| Sumario: | During mental status examination, Peter is fairly anxious and fidgety. He is coherent without looseness of associations, pressure of speech, flight of ideas, or evidence of hallucinations. He is pleasant and cooperative. He is oriented to person, place, time, and situation. He has excellent immediate recall as he immediately repeats 3 items and 3 to 5 digit numbers. He has some concentration difficulty as revealed by losing his place once while subtracting serial 7s but was able to pick back up after one long pause. He initially demonstrates good concentration by repeating and reversing 4 and 5 digit numbers, but then has marked difficulty with a second 5-digit number, both repeating and reversing the number. He demonstrates excellent past memory by recalling general information and describing major current and past events. He has good recent memory, almost fully remembering 3 items at 5 minutes. He varies in being abstract or being concrete in finding similarities of items. He varies in being concrete or abstract when interpreting general proverbs. His affect is mildly anxious and he has a full range of appropriate affect. He describes his present mood as 'okay,' and his recent mood as 'ups and downs.' He demonstrates excellent judgment with his answers to formal judgment questions. He demonstrates excellent insight about why he is being evaluated, realizing he is having difficulty at work and needs evaluation. When asked about 3 wishes, he replies, 'get a billion, health for everyone I know, and a cure for cancer.'
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