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The mental status examination MSE is an important part of the clinical assessment process in neurological and psychiatric practice. It is a structured way of observing and describing a patient 's psychological functioning at a given point in time, under the domains of appearance, attitude , behavior, mood, and affect, speech, thought process , thought content, perception , cognition , insight, and judgment. The purpose of the MSE is to obtain a comprehensive cross-sectional description of the patient's mental state, which, when combined with the biographical and historical information of the psychiatric history , allows the clinician to make an accurate diagnosis and formulation , which are required for coherent treatment planning. The data are collected through a combination of direct and indirect means: unstructured observation while obtaining the biographical and social information, focused questions about current symptoms, and formalised psychological tests. The MSE derives from an approach to psychiatry known as descriptive psychopathology [4] or descriptive phenomenology , [5] which developed from the work of the philosopher and psychiatrist Karl Jaspers. In practice, the MSE is a blend of empathic descriptive phenomenology and empirical clinical observation. It has been argued that the term phenomenology has become corrupted in clinical psychiatry: current usage, as a set of supposedly objective descriptions of a psychiatric patient a synonym for signs and symptoms , is incompatible with the original meaning which was concerned with comprehending a patient's subjective experience.
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