One of the tools that a case manager might use to assess a client is the Mental Status Exam (MSE). The MSE has several domains, but right now, we'll take a look at what's included under the "Speech" domain:

A. Form - conversational, distractible, rambling, circumstantial, tangential

B. Quantity - mute, overtalkative, can't be interupted

C. Rate - rapid, accelerated, pressured, slow, blocked

D. Quality - dramatic, histrionic, sarcastic, humorous

E. Expressive Language - normal, circumstantial, anomia, paraphasia, clanging, echolalia, incoherent, blocking, neologisms, perseveration, flight of ideas, mutism

F. Receptive Language - normal, comprehends, abnormal

G. Dysprodia - flat monotone speech, no emotional expression