What observations on a mental status exam indicate schizophrenia?

What observations on a mental status exam indicate schizophrenia?

What observations on a mental status exam indicate schizophrenia?

  • The patient may be unduly suspicious of the examiner or be socially awkward.
  • The patient may express a variety of odd beliefs or delusions.
  • The patient often has a flat affect (ie, little range of expressed emotion)

How do you assess sensorium?


  1. The evaluation of sensorium assesses a patient’s. level of consciousness. and their. orientation to person, place, and time. .
  2. Because sensorium impairments can have vital implications, the evaluation of sensorium should be performed at the beginning of the MSE.

How is speech assessed in MSE?

Speech is assessed by observing and listening to the patient’s spontaneous speech. Note any paralinguistic features such as volume, rhythm, prosody, intonation, pitch, phonation, articulation, quantity, rate and latency of speech.

What is included in a mental status exam?

It includes descriptions of the patient’s appearance and general behavior, level of consciousness and attentiveness, motor and speech activity, mood and affect, thought and perception, attitude and insight, the reaction evoked in the examiner, and, finally, higher cognitive abilities.

Does schizophrenia affect mood?

Cognitive changes are seen in patients with mood disorders, and depression is commonly seen in people with schizophrenia. In fact, the severity of cognitive impairments in mood disorders is similar to the severity of depression in people with schizophrenia (as described below).

Why is the mental status examination useful?

The mental status examination is useful in helping differentiate between a variety of systemic conditions, as well as neurologic and psychiatric disorders ranging from delirium and dementia to bipolar disorder and schizophrenia.

When is a mental status exam used?

Can a person with schizophrenia have tactile hallucinations?

Although previous reports about tactile hallucinations of sexual content suggesting Schizophrenia are known2, this disorder has been characterized mostly by hallucinations of visual/auditory content. At Schizophrenia presentation these two types of hallucinations are the prominent features.

How is the mental status of someone diagnosed with schizophrenia determined?

Mental Status Examination There is no specific laboratory test, neuroimaging study, or clinical presentation of a patient that yields a definitive diagnosis of schizo-phrenia. Schizophrenia can present with a wide variety of symp-toms, and a longitudinal history of symptoms and comorbid clinical variables…

What do you need to know about the mental status examination?

Introduction •The mental status examination describes the sum total of the examiner\[s observations and impressions of the psychiatric patient at the time of the interview. •Whereas the patient’s history remains stable, the patient’s mental status can change from day to day or hour to hour.

Who are survivors of tactile and auditory hallucinations?

Tactile hallucinations have been reported by survivors of rape and childhood sexual abuse8,9. Child abuse was a significant predictor of auditory and tactile hallucinations even in absence of adult abuse9. Case Report Miss. MS was a 21-year old single woman who was admitted to the inpatient