Depression | Mental State Examination (MSE) | OSCE Guide | SCA Case | UKMLA | CPSA

[Music] hello I'm Jade I'm one of the doctors from the Psychiatry team can I please just check your name and date of birth um it's it's um Jane Jane Sheraton and um it's the 3rd of May 68. okay and I've been told that you've come into hospital because one of your friends was worried about your mental health is that right yeah yeah could you tell me a bit about how you've been feeling it's very really sad just just sad how long has that been going on for foreign a few weeks now so anything in particular

that's been going on recently so I I am I lost my job you really love that that sounds really really difficult it was it is it's really hard I guess you know that all sounds like a lot going on if you've been able to kind of do anything you enjoy I I don't do anything any I I don't enjoy anything I don't do anything I don't do anything anymore it's done I just cry I just can't stop crying I just hmm kind of things would you have done before damn I don't see friends I I

don't really I don't I don't have really friends now I um I'd quite right go running but I just don't come can't don't just don't have don't have any one or don't do anything hey I hope you've been sleeping oh I just slipped really bad because I am I just keep waking up just just waking up and just thinking about how how bad I am I've done I've let I've let so many people down I just I can't sleep just let lots of people [Music] okay why is everything I I've lost my job it must

be my fault I've I've left I left the team down and it's really let my son down because I I I have I've got no more money now and I I just really want to pay for him you know for University and I I'm just a really bad mum because I just can't I can't afford to no I haven't got a job just in terms of with the way that you've been feeling and everything that's been going on have you been managing to look after yourself I just can't it just don't see the point have

you been eating no no just some mum it's a bit of toast oh okay sometimes when people have been dealing with things like this they might try drugs or alcohol as a way of coping is that something that you've tried no and things ever felt so bad that you've thought of harming yourself or ending your life okay yes I'm really sorry I'm really sorry I'm just okay I'm sorry I know it's a really difficult thing no I'm just sorry to waste your time I'm just not worth helping there'll be other people there's other people that

you should be helping not me I'm just not worth it what is it that you've thought about doing well I mean I don't know if I'd actually do it but I am I I I I am I but I I've been buying paracetamols okay I just don't think things are gonna get any better I just I just say did you made any plans to take those pills I um I I I don't want to be here but I I um I I don't know if if I would but I am feel so bad that I

just thought I should let me write a note for my son or yeah I did think about checking my wheel I mean I I don't know if I would do it but I I think is there anything that would stop you from doing something like that no I don't think so because I just don't think anything's going to have you had any thoughts about wanting to harm anyone else at any point no no have you ever been worried that other people might be able to hear or interfere with your thoughts at all no no or

have you ever been worried that someone might be controlling your thoughts or what you do no no okay and to the questions sometimes people have been feeling the way you do at the moment they might have seen or heard kind of abnormal things they can't explain is that something you've experienced no no no no no then just a couple questions and do you do you know where we are right now yeah yeah would you be able to tell me I'm just with the a e that my friend brought me to yeah and you know roughly

what time it is and can you remember who I am um I've forgotten your name but yours that you're the doctor yeah yeah I think it's possible that the way you've been feeling recently might be affecting your thinking um I I know I'm I'm depressed pot no I died just things won't get better is there anything that you think we could do to help you that might help you get through this I just don't think anyone can help I don't think anyone can well thank you very much for speaking to me today I know that

must be really difficult to talk about think it'd be best if I go speak with my team to see what we can do to help you would that be okay you got any questions for me at the moment no thanks no no okay well thank you very much for speaking to me today today I assessed Jane Sheraton a 48 year old lady presenting with low mood and suicidal ideation on a background of significant social stresses for the last couple of weeks she has been struggling with suicidal ideation and has been stockpiling paracetamol she states that

her friends and family would be better off without her on examination she appeared sad and tearful with poor eye contact and evidence of psychomotor retardation Jane's speech was slow and monotonous she described her mood as low with evidence of anhedonia poor concentration and early morning waking her affect was blunted Jane described mood congruent cognitions of hopelessness burdensomeness and guilt her thoughts were linear and there was no evidence of formal thought disorder she denied any perceptual abnormalities Jane was oriented to time place and person Jane demonstrated partial Insight but she does not believe that her cognitions

of guilt or hopelessness could be related to a mental health disorder in terms of risk during reports ongoing thoughts of suicide with plans to take paracetamol overdose she is at risk of self-neglect due to struggling with self-care she denied any thoughts or intent to harm others if you enjoyed this video check out the geeky Medics collection of over 500 oski stations and put your Roski skills to the test you can practice with friends create your own study group or team up with another member of the geeky Medics Community with our oski match feature sign up

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