Brief description Performed to establish a diagnosis and formulation of an individual’s problems and to plan their care and treatment.
Full description A structured way of describing a patient’s current state of mind under the domains of appearance, attitude, behavior, speech, mood and affect, thought process, thought content, perception, cognition, insight, and judgement. The purpose is to obtain a comprehensive cross-sectional description of the patient’s mental state. Data are collected through a combination of direct and indirect means such as;
- unstructured observation while obtaining biographical and social information
- focused questions about current symptoms
- formalized psychological tests
Cultural differences between the examiner and patient must be taken into consideration, as different cultural backgrounds may be associated with different norms of interpersonal behavior and emotional expression.
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