Assignment 2 (Week 2)
Assignment 2 (Week 2)
Assignment Number: 2
Ans 1.
Step 3: Inquiring about the client’s current issue, and the history of the issue.
Step 4: Treatment History (If the client ever treated his/her issues).
Step 6: Family History (how does the family interact with each other).
Step 7: Personal History (It includes birth and developmental history, academic and extracurricular
activities history, any childhood issues).
Step 9: Sexual History (Inquiring about all physical relationships and whether they were consensual,
married or single)
Step 10: Mental Status Examination (Assess the client's current mental state, including appearance, level
of consciousness, behavior, speech, mood, cognitive functions, orientation, memory, intelligence,
judgement, and insight)
Q2. Why mental status examination is an essential part and what is the purpose?
Ans 2. The MSE provides a snapshot of the client's current psychological functioning. It evaluates various
aspects of mental health, including cognitive, emotional, and behavioral functioning. MSE helps identify
specific symptoms and signs of mental health disorders. This information can be crucial for diagnosing
conditions such as depression, anxiety, psychosis, or cognitive impairments. Findings from the MSE
contribute to forming a diagnosis and determining the appropriate treatment plan. MSE also includes
evaluating the client's risk of harm to themselves or others. Identifying potential risks allows for timely
interventions to ensure the client's and others' safety.
Q3. Give you own set of questions that you would ask from the client in MSE (attention,
concentration, memory, abstract thinking)
Ans 3.
Attention – I will recite several letters you need to repeat them in the same serial order, and also in the
reversed order.
Concentration – Starting from 100, can you subtract 6 and keep subtracting 6 each time until I say stop?
Memory – I am going to say 7 words: apple, fridge, chocolates, plate, lamp, candle, clay. Can you repeat
them back to me now and also after 5 minutes? What did you have for dinner last night?
Abstract thinking – How is a table and chair alike? Describe the meaning of “do not count your eggs
before they hatch”?
Q4. If the client feels uncomfortable and is not ready to answer certain questions, then what will be
your move and how will you deal with the client?
Ans 4. If the client is not comfortable and is not ready to answer, I will reassure them and tell them that
we can come to this later, maybe in the end of the session, or in other sessions. I would respect the
client’s boundaries and would not push them or force them, and instead wait for them to trust me
enough. I will redirect the conversation to other areas where the client feels more comfortable. For
instance, "Can you tell me more about what you're comfortable discussing today?". One more thing that
I can imply is offer them alternative ways to express their feelings, such as through writing, drawing, or
using metaphors, which might be easier for them to do so.