Table 3 Mental status examination results during and after termination of varenicline use
From: Varenicline induced auditory hallucinations in a young female with bipolar disorder: a case report
MSE Factor | Day 15 | Day 18 | Day 19 | Day 20 | Day 25 | Day 26 |
|---|---|---|---|---|---|---|
Appearance and Behavior | Good rapport but somewhat superficial | Good eye contact, did not appear overfamiliar or disinhibited today. Reasonable grooming. no psychomotor agitation | Good eye contact. Settled. Did not appear overfamiliar or disinhibited today. reasonable grooming. No psychomotor agitation | Caucasian female, blond hair and hospital gown. Looks her stated age. Wearing baggy t-shirt. Good rapport but somewhat superficial | Caucasian female, blond hair in her own clothes. Wearing an oversized sweatshirt and leggings, and hair tied back in a ponytail. appears her stated age. good eye contact. Settled. No longer appears overfamiliar or disinhibited. reasonable grooming. No psychomotor agitation | Caucasian female, blond hair in her own clothes. Dress, vest, well dressed and groomed, hair tied back in a ponytail. Appears her stated age. Good eye contact. Settled. No longer appears overfamiliar or disinhibited. reasonable grooming. No psychomotor agitation |
Speech | Soft but rapid. Not pressured. [Interruptible] | Soft and less rapid. Not pressured. [Interruptible] | ||||
Affect/Mood | Mood “pretty good” and affect mildly labile. More tearful today | Mood ‘6–7/10’ affect—distressed | Mood ‘irritable’ affect—less distressed compared to yesterday | Mood pretty good and affect much more steady today | Mood ‘stable’ affect – settled, [euthymic] | Mood ‘stable’ affect – anxious, mildly distressed |
Thought Form | Fairly organized | Linear | Linear | Fairly organized | Linear | Linear |
Thought Content | No SI or HI; no overt paranoia voiced today. (May hear [mumbling] at times but this does not sound like AH) | No SI or HI; AH – benign command AH, derogatory AH, referential delusions | No SI or HI; denies psychotic symptoms today (AH, TB, referential delusions) | No SI or HI; vague residual paranoia | No SI or HI; denies psychotic symptoms today (AH including mumbling, thought blocking, referential delusions). some somatic preoccupation, able to reality test | No SI or HI; AH, mumbling, thought blocking. No somatic concerns today |
Insight | Intact, superficial | Able to reality test, with prompting | Able to reality test | Intact, superficial | Improved compared to last week, able to reality test | Improved compared to last week, able to reality test |
Judgement | Likely poor | Limited – recent running away from group walk | Limited re: recent brief leave from group walk | Likely poor | Improving | Improving |
Psychiatrist l | Psychiatrist 2 | Psychiatrist 3 | Psychiatrist 3 | Psychiatrist 2 | Psychiatrist 3 | Psychiatrist 3 |