| Sumario: | During mental status examination, Barbara is mildly anxious and calm. She is coherent without looseness of associations, pressure of speech, flight of ideas, or evidence of hallucinations. She is pleasant and very cooperative. She is oriented to person, place, time, and situation. She has excellent immediate recall as she immediately repeats 3 items and up to 5-digit numbers. She demonstrates initially good concentration as revealed by subtracting serial 7s accurately but then after several numbers becomes lost and forgets what she is doing. She demonstrates good concentration by being able to spell a 5-letter word forward and backwards, although she has difficulty with reversing 4 and 5 digit numbers. She has good recent memory, almost fully remembering 3 items at 5 minutes. She cannot describe major current events, saying she has been distracted by problems with worrying about her son. She can name major past events and recall important general information. She cannot make simple change and seemed unaware she made mistakes. She varies between being concrete and abstract in describing similarities of items. She is capable of giving very abstract in interpreting general proverbs. Her affect is mildly anxious and she has a full range of appropriate affect, crying at the end of the interview. She describes her present mood as 'okay,' and her recent mood as 'a little depressed.' She demonstrates good judgment with her answers to formal judgment questions. She demonstrates excellent insight about why she is being evaluated. When asked about 3 wishes, she replies, 'wish for my son to be back to normal, be sweet like he used to be, wish for my husband to come back, and I wish to go on a nice family vacation.'
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