Below is an example of a mental status examination. Includes assessments and observations.
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Interview with Steve.doc
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I know you cannot see the video, but here is the dialog from the 1:30 clip.
Steve: Did you want me to say something?
Clinician: Are you hearing voices?
Steve: Yeah. I hear one voice saying, “Oh, God” and something about “widdly-hoops” and there is something else…..(long pause, and looks like he is focusing on listening to the voice), “Something about a little bit and some misery.”
Clinician: Is it a man’s voice?
Steve: Is sounds like a girl’s or kinda like a fake girl’s voice…someone who is trying to put on as a girl, but really isn’t.
Clinician: When you are hearing these voices, Steve, are you hearing them inside your head or do they sound like…(Steve interrupts).
Steve: They sound like, this time, that they are coming from right about here (he holds his right hand about a foot away from the right side of his head).
Steve: I see a black vision, it came as a misty black vision (uses left thumb, and points over his left shoulder without looking). It took the …
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