Medicaid Mental Status Exam

Andrew Rose

August 10, 2018 06:31

Appearance

Age Appropriate

Younger Than Age

Older Than Age

Eye Contact

Good

Fair

Poor

Grooming

Good

Fair

Poor

Attentiveness

Attentive

Distracted

Resistant

Preoccupied

Disinterested

Alertness

Alert

Drowsy

Stupor

Motor

Normal

Slowed

Agitated

Abnormal (tics,tremors,grimaces)

Speech

Normal

Slowed

Pressured

Loud

Quiet

Inarticulate

Affect

Stable/appropriate

Labile

Constricted

Flat

Blunted

Inapp. to Content and Circumstance

Other

Mood

Neutral

Pleasant

Happy

Sad

Euphoric

Irritable

Anxious

Fearful

Angry

Apathetic

Other

Thought Content

Normal

Worthless/Hopeless

Self-Deprecating

Threatening

Obsessions

Ruminating

Phobias

Ideas of Reference

Paranoia

Magical Ideation

Delusions

Grandiose

Others

Thought Process

Normal

Associations

Illogical

Incoherent

Tangential

Flight of Ideas

Word Salad

Other

Perceptions

Normal

Auditory Hallucinations

Visual Hallucinations

Tactile Hallucinations

Depersonalization

Derealization

Other

Intelligence

Average

Below Average

Above Average

Insight (for age)

Good

Fair

Poor

Judgement

Good

Fair

Poor

Describe any status exam concerns

0

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