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Mental State Examination: Jonathon Doeman's Mental State Assessment

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Mental State Examination: Jonathon Doeman's Mental State Assessment
Mental State Examination
Appearance
• Jonathon Doeman,36 yrs old Caucasian male attended interview with casual cloths and sunglasses on.
• Lightly tattoos on both arms.
• Rubbing arms, eyes and face and stretching cloths while having conversation, slightly anxious at the start of the interview.
• Poor eyes contact, Grazing hair and unshaven.
• Overweight and looks older than his actual age.
• Bright clothing and wearing appropriate with the weather.
Behaviour
• Co-operative with the assessor. (Nurse).
• Partially engaged in conversation.
• Folding arms and preoccupied.
• Slow rate of movements, Psychomotor retardation.
• Slightly agitated and restless.
• Uncomfortable and unable to sit still, rubbing hands on his legs, eyes etc.
• Slight
…show more content…
• Jonathon can recall about his medication and the name but took time to recall it.
• Further assessment such as mini mental status examination/ RUDAS recommended.
Speech
• Slow but speaking in full sentences and responded to the nurse questions accordingly.
• Long pauses within his speech when the interviewer asked him about how well he felt connected to his family.
• Delayed response few times when he was asked about the past incident.
• Speaking in a low pitch and slight whispered when mentioning about the neighbours who helped him to get the alcohol.
• Jonathon spoke softly with the nurse throughout the interview.
Thought
• Thought Process: Circumstantial – thought blocking and halted speech with long pauses before answering some question.
• Thought Stream: Thought stream was decreased and pressured.
• Thought Content: Denies thought of self-harm or suicidal ideation, denies homicidal, however Further assessment required. Jonathon has thought of Guilty for being man without the job. He felt Hopelessness and worthlessness for his family. Denies thought of harming others. Delusion of Guilt and unworthiness exit on him. Jonathon believes that he was punished by the car accident when he was 17 years

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