Psychiatrist Template

Mental State Examination (MSE)

A professional Psychiatrist template for healthcare professionals.

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Specialty

Psychiatrist

Used

952 times

Type

Note

Last edited

11/06/2025

Created by

Kieran McLeod

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About this template

This Mental State Examination (MSE) template is designed for psychiatrists, psychologists and mental health nurses to document a comprehensive assessment of a patient's mental status. The template covers key areas such as appearance, behaviour, speech, mood, affect, thoughts, perceptions, cognition, insight, and judgment. It helps clinicians systematically evaluate and record the patient's mental health, ensuring a thorough and consistent examination. This template is particularly useful for creating detailed psychiatric SOAP notes and mental health progress notes, making it an essential tool for mental health professionals.

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Mental Status Examination: - Appearance: The patient is a 45-year-old male, dressed in casual clothing, with good hygiene and no notable physical characteristics. - Behaviour: The patient is cooperative and maintains good eye contact. He is calm and interacts appropriately with his surroundings. - Speech: The patient's speech is normal in rate, volume, and clarity. His speech is coherent and relevant to the conversation. - Mood: The patient describes his mood as 'anxious and stressed.' - Affect: The patient's affect is congruent with his stated mood, showing a restricted range of emotions. - Thoughts: The patient's thought process is logical and goal-directed. There are no signs of delusions or preoccupations. - Perceptions: The patient denies any hallucinations or sensory misinterpretations. - Cognition: The patient is oriented to time, place, and person. His memory and concentration appear intact. - Insight: The patient demonstrates good insight into his condition, acknowledging his symptoms and the need for treatment. - Judgment: The patient's judgment is intact, and he understands the consequences of his actions.