The Blogger’s MSE

Mental State Examination:

Appearance/ Behaviour: The blogger is a man/woman aged between 20s and 30s of medium height and normal build. They are dressed in casual clothing and are frequently dishevelled. The blogger establishes good rapport and maintains intense eye contact with their computer or mobile device. They tend to smile stupidly or frown intensely at the screen when blogging 

Speech: Speech is minimal to non-existent when blogging although occasionally seen muttering phrases to themselves with normal rate but low volume. 

Mood: The mood of the blogger is often subjectively variable before blogging and is objectively euphoric following blogging. 

Affect: The affect is expansive and labile ranging from irritable to blunted to euphoric, and changes frequently depending on the subject of the blog

Thought Form: The Blogger’s thought form is not linear or goal directed. There is often signs of thought disorder including tangentiality and circumstantial writing. There is also frequent flight of ideas evident in the blog posted.

Thought Content: Thoughts consist of grandiose delusions regarding popularity of blog. They also believe they will become a famous author. The blogger is preoccupied with obsessive thoughts regarding their next post and have a compulsive need to log on to WordPress frequently. 

Perception: Blogger has occasional auditory hallucinations of sentences in their next post. Blogger does not report visual hallucinations and is not observed to be responding to non-apparent stimuli.

Cognition: Blogger is alert and oriented to time, place and person. Good recall of previous posts.

Insight & Judgement: Both insight and judgement is impaired as the blogger believes their delusions are reality based and do not believe they need help with their obsession with blogging. 

Risk: The Blogger’s risk of harm to self is deemed moderate and is mostly in the form of procrastination by blogging and hindering their progress and completion of school work. Their risk of harm to others is deemed moderate by causing them to procrastinate also when reading the blogger’s post, and also possibly causing harm by boring them.