CHECKLIST on MENTAL STATUS EXAMINATION (MSE)

Name of Patient: ________X_________ Diagnosis: Schizophrenia

Student: CASISON, MARK ARRYSON M. Clinical Instructor: Ms. Daisy Dulay

Description YES NO OBSERVATIONS/COMMENTS

General Appearance & Attitude

❖ Appropriate dressing/ good grooming with age & gender Patient X is a 32-year-old male with unkempt appearance.
According to his wife, the patient’s grooming has deteriorated
/ in the past 6 months and he can go days without bathing.

Behaviour

❖ Normal sleeping patterns / Patient X has been having sleepless nights for the past 9
months.

❖ Good eating habits / For the past 3 days, patient X has refused to eat saying that the
kids on their neighbourhood have contaminated his food.

❖ Hyperactivity, always move about the room / Patient X is inactive. He has become very withdrawn and
refuses to talk or socialize with people. He also spends most of
his time alone in his room.

❖ Others: Relaxed posture / The patient has slouched posture when seated.
  Others: Appropriate eye contact / The patient has poor eye contact.

 Others: Good attitude towards others / He has violent assaultive behaviour, throws anything to people
in the household, run after and chase children in the
neighbourhood, and assaultive to people around him.

Speech

1. Speak slowly Speech is monotonous and difficult to hear.

/

2. Voice is soft when speaking / He has a monotone voice or soft voice when speaking.

3. Repetitious speech / No repetitious speech was observed.

4. Silent, does not speak / He responds to questions but does not initiate conversation.

Mood & Affect

❖ Happy, smiles / The patient is not happy and he doesn’t even smile. According
to his wife he has occasional angry outbursts.

❖ Crying, sad or depressed / He was sad and depressed due to her mother’s death and telling
“Wala na akong ganang mabuhay ngayong wala na nanay ko”.
 ❖ Flat affect, no emotional reaction to stimulus / The patient presents with a flat affect.

Thought Content

1. Logical, coherence Due to experiencing hallucinations and delusions, as well as

/ suicide attempt, the patient's thinking content is illogical and
incoherent.

2. Viewpoint He strongly denies alteration in thought process such as

/ delusions and hallucinations and denies self-destructive
thoughts.