Mental Status Examination

The patient is alert and oriented x 3 with clear, appropriate speech and concentration. He is well-groomed and looks his stated age of 13 years. He maintains eye contact during conversations appropriately. His affect is flat, and he displays irritability towards his mother, exhibited by frequent arguments. He shows poor insight and difficulty accepting responsibility for his actions. The patient’s racing thoughts, triggered by school work, are displays of anxiety. He denies current suicidal or homicidal ideation and auditory and visual hallucinations. The patient’s fund of knowledge includes a standard awareness of current and past events.

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