Training-only MSE. For educational and supervision purposes.
Created: 01 May 2026, 19:14
Student: Srishti Tyagi
Batch: April06
Client / Case Name: Sarah
Date of assessment: 01/05/2026
Well-groomed, kempt, and appropriately dressed Appears stated age No signs of being overtly made up or unkempt Body build: Average (likely leptosome/normal) Facial expression appears sad and fatigued, with reduced expressiveness
Psychomotor retardation observed Slowed movements and reduced activity level
Cooperative and approachable Engaged during session No hostility or guardedness noted
Alert and conscious Fully responsive to surroundings
Rate: Slightly reduced Volume: Low Tone: Monotonous Reaction time: Mild delay Coherent and relevant
Mood: Subjectively reports feeling “overwhelmed,” “drained,” and unable to feel happy Affect: Flat/restricted Congruent with stated mood Reduced reactivity
a. Thought Process:
Logical and goal-directed No formal thought disorder
b. Thought Content:
Excessive worry about work performance Fear of negative evaluation (“people will judge me”) Catastrophic thoughts about future No delusions or suicidal ideation reported
No hallucinations or illusions reported No depersonalization or derealization
Orientation: Intact (time, place, person) Attention & concentration: Mildly impaired (due to anxiety and rumination) Memory: Intact (immediate, recent, remote) Intelligence: Average Abstract thinking: Intact Fund of knowledge: Adequate
Personal judgment: Intact Social judgment: Intact Test judgment: Intact
Aware of illness and recognizes need for treatment
No abnormal movements or catatonic features No language impairment
Short title / summary: “MSE reveals an anxious and depressed mood with flat affect, psychomotor retardation, intact cognition, judgment, and good insight.”
Symptoms are consistent with anxiety and depressive features, particularly performance-related anxiety No risk indicators such as suicidality or psychosis noted