FREE 10+ Mental Status Examination Report Samples [ Mini, Evaluation, Assessment ]

In order to keep track and analyze a mental health patient’s condition, a medical examiner who has a specialty in psychology and mental health should prepare a mental status examination report as it is crucial, especially in conducting a thorough review of a patient’s psychological condition. Are you a person who aspires to be a psychiatrist? One of the things you need to consider is being able to create a comprehensive mental status examination report. In this article, we will discuss beneficial steps in writing your medical report, plus several downloadable medical report templates for you to use. Keep on reading!

FREE 10+ Mental Status Examination Report Samples

1. Mini-Mental State Examination Report

2. Mental Status Examination Rapid Record Report

3. Mental Status Software Evaluation Report

4. Standardized Mini-Mental State Examination Report

5. Mental Status Examination Physician Report

4. Mental Status Exam Checklist Report

5. Mental Status Practice Exam Report

6. Mental Health Status Examination Report

7. Mental Status Evaluation Report

8. Mental Status Psychological Examination Report

9. Mental Status Client Examination Report

10. Patient Mini-Mental State Examination Report

11. Mental Status Medical Examination Report

 

What is a Mental Status Examination Report?

A mental status examination report is a useful piece of professional documents and medical report that contains well-detailed descriptions of a patient’s mental health condition. It comprises several observations, analyses, and examinations according to a patient’s appearance, emotion, cognition, and thinking. 

A mental health professional like a psychologist, psychiatrist, or mental health therapist carefully evaluates a person’s appearance, speech, behavior, cooperativeness, thought process, though content, perceptions, mood and affect, mind orientation, memory, insight, and judgment. Then, the doctor writes the medical test result or medical examiner report concerning the patient’s mental state.

How to Create a Mental Status Examination Report  

Creating a clear, well-detailed, and full mental status examination or psychological report is helpful while formulating a diagnosis for your patient and documenting his or her progress while undergoing psychological therapy or mental health treatment sessions. So, you need to use direct words and clear sentences while explaining the status of your patient’s mental health. 

In this matter, we suggest that you follow the steps below while freely using one of our medical report templates in this article:

1. Observe and evaluate your patient’s appearance, behavior, and attitude

One of the main aspects that you need to consider in creating a mental status examination report is observe and make an analysis of the overall appearance, behavior, and attitude of your patient. The book “The Neuropsychiatric Mental Status Examination” explained that as all the patient’s behaviors are essential for consideration in the mental status examination, the patient’s general appearance is the first behavioral area to be evaluated. 

2. Ask questions and implement actions

Your examination questions and actions you implement must proceed in a logical pattern yet maintain responsiveness to the particular needs of your patient. Be consistent and make sure that your patient feels safe and comfortable during the psychological examination.

3. Use a thorough evaluation or assessment of cognitive function 

The next step you must do to have a well-detailed mental status examination report is use a thorough evaluation test or method in measuring your patient’s cognitive abilities. Cognitive ability assessments evaluate how well individuals use an extensive range of mental processes like reading comprehension, solving  mathematical problems, abstract thinking, and learning ability.

4. Formulate a diagnosis

Describe your patient’s current state of mind and formulate a diagnosis based on history, examination, and investigation. Mental health practitioners and psychiatrists will observe a patient’s experiences of certain feelings, and behaviors, the duration of time he or she has been experiencing these things, and the impact it has on the patient’s life.

FAQ

Therefore, you need to have the skills and expertise in demonstrating and interpreting data for psychotherapy patients. Despite experiencing some hardships in conducting several mental health examinations, as well as treating your patients’ mental health disorders, you can be confident in writing a good mental status examination report. You just need to follow the aforementioned steps in this article. So, you can select from our diverse selection of examination report templates here and get a report sample today!