Revisiting the Mental Status Exam
The MSE is a core part of every behavioral health assessment, and it is also one of the easiest places for vague language to creep into a chart. Join Diane Bigler, LCSW, LSCSW, for a practical review of what to observe, what to ask, and how to write findings that hold up.
- The core components of a comprehensive MSE
- How to separate what you observed from what you concluded
- The vague phrases that weaken an otherwise solid note
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An exam you run with intent, and a note that shows it
Review the core components of a comprehensive Mental Status Exam.
Strengthen documentation so it is objective, specific, and clinically useful.
Distinguish direct observation from interpretation, and client report from clinician judgment.
Avoid vague language and conclusions the record does not support.
Account for cultural, cognitive, medical, and safety factors that shape the exam.
Adapt MSE documentation for telehealth encounters.
For anyone whose assessment ends up in the chart
Diane Bigler
Diane Bigler, LCSW, LSCSW, is a Licensed Clinical Social Worker in Missouri and Kansas with over 25 years of experience in the mental health field. She has held clinical positions as an outpatient and in-home therapist and clinical supervisor in diverse settings. Diane was an Adjunct Professor of Social Work for 10 years at The University of Kansas, School of Social Welfare and a Field Liaison and Field Instructor. She has also held administrative positions as a Program Director and Coordinator. Diane is a popular local and national trainer on a wide variety of mental health and workplace development topics for clinicians and corporations and has facilitated over 500 training courses in the last few years.
A sharper exam makes for a stronger record
Reserve your spot for the live session on October 13.
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