Table 2 Baseline mental status examination results prior to varenicline administration
From: Varenicline induced auditory hallucinations in a young female with bipolar disorder: a case report
MSE Factor | Day 5 | Day 6 | Day 7 | Day 8 | Day 11 | Day 12 |
|---|---|---|---|---|---|---|
Appearance and Behavior | Fair grooming and hygiene. No psychomotor disturbances were noted | Good rapport but somewhat superficial | Somewhat over familiar—making some facial gestures and leaning in during conversation. Fair grooming and hygiene. No psychomotor disturbances. Fair eye contact | Less overfamiliar today. Fair grooming and hygiene. No psychomotor disturbances. Fair eye contact | Good eye contact. did not appear over familiar or disinhibited today. reasonable grooming. no psychomotor agitation | Good eye contact. did not appear over familiar or disinhibited today. reasonable grooming. no psychomotor agitation |
Speech | Her speech was fast and often difficult to interrupt | Soft but rapid. Not pressured. Interruptible | Speech—Soft but rapid. Not pressured. Interruptible | Soft but rapid. Not pressured. Interruptible | Rapid speech verging pressured at times | Speech less rapid, pressured today |
Affect/Mood | Affect was labile, dysphoric. Mood was described as low | Mood "pretty good" and affect mildly labile. More tearful today | Affect/Mood—Mood "pretty good" and affect mildly labile. Some tearfulness | Mood "pretty good" and affect mildly labile. More irritable today | Mood 'down' affect—calm, no lability. no irritability | Mood 'better' affect—calm, mild irritability when writer was having difficulty following her mildly disorganized account of the recent months |
Thought Form | Fairly organized | Initially organized though became quite tangential when discussing male acquaintance | Fairly organized | Difficult to follow events of the last few years—convoluted at times, | Convoluted at times | |
Thought Content | There were delusions of paranoia and referential delusions as well. Thought process was circumstantial and at times tangential. She denied any perceptual disturbances and she did not appear to be responding to any internal stimuli | No suicidal ideation (SI) or homicidal ideation (HI); no overt paranoia voiced today. (May hear [mumbling] at times but this does not sound like AH) | No SI or HI; remains paranoid about men in community (may be based in reality) Denies perceptual abnormality | No SI or HI; remains paranoid about men in community (may be based in reality) Denies perceptual abnormality | No SI or HI; remains paranoid about "pimp ring' in community (? reality based). not attending to internal stimuli during interview | No SI or HI; remains paranoid about "pimp ring' in community (? appears reality based) |
Insight | Fair | Intact, superficial | Intact, superficial | Intact, superficial | Intact, superficial | Intact, superficial |
Judgment | Fair | Likely poor | Likely poor | Likely poor | Slowly improving | Slowly improving |
Psychiatrist l | Psychiatrist 1 | Psychiatrist 2 | Psychiatrist 2 | Psychiatrist 2 | Psychiatrist 3 | Psychiatrist 3 |