Mental Status Examination – Training Record

Training-only MSE. For educational and supervision purposes.

Created: 29 Jan 2026, 10:48

Student & Batch

Student: Sakshi

Batch: Dec25

Case Header

Client / Case Name: Khushi (Pseudo name)

Date of assessment: (not filled)

1. General Appearance

General Appearance: Well-groomed, appropriately dressed Behavior: Cooperative, mildly restless Speech: Normal rate and volume Mood: Anxious Affect: Constricted but appropriate Thought Process: Logical and goal-directed Thought Content: Excessive worries, no delusions or obsessions Perception: No hallucinations Cognition: Oriented to time, place, and person Attention and Concentration: Mildly impaired

2. Psychomotor Activity

Mildly increased, with restlessness and fidgeting; no abnormal movements or retardation observed.

3. Attitude toward examiner

Cooperative, polite, and respectful; maintained appropriate eye contact.

4. Level of Consciousness

Fully alert and conscious; responded appropriately throughout assessment.

5. Speech

Spontaneous, coherent, with normal rate, volume, and tone; no abnormalities observed.

6. Mood & Affect

Mood reported as anxious; affect anxious and mildly restricted, congruent with mood.

7. Thought

a. Thought Process:

Logical, coherent, and goal-directed Flow of Thoughts: Continuous but dominatedby excessive worry and rumination

b. Thought Content:

Preoccupied with excessive worry about academics, career, health, finances, and daily responsibilities Exhibits catastrophizing and fear of negative evaluation No delusions, obsessions, or compulsions

8. Perception

Intact; no hallucinations, distortions, or depersonalization/

9. Cognitive Functions

Oriented to time, place, and person; attention mildly impaired due to anxiety; memory and abstract thinking intact

10. Judgment

Intact; makes realistic decisions and demonstrates awareness of consequences.

11. Insight

Good; recognizes symptoms as excessive and distressing and is motivated for treatment.

12. Additional parameters (when required)

(not filled)

Summary & notes

Short title / summary: This summary reflects a coherent mental status assessment consistent with Generalized Anxiety Disorder, highlighting functional impairment due to pervasive anxiety while preserving cognition, judgment, and insight.

(no extra notes)