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

This video demonstrates how to perform a mental state examination (MSE) on a patient exhibiting features of depression in the context of a psychiatry OSCE station.
Read our step-by-step mental state examination guide alongside the video here: geekymedics.co...
Chapters:
00:00 Intro
00:10 Background
00:19 Opening consultation
00:30 Appearance, Behaviour & Speech
00:49 Mood & Affect
05:10 Risk assessment
07:33 Thought
07:55 Perception
08:11 Cognition
08:41 Insight & Judgement
09:30 Closing consultation
09:44 MSE Summary
Check out our other awesome clinical skills resources including:
• 🔥 Geeky Medics Bundles (discounted products): app.geekymedic...
• ✨ 1000+ OSCE Stations: app.geekymedic...
• 🏥 Geeky Medics OSCE Revision Book: app.geekymedic...
• 📝 150+ PDF OSCE Checklists: geekymedics.co...
• 🗂️ 3000+ OSCE Flashcards: app.geekymedic...
• 📱 Geeky Medics OSCE App: geekymedics.co...
• 🩺 Medical Finals SBA Question Pack: app.geekymedic...
• 💊 PSA Question Pack: app.geekymedic...
Subscribe to our newsletter to be the first to know about our latest content: geekymedics.co... ✉️
Join the Geeky Medics community: 👩👩👧👧
TikTok: / geekymedics
Twitter: / geekymedics
Instagram: / geekymedics
Facebook: / geekymedics
Always adhere to medical school/local hospital guidelines when performing examinations or clinical procedures. DO NOT perform any examination or procedure on patients based purely on the content of these videos. Geeky Medics accepts no liability for loss of any kind incurred as a result of reliance upon the information provided in this video.
Achieve success in your medical school OSCEs, UKMLA CPSA, and PLAB 2 exams with our free clinical skills videos. Subscribe to our channel to be informed of our latest releases. 🙂
CPSA OSCE Guides geekymedics.co...
UKMLA AKT Notes geekymedics.co...
PLAB 2 OSCE Stations geekymedics.co...
Revise for the Simulated Consultation Assessment (SCA) with our collection of high-quality SCA cases written by GPs and Training Program Directors. Check out our SCA revision cases and prepare for the MRCGP geekymedics.co...

[@geekymedics]

Supercharge your clinical skills with our collection of OSCE Stations, Questions and Flashcards 👾 geekymedics.com/bundles

[@corlendermunyawiri523]

If this is a simulated patient then she deserves an award!

[@Run2doctor]

the patient deserves an OSCAR AWARD

[@shinegirl3225]

We automatically learn about symptoms of depression and the management. But I didn't realise how bad depression is! Thank to the doctor and particularly to the actor for the teaching!

[@chubaonyejesi5013]

Very helpful, this. I was thought MC HITS FFFAM: mood, cognition, hallucination (perception), insight, thoughts, suicidality, Friends, family, Finances, Alcohol (and other substances), medical background. Glad to see it simulated so well here.

[@samnik9760]

Would be helpful if videos are kept under 10min… This lady needs an award. How is she acting so realistic? Great video

[@TrueVintageRnBFan]

I don’t think she’s acting 😂

[@bmcdermott]

@@TrueVintageRnBFan She is - she's a simulated patient in many of their other videos

[@Just_another_menace]

Fella c'mon now it's just a 12min video. Are you aware of what's causing your short attention span? Maybe get an evaluation and ways to treat it. All the best to you!

[@user-ln1zg5bk3e]

@@Just_another_menace Most OSCEs are 8-10 mins no?

[@hungnguyenquoc9487]

@@user-ln1zg5bk3e hi mate yeah they are, for us we have 6-7 mins. but if you take into consideration that time it takes for this patient to answer question, it is understandable that the doctor goes above 12 minutes. Also, she does a summary at the end as well. So overall, this took her about 9 to 10 minutes doing it.

[@user-xz4jz6nz2m]

To anyone reading this please be kind to your mind. You are a beautiful person.

[@hannahperrone1694]

This is a good example and helped me a lot with my assessment, although I did find the way the spoke irritating and difficult to listen too.

[@AnAnonymousMedicalStudent]

LOL i agree, it was irritating. excellent content though, keep up the good work

[@youtubert3138]

I used earbuds and could follow every single word 😊

[@allisonjames2923]

No offence to her personally, but I agree in terms of how the Dr spoke. I felt that she was over emphasising the “gentle empathy” angle, which comes across as false & a bit patronising to me (possibly because it’s a training video & they’re acting, as I was more comfortable when she was giving her summary & was more comfortable & straightforward). However, everyone is different & not everyone will feel comfortable with every practitioner. Just as not every practitioner will feel comfortable with every patient & it’s important to recognise that. I prefer to try to find some way to genuinely connect with patients to ensure I’m not pretending empathy. I try to reassure them when they offer insights & help normalise the way they’re feeling as they express those thoughts & feelings, so they don’t feel so alone & get positive reinforcement to continue opening up. I’m a Paramedic so I assess people & provide some acute crisis management & treatment, but I don’t treat them medium to long term. And one of the most common complaints that people seem to have regarding MH workers, is that they don’t really understand them. And that they don’t really care - they’re just doing our job. One bit of advice I have given many of my patients who express this, is that if you walk into a room with a lot of strangers, there will be a few you instantly are drawn to, a few who you instinctively dislike, and most will take time to form an opinion on. And that’s without needing to pour out their deepest darkest thoughts & fears to them. So if they find a Dr, counsellor or other practitioner who they don’t like or feel doesn’t understand them, don’t give up on getting help. Just realise that their particular approach doesn’t work for them so they need to find someone else wherever possible. Also, that giving as much information as possible will help the MH practitioner come to understand them so they can find ways to help them. The example was very useful however, as it was a good demonstration of collecting a lot of relevant initial assessment information rapidly.

[@delmarsquire7730]

I like the video but why the doctor seems like she is the sad one - countertranference

[@Medietos]

She acts sympathetically empathic like this in every of their lesson videos, probably wanting to be empathetic and low-affective, in order to make the patient feel accepted, trusting, calm and safe enough to want to, and be able to be in touch with herself and have access to her functions. The dr could act more sturdy, stable, grounded, assured and well. She looks well though, so that'd be reassuring.

[@HanJo328]

The stimulated patient did amaazing🎉

[@MuhammadArif-pl5cn]

Loved it. Greatly explained

[@ashleshanarkhede6559]

V helpful for understanding depression

[@musabbinaamer2275]

Miss jayne isn’t looking less depressed than the patient itself😂

[@dr.abraham_mallela]

We get 7 minutes to perform this station in a OSCE setting. This is way above the time limit.

[@S3verance]

In an osce, I'd be rushing all the steps, patient rapport doesn't matter 😂

[@Dr_Mitchell]

Even us we get 8 minutes for this station 🥺🥺

[@thulisangongolo7061]

You people get 8 minutes?😂 I get 5😢😂

[@geekymedics]

We understand time limits vary. The idea of this video is to provide examples of phrasing/approaches/skills that you can then tailor to your own needs in terms of both style and time limit.

[@lemonybeaver]

Time limits vary between schools. Common sense should tell you these videos are not going to be tailored to your specific school.

[@tehreemazmat2929]

ITs helpful to ask how long ago it was that she lost her job. Time is in the criteria for major depression

[@Medietos]

Dr should also explore latency, personality, earlier struggles, because one doesn't have to get depressed from losing job

[@HanJo328]

Dr Jade...u were Awesome❤

[@daviddadzie6465]

felt one hundred 💯😭

[@drsatti-nw2ym]

The drs tone is much much lower than patients . Patient is speaking clear than dr

[@Dr_Mitchell]

True, our doctor said don’t fall for it and become the sad one and your voice decreases 😢😂

[@rabeyaferdousi1247]

having hard time hearing the doctor's voice. Please if possible speak up

[@angelinaleo7040]

This is mental health risk assessment

[@user-pi2fr2ve2s]

Good content

[@julietedopkayi1503]

Great video

[@flototi]

Helpful 🙂

[@mostlyreviews5535]

Get her an oscar

[@aarongeorge3491]

how am i meant to do this is 7:30 mins :(

[@allisonjames2923]

Definitely not easy. You can gather a lot of information with a superficial assessment in such a short time frame, but it’s not always easy to rapidly establish a rapport & get all the information you need with a genuine patient in that time. At least in mock exams the patient is primed with the answers you need & as long as you can get them feeling relatively comfortable at the start & you feel confident asking the questions, you should be able to elicit the responses you need as they want to give you the information. Harder irl where developing & maintaining a rapport is more crucial to the success of your interaction, so the process can take a lot more time. I don’t know how GP’s are supposed to do it, except that I guess the people they see are generally seeking help. As a Paramedic, we get the people who are seeking help & those whose loved ones or others have called for them, so occasionally are very reluctant to engage or can even be downright hostile. But there are always ways & means. And genuinely caring about what they have to say, how they feel & how you can help them is the fastest way to establish a rapport. The rest is knowledge, practice & confidence. The real difficulty comes irl when you get a patient you really don’t gel with or like at all. But even that gives you valuable information.

[@izzakhan3692]

This was so sad to watch😢

[@tasneembashir2733]

Real acting 😢

[@violettaeve]

It made me tear up. Poor lady

[@RoxanneFlintwood]

If there was an option of liking a video more than once....

[@CoachMattCubs]

It would be amazing if these videos could not have the summary at the end.... they would be great for students to be able to write documentation practice, but the summary tells them what to write.... Awesome videos though!!

[@bmcdermott]

These videos are used by students preparing for OSCEs and as such need to show how to present the patient. The summary is often the hardest part

[@yaujason7852]

You can pause before the summary shows up and write them up. allowing you to check your answers

[@Medietos]

This video is good but disheartening for all of us who are muc more complex than this case, and never get properly examined. not enough Qs are asked, and not with enough attention and reference knowledge.

[@freedomalways1294]

Thank you for the video but with this performance you fail the exam, management is the most important part of the exam.

[@allisonjames2923]

No offence to her personally, but I found how the Dr spoke a bit grating. I felt that she was over emphasising the “gentle empathy” angle, which (in my opinion) comes across as a bit false. Possibly because it’s a training video & they’re acting, as I was more comfortable with her when she was giving her summary & was more confident & straightforward. However, everyone is different & not everyone will feel comfortable with every practitioner. Just as not every practitioner will feel comfortable with every patient & it’s important to recognise that. I prefer to try to find some way to genuinely connect with patients to ensure I’m not pretending empathy. I try to reassure them when they offer insights & help normalise the way they’re feeling as they express those thoughts & feelings, so they don’t feel so alone & get positive reinforcement to continue opening up. I’m a Paramedic so I assess people & provide some acute crisis management & treatment, but I don’t treat them medium to long term. And one of the most common complaints that people seem to have regarding MH workers, is that they don’t really understand them. And that they don’t really care - they’re just doing our job. One bit of advice I have given many of my patients who express this, is that if you walk into a room with a lot of strangers, there will be a few you instantly are drawn to, a few who you instinctively dislike, and most will take time to form an opinion on. And that’s without needing to pour out their deepest darkest thoughts & fears to them. So if they find a Dr, counsellor or other practitioner who they don’t like or feel doesn’t understand them, don’t give up on getting help. Just realise that their particular approach doesn’t work for them so they need to find someone else wherever possible. Also, that giving as much information as possible will help the MH practitioner come to understand them so they can find ways to help them. The example was very useful however, as it was a good demonstration of collecting a lot of relevant initial assessment information rapidly.

[@ahmadsauyack2770]

doctor so pretty, I be patient