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The mental status examination (MSE) is an important part of the clinical assessment process in neurological and psychiatric practice. It is a structured way of observing and describing a patient's psychological functioning at a given point in time, under the domains of appearance, attitude, behavior, mood and affect, speech, thought process, thought content, perception, cognition, insight, and ...
A team of professionals including a speech–language pathologist, an otolaryngologist, and a neurologist, are typically involved in spasmodic dysphonia assessment and diagnosis. [26] The speech–language pathologist conducts a speech assessment including case history questions to gather information about voice use and symptoms. [24]
It is less severe than logorrhea and may be associated with the middle stage in dementia. [1] It is, however, more severe than circumstantial speech, in which the speaker wanders but eventually returns to the topic. [3] Some adults with right hemisphere brain damage may exhibit behavior that includes tangential speech. [4]
The DSM-5 and the ICD-10 are both used to make specific diagnostic decisions. Speech and language disorders commonly include communication issues, but also extend into various areas such as oral-motor function—sucking, swallowing, drinking, or eating. In some cases, a child's communication is delayed considerably behind his/her same-aged peers.
Examples of such situations include: “Remembering where to find things which have been put in a different place from usual” and “Handling money for shopping”. Each situation is rated by the informant for amount of change over the previous 10 years, using the following scale: 1. Much improved, 2. A bit improved, 3. Not much change, 4.
As the disease develops, speech quantity decreases and many patients become mute. Cognitive domains other than language are rarely affected early on. However, as the disease progresses, other domains can be affected. Problems with writing, reading, and speech comprehension can occur, as can behavioural features similar to frontotemporal dementia.
Expressive language disorder is one of the "specific developmental disorders of speech and language" recognized by the tenth edition of the International Classification of Diseases (ICD-10). As of the eleventh edition (ICD-11, current 1 January 2022), it is considered to be covered by the various categories of developmental language disorder ...
For example, the definitions offered by the American Speech–Language–Hearing Association differ from those of the Diagnostic Statistical Manual 4th edition (DSM-IV). [ 4 ] Gleason (2001) defines a communication disorder as a speech and language disorder which refers to problems in communication and in related areas such as oral motor function.