Mental Status Examination – Training Record

Training-only MSE. For educational and supervision purposes.

Created: 21 Mar 2026, 18:11

Student & Batch

Student: Ayana

Batch: Dec25

Case Header

Client / Case Name: Sarah (Pseudo)

Date of assessment: 21

1. General Appearance

Pateints looks fatigued, Grooming- a little dishelved ,Unkempt hairs

2. Psychomotor Activity

Psychomotor retyardation punchuated by anxiety driven psychomotor agitation

3. Attitude toward examiner

cooperative but guarded

4. Level of Consciousness

Alert and oriented but attention span is less and mildly impaired

5. Speech

normal rate and tone but shaky when discussing about anxiety provoking topics

6. Mood & Affect

worried, tense and little constricted

7. Thought

a. Thought Process:

logical,overthinking preoccupation fear of judgement

b. Thought Content:

no delusions worry about performance and being judged

8. Perception

no hallucination or perceptual disturbance

9. Cognitive Functions

oreintation good attention and concentration mildly impaired

10. Judgment

intact (knows about isues and is seeeking help)

11. Insight

grade 5 -understands they have illness

12. Additional parameters (when required)

agitation , psychomotor retardation , cant hold eye contact

Summary & notes

Short title / summary: Sarah mse

(no extra notes)