ANGIRA GUPTA

CLINICAL PSYCHOLOGY

How to take Case History & MSE?

Case History & MSE (Mental Status Examination):

Case History includes:

● Identification data
● Informants
● Presenting (chief) complaints
● History of present illness
● Past psychiatric and medical history
● Treatment history
● Family history
● Personal and social history
● Alcohol and substance history
● Physical examination

MSE includes:
1. General Appearance and behaviour
2. Speech
3. Mood and Affect
4. Thought
5. Perception
6. Cognition (higher mental functions)
7. Insight
8. Judgement