psy9-psychreport.odt - MENTAL STATUS EXAMINATION A APPEARANCE The patient was proper and calm during the whole interview He maintained eye contact with

psy9-psychreport.odt - MENTAL STATUS EXAMINATION A...

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MENTAL STATUS EXAMINATION A.) APPEARANCE The patient was proper and calm during the whole interview. He maintained eye contact with the examiners, he is very attentive and cooperative when the examiners ask him questions. General description: The patient has a relaxed posture, he is dressed like everyone in the rehabilitation center (a shirt tucked into a pair of shorts and sneakers), he is groomed well, and he looks older than his age. B.) SPEECH The patient speaks in a slow yet clear manner. C.) MOOD AND AFFECT MOOD : The patient said that he was happy that he was able to share his story for the first time, since it's been a while since he told his experiences to other people. AFFECT : The patient is a bit restricted, he could seem enthusiastic at times, but he still maintains his restriction towards sharing too much information about his life. D.) THINKING AND PERCEPTION FORM OF THINKING: The patient's answer often strays away from the actual topic itself. An example of this is the patient's answer on the 5 th question in the Intake Interview's Problem Analysis question, he wasn't able to give a concrete explanation on his answer. CONTENT OF THINKING: The patient had antisocial urges when it comes to his family members. He mentioned all throughout the interview that he felt like he does not have a close relationship with any of his family members. THOUGHT DISTURBANCES: The patient did not seem to have any thought disturbances all throughout the interview. PERCEPTUAL DISTURBANCES The patient mentioned that he used illegal drugs in order to free himself from stress due to work and academic requirements. E.) SENSORIUM 1.) ALERTNESS: The patient was alert and attentive all throughout the interview. 2.) ORIENTATION: The patient was able to answer all of the basic questions like his name (alias), who he is, and his current location.
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3.) CONCENTRATION: The patient was able to do the tasks that he was asked to do, like counting backwards from 50 to 0. When he was asked to name the months of the year starting from December, he forgot to mention the month May. 4.) MEMORY - IMMEDIATE: The patient was able to recite the following numbers after the examinee told him to do so. - RECENT: The patient mentioned that he had lugaw and tokwa (porridge and tofu) for breakfast. - LONG TERM: The patient remembered that he lived in Makati when he was in 6 th grade, and he remembered that his family used to go out on vacations during the lenten season. 5.) CALCULATIONS: The patient was able to answer the problem properly, saying that the change is 40 pesos. 6.) FUND OF KNOWLEDGE: The patient gave the correct answer to the question that is asked. 7.) ABSTRACT REASONING: This gave a bit of confusion to the patient, but he still managed to answer the questions correctly.
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  • Fall '18
  • Illegal drug trade

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