| Sumario: | During mental status examination, Joseph is mildly anxious and calm. He is coherent without looseness of associations, pressure of speech, flight of ideas, or evidence of hallucinations. He is pleasant and very cooperative. He is oriented to person, place, time, and situation. He has some concentration difficulty as revealed by struggling in subtracting serial 7s (perhaps math difficulty) but is able to perform subtraction with serial 3s at a good rate with few mistakes. He demonstrates poor concentration by being able to spell a 5-letter word but not reverse the spelling. He has difficulty with reversing 4 and 6 digit numbers. He has excellent immediate recall as he immediately repeats 3 items and can repeat back up to 6-digit numbers. He has excellent recent memory, fully remembering 3 items at 5 minutes. He demonstrates excellent past memory by recalling general information and describing major current and past events. He is unable to make simple change. He is capable of abstractly describing similarities of items. He is capable of giving abstract interpretations for general proverbs. His affect is mildly anxious and he has a full range of appropriate affect. He describes his present mood as 'a decent mood but with physical discomforts okay,' and his recent mood as 'about the same - in the middle of the road.' He demonstrates good judgment with his answers to formal judgment questions. He demonstrates fair insight about why he is being evaluated, realizing he has sleep difficulties but he is not insightful that he abuses substances. When asked about 3 wishes, he replies, 'this might sound corny - but peace, lack of hunger, and more love.'
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