Assessment of Speech under Mental Status Examination (Disorders of Speech)

Assessment of Speech under Mental Status Examination (Disorders of Speech) - Speech is evaluated passively throughout the psychiatric interview. It is of key importance to do a speech assessment before you proceed to complete MSE. Speech assessment should be done in the patient's mother tongue or the language in which the patient is comfortable. If the patient speaks less than normal, they may be experiencing depression or anxiety. Conversely, an increased/hyperverbal amount of speech may also indicate some level of anxiety or that a patient is currently manic. Fluency refers to the patient’s language skills. The rate of speech may be slow in depressed patients or those with a neurocognitive disorder. The pressured rate may indicate acute substance intoxication or that the patient is experiencing a manic episode. A delayed speech response time may also indicate a neurocognitive disorder or that the patient is experiencing a thought process disorder such as thought blocking seen in psychosis. The rhythm of speech can provide clues to a number of diagnoses. Slurred speech may indicate intoxication. Dysarthria may indicate a possible motor dysfunction when speaking. Volume can be quiet if a patient is depressed/withdrawn or loud if they are agitated. Lastly, the tone may indicate a patient’s mood.
To summarise-
Coherence or not
Relevance or not
Tone (loudness) of speech - normal/increased/decreased
Tempo (rate or speed) of talking - normal/increased/pressure of speech/decreased
Volume (amount) of speech. Estimate words per minute - verbose/pressure of speech/decreased
Prosody - emotional intonations of speech
Reaction time - increased/decreased
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[@manzoorali9045]

Best source of updating knowledge for psychiatrists

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Thank you, you have some of the best psychopathology content I've found. Really helpful as a first year resident.

[@SureshBadaMath]

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[@tamilan2860]

Very interesting. Explain with simple language. Superb sir. Thank you

[@SureshBadaMath]

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[@castudytime9580]

Best mind doctor I have ever seen on youtube.. To clear the concept ..thanks sir...

[@SureshBadaMath]

Welcome

[@williamrogers5436]

superb job
i found this extremely well organized and clarifying
thank you for the help!

[@SureshBadaMath]

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[@madhumitha.ssubramani5139]

Very nice and elaborate presentation sir,
Thank you so much .

[@SureshBadaMath]

Welcome and all the best

[@madhumitha.ssubramani5139]

@@SureshBadaMath Thank you sir.

[@maharanibanerjee4291]

thank you so much SIR

[@SureshBadaMath]

Thank you very much
Please find complete access to copyrighted educational videos on Mental health is available on -
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[@tanmayeemishra4186]

Thank you so much sir ...i clearly understand all the things of speech. Ur clearly and easily explain. Again thank you sir 😊

[@SureshBadaMath]

Welcome

[@polymathdiaries5818]

Thank you Sir. This lecture made my concepts crystal clear.
I have a question, what form of aphasia is likely to occur in a child with shaken baby syndrome who was shaken when it was between 3-4 years of age?

[@SureshBadaMath]

Depending upon the arterial damage in the brain

[@polymathdiaries5818]

Thank you Sir for clearing my doubt.🙏

[@tusharbalatripathy9581]

Thank you so much.very nice lecture

[@SureshBadaMath]

Thanks and welcome
Thank you very much
Please find complete access to copyrighted educational videos on Mental health is available on -
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[@dromarhabeb]

Thank you

[@A.R.U.N.007]

Speech and language disorder its comes under which category sir.... Can we apply for Govt jobs... Plz tell me

[@mahendrapandian1619]

My son is 18 years old he is not able to express fluently he is not saying in order

[@sudeshnaguha9676]

Thank you Sir

[@SureshBadaMath]

Welcome

[@fathimarihana6087]

Thank you so much sir🙏

[@adrianteo2421]

Amazing

[@_alfaaz_8364]

sir i have stammering problem since childhood do i come under dysarthria and aprexia ?????

[@kumaribhawana3748]

Thankyou sir
Also can you please explain disorders of emotion and motor disorders from fish clinical psychopathology

[@SureshBadaMath]

Please check the playlist on Basics of Psychiatry. I have made those videos
ruclips.net/p/PLldEapv0nG30x-ikhxOj55vZKerM9YbJ4

[@kumaribhawana3748]

@@SureshBadaMath sir thankyou for your concerned reply
But I cannot find motor and emotion in particular in the playlist it would be a great help if you can just add those 2 links to the reply 🙏

[@prernaarora1767]

These videos are not available sir

[@Taradeepsingh]

Sir i have severe stammering/stuttering. Can I get a 40% disability certificate for that?

[@SureshBadaMath]

Please get evaluated by an ENT specialist or speech pathologist

[@Dopamine0946]

Thanku sir👍👍

[@tanmayeemishra4186]

Sir plz ek details video banayiye disorders of memory ke upar .. I can't find it ......plz help me 😊

[@SureshBadaMath]

Sure

[@ravinderranga471]

Respected sir,my son is above six years,he can't understand the words we say what should do sir

[@SureshBadaMath]

Please consult a pediatrician for evaluation

[@Mohammadimran-ft6gy]

Doctor sahab
Mai 40 saal ka ho gaya hu lekin aaj bhi self independent Nahi hua Sirf speech problems ki wajah se,
Samne wala bolta hai to mai sunta Hu
Samajhne ki puri koshish karta hu
Aur samajh bhi leta hu
Lekin phir mai bolta Hu reply Mai
To naa saamne wala samajhta hai aur maa mai samajhta Hu ki maine kya bola
Aur yaad bhi nahi rahta ki maine kya bola
Isaki wajah se meri koi image nahi hai
Koi dosti
Jaan pehchan Nahi bana pata hu
Ek gumnam Zindagi hai ,
Koi medicine aati hai kya jisase saari speech problems khatm ho jaye ?

[@SureshBadaMath]

Aap please speech therapist se consult kare

[@hankhan4978]

❤

[@Its_Bapun223]

Sir, I'm suffering from stammering. Please help me sir🙏😭😭

[@SureshBadaMath]

Please consult speech therapist

[@Mohammadimran-ft6gy]

Sir aapke mobile number?