Brief MSE Location: Phone / In clinic Appearance: Casual normal grooming and hygiene / Other.. Attitude: Calm & Cooperative/ Other… Behaviour: No unusual movements or psychometer changes/ Other.. Speech: Normal rate, tone, volume, without pressure/ Other.. Affect: Reactive/ Labile/ Tearful/ Blunted/ Normal range and thought congruent/ Depressed/ Constricted/ Flat/ Other… Mood: Anxious/ Depressed/ Irritable/ Euthymic/ Elevated/ Other… Thought process: Goal-directed & logical/ Disorganised/ preoccupied/ fixated/ distracted/ Other… Thought content (Incl RISK FACTORS): - Suicidal Ideation (None/ Passive/ Active – with Plan/ Intent/ Means)… - Self harm Ideation (None/ Passive/ Active – with Plan/ Intent/ Means)… - Harm to others Ideation (None/ Passive/ Active – with Plan/ Intent/ Means)… Perception: No hallucinations during session / Other .. Orientation: Orientated to Day, Name & Location, Memory/ Concentration: Short term in tact / Long term intact / Distractable – Inattentive / Other.. Insight Judgement: Good / Fair / Poor Other:
