Assessment > Mental State Examination > Abnormal Experiences

 

Abnormal Experiences (Perception)

  • Hallucinations in any of the five senses: auditory, visual, or olfactory, gustatory or tactile.

  • Alterations of bodily sensations including somatic hallucinations.

  • Nature of experiences

- modality

- auditory hallucinations

- speaks to patient (2nd person) or talk about (3rd person)

- running commentary on actions, command

- details of specifics, in terms of gender, number etc.

 

  • Changes in experiences, in terms of frequency and volume; factors associated with this - in response to external change.

  • Depersonalisation (feeling of watching oneself act, while having no control over a situation) or derealisation (alteration in the perception or experience of the external world so that it seems unreal).

  • Presence of illusions.

  • Patient’s understanding of these experiences, including who they believe may be causing them and their response to this protection etc.

  • The effect of these experiences on their functioning.