physical impulses such as
c. Appropriateness. Does the affect hitting, biting, or yelling.
match the mood and the situation? c. Social. Ability or lack of ability to
control social impulses.
5. Speech 10. Judgment and Insight
a. Quantity. Talkative, poverty of speech, a. Social Judgment. Awareness of
and so on. others, empathy, social decision
b. Quality. Circumlocution, monotonous, making, and so on.
loquacious, loud, and so on. b. Insight. Awareness and
understanding of one’s mental illness,
c. Rate of Production. Mumbles, slow insight into cause, effect, and course
production, pressured speech, and so of illness.
on. c. Reliability. Is the client a good source
6. Perceptual Disturbances of information, is he or she honest,
a. Hallucinations. False perceptions. aware, and able to report to the
therapist his or her daily happenings?
b. Illusions. Misperceptions of reality.

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