Mental status exam social work

Before moving through diagnostic decision making, a social worker needs to conduct an interview that builds on a biopsychosocial assessment. New parts are added that clarify the timing, nature, and sequence of symptoms in the diagnostic interview. The Mental Status Exam (MSE) is a part of that process.

The MSE is designed to systematically help diagnosticians recognize patterns or syndromes of a person’s cognitive functioning. It includes very particular, direct observations about affect and other signs of which the client might not be directly aware.

When the diagnostic interview is complete, the diagnostician has far more detail about the fluctuations and history of symptoms the patient self-reports, along with the direct observations of the MSE. This combination greatly improves the chances of accurate diagnosis. Conducting the MSE and other special diagnostic elements in a structured but client-sensitive manner supports that goal. In this Assignment, you take on the role of a social worker conducting an MSE.

To prepare:

Watch the video describing an MSE. Then watch the Sommers-Flanagan (2014) “Mental Status Exam” video clip. Make sure to take notes on the nine domains of the interview.

Review the Morrison (2014) reading on the elements of a diagnostic interview.

Review the 9 Areas to evaluate for a Mental Status Exam and example diagnostic summary write-up provided in this Week’s resources.

Review the case example of a diagnostic summary write-up provided in this Week’s resources.

Write up a Diagnostic Summary including the Mental Status Exam for Carl based upon his interview with Dr. Sommers-Flanagan.

Submit a 2- to 3-page case presentation paper in which you complete both parts outlined below:

Part I: Diagnostic Summary and MSE

Provide a diagnostic summary of the client, Carl. Within this summary include:

Identifying Data/Client demographics

Chief complaint/Presenting Problem

Present illness

Past psychiatric illness

Substance use history

Past medical history

Family history

Mental Status Exam (Be professional and concise for all nine areas)

Appearance

Behavior or psychomotor activity

Attitudes toward the interviewer or examiner

Affect and mood

Speech and thought

Perceptual disturbances

Orientation and consciousness

Memory and intelligence

Reliability, judgment, and insight

Part II: Analysis of MSE

After completing Part I of the Assignment, provide an analysis and demonstrate critical thought (supported by references) in your response to the following:

Identify any areas in your MSE that require follow-up data collection.

Explain how using the cross-cutting measure would add to the information gathered.

Do Carl’s answers add to your ability to diagnose him in any specific way? Why or why not?

Would you discuss a possible diagnosis with Carl at time point in time? Why?

Support Part II with citations/references. The DSM 5 and case study do not need to be cited. Utilize the other course readings to support your response.

 https://www.youtube.com/watch?v=RdmG739KFF8&feature=youtu.be

 http://www.psychotherapy.net.ezp.waldenulibrary.org/stream/waldenu/video?vid=276

Morrison, J. (2014). Diagnosis made easier: Principles and techniques for mental health clinicians (2nd ed.). New York, NY: Guilford Press.

Chapter 10, “Diagnosis and the Mental Status Exam” (pp. 119–126)

Chapter 17, “Beyond Diagnosis: Compliance, Suicide, Violence” (pp. 271–280)