You will now write the mental status exam portion of the psychiatric report. The mental status exam can be written in bulleted or narrative format, but should include the following sections:
- Appearance – personal identification, behavior, psychomotor activity, general description
- Speech
- Mood and affect
- Thinking and perception – form of thinking, content of thinking, thought disturbances, perceptual disturbances
- Sensorium – alertness, orientation, memory, concentration, fund of knowledge, abstract thinking
- Insight
- Judgement
An example is outlined on page 24 of Kaplan & Sadock’s Synopsis of Psychiatry textbook.
