Mini-Mental State Examination (MMSE) Narrative Report
Patient Information:
● Name: [Patient’s Name]
● Age: [Patient’s Age]
● Sex: [Female/Male]
● Date of Assessment: [Date]
● Referral Reason: [Reason for assessment, e.g., memory complaints, cognitive
decline, baseline evaluation]
Test Administered:
● Assessment Tool: Mini-Mental State Examination (MMSE)
● Purpose: To screen and evaluate cognitive function, including orientation,
attention, memory, language, and visuospatial skills.
● Administrator:
Administration:
The MMSE was administered in a quiet and comfortable environment. The patient was
cooperative and attentive throughout the testing session. Instructions were clearly
explained, and the patient responded without significant hesitation.
Results:
MMSE Domain Score (Out Observations / Comments
of Max)
Orientation (Time & /10 Patient oriented to [time/place details], minor
Place) difficulty with [specify item]
Registration /3 Patient repeated [word] correctly; [number]
(Immediate Recall) errors observed
Attention & /5 Patient able to perform [serial 7s or spelling
Calculation backwards]; [observations]
Recall (Short-term /3 Patient recalled [number] words after delay;
Memory) [observations]
Language /9 Able to name, repeat, follow commands,
read, and write; minor difficulty with [specific
item]
Visuospatial /1 Patient [copied/did not copy] figure
(Copying) accurately
Total MMSE Score: /30
Interpretation:
The patient’s MMSE total score of [] suggests normal cognitive function according to
standardized cut-offs. Specific areas of difficulty were noted in [domain], which may
indicate [possible clinical implication, e.g., memory deficits, attentional challenges].
Clinical Impressions:
Based on the MMSE results, the patient demonstrates [summary of cognitive
strengths and weaknesses]. These findings are consistent with [e.g., age-appropriate
cognitive function / early signs of dementia / mild cognitive impairment].
Recommendations:
1. Continue regular cognitive monitoring with follow-up assessments in [timeframe].
2. Consider additional neuropsychological testing to explore specific deficits in
[memory, executive function, language, etc.].
3. Engage in cognitive stimulation activities and lifestyle strategies to support
cognitive health.
4. Refer to [neurologist/psychiatrist/geriatrician] if further evaluation is warranted.
Signature:
[Name, Credentials]
[Designation]
[Date]
Clinical Interview Narrative Report (Sample)
Client Name: Maria Teresa Santos
Preferred Name / Pronouns: Maria / She/Her
Age / Gender / Birthdate: 19 years old, Female, March 12, 2002
Contact Number / Email: +63 912 345 6789 / [Link]@[Link]
Home Address: 45 Magnolia St., Quezon City, Philippines
Marital Status: Single
Occupation / Student Status: College Graduate / Currently Unemployed
Emergency Contact: Ana Santos (Mother) – +63 912 987 6543
Presenting Problem
Maria sought consultation due to persistent feelings of anxiety and low mood that have
been affecting her daily functioning. She reports that these symptoms started
approximately six months ago after losing her part-time job. She describes her anxiety
as “constant worry that I might fail in everything I do” and her low mood as “feeling
empty and unmotivated most of the time.”
The severity of her symptoms is moderate, affecting her ability to focus, maintain
relationships, and manage daily tasks. Triggers include academic reminders, social
gatherings, and conflicts with family members. She reports that her symptoms are
worst in the morning and slightly improve as the day progresses. Maria attributes her
current state to job loss and feelings of inadequacy.
History of Present Illness
The client reports that her anxiety and depressive symptoms have been gradually
worsening over the past six months. She experiences frequent episodes of
rumination, occasional panic attacks, and difficulty sleeping. Coping strategies
employed include journaling, listening to music, and talking to friends.
Maria has not previously sought formal therapy but attempted self-help strategies
such as meditation apps and reading self-help books, which she reports provided
minimal relief. She notes that her mood and anxiety fluctuate depending on stressors
but has been generally persistent.
Psychiatric & Medical History
● Previous Diagnoses: None reported
● Hospitalizations: None
● Psychiatric Medications: None
● Chronic Illnesses / Pain Issues: None
● Substance Use: Occasionally drinks socially; denies smoking or illicit drug use
Family & Social History
Maria lives with her mother and younger brother. She reports a supportive relationship
with her mother but strained interactions with her father due to past conflict. No formal
mental health diagnoses in the family were reported, but she notes that her father has
had periods of depression.
She reports a history of childhood emotional neglect and occasional peer conflict in
school. Her social support system is limited to close friends and her mother. She
participates in community church activities, which provides some emotional support.
Developmental History
● Prenatal / Birth / Infancy: No complications reported
● Milestones: Achieved on time
● Academic Performance: Generally above average, minor struggles in science
and
● Behavioral Issues: Mild shyness and social withdrawal during early school
years
● Peer Relationships: Adequate, with a small group of friends
Educational and Occupational History
● Education: Bachelor of Science in Psychology
● Academic Difficulties: Stress with exams and group projects
● Work History:
● Workplace Stress:
Psychosocial History
● Sexual History: Heterosexual, currently not sexually active; no history of trauma
● Financial Stressors: Moderate; dependent on family support
● Religion & Cultural Factors: Active Catholic, participates in church activities
● Leisure Activities: Watching movies, playing online games
● Legal Issues: None reported
Risk Assessment
● Suicidal Thoughts: Denies
● Self-Harm: Denies
● Homicidal Ideation: Denies
● Aggression / Violence: Denies
● Abuse History: Emotional neglect reported in childhood
● Level of Safety at Home: Adequate; feels safe living with her mother
Mental Status Examination (MSE)
● Appearance: Well-groomed, casual attire appropriate for age and weather
● Behavior: Calm, cooperative, slight psychomotor slowing
● Attitude: Engaged and attentive throughout the interview
● Speech: Normal rate, volume, and tone
● Mood and Affect: Subjectively anxious and mildly depressed; affect congruent
● Thought Process: Linear, goal-directed
● Thought Content: No delusions or obsessions noted; occasional self-critical
thoughts
● Perception: No hallucinations reported
● Cognition: Alert and oriented ×3; memory and concentration mildly impaired
● Insight and Judgment: Good insight into current problems; judgment appears
intact
Summary & Impression
Maria presents with symptoms consistent with moderate anxiety and depressive
features secondary to psychosocial stressors (job loss, family conflict). She
demonstrates adequate insight, intact cognition, and no immediate risk of harm to self
or others.
Recommendations:
1. Begin regular psychotherapy (e.g., cognitive-behavioral therapy) to address
anxiety and depressive symptoms.
2. Psychoeducation on stress management, sleep hygiene, and coping skills.
3. Monitor mood and anxiety levels; consider referral to a psychiatrist if symptoms
persist or worsen.
4. Strengthen social support and engage in structured leisure activities.
Narrative Report in Psychological Report (Sample) check Lab Manual Page 34-35
iii. Case background
MW is a 31 year old Chinese-Filipino, currently working as an IT professional and
businessman, and presently resides in his father’s house in Manila together with his
wife and son. He is married for 2 years with a 1 year old son. He is baptized a roman
catholic but has studied in a Christian school and has been a Christian ever since.
MW father works in the family business together with MW’s aunt. His father is a high
ranking member of a Chinese family association in Binondo, Manila. According to MW,
his father has always been a very good provider. Further, he said that his father that
until now that he is married his father sees to it that every need is met by each member
of the family. He also said his father does all his responsibilities but “mainitin ang ulo”.
After talking about his father he said as a whole, he wanted to be able to provide for
the family including his parents.
MW’s mother was a grocery store owner for almost two decades. She has currently
migrated to the US together with his youngest sibling. She has been busy running the
store and other little businesses for years but, just like the father, sees to it that every
day a meal was prepared for the family, clothes were washed, and the house was
cleaned.
MW is the eldest of 4 siblings. They were each born on 1-2 years apart. When asked
about his siblings, he mentioned first the youngest sibling, 24 years old, who has now
migrated with his mother to the US. He said his youngest brother is “okay lang” in a
sense that he described him as not that strong to the point of excelling at anything, he
thinks of him as an average person, in his own words “gitna lang”. Next he talked about
his only sister who is now 29 years old and described her just like the youngest
brother. Although he recalled that he was envious of her when they were little. The last
sibling he mentioned was the second brother, who just turned 28 years old this year.
He said that growing up he has always been the person that he gets into quarrels with.
MW is married for two years. His wife is three years his senior and is currently taking
her doctoral degree. He finances her post-education. Both MW and his wife decided
that she discontinue working and stay at home while studying to have more time to
take care of their son. When asked about his relationship with his wife, he described
her as “makulit”, fickle-minded, and “mainitin ang ulo”. But he also said, she was
sweeter and more thoughtful than him, and she takes good care of him and his son.
When asked about his son, he became a bit excited. He said he was “makulit” and
naughty. He said that seldom, he misses the time when his son was still months old
and would only sleep or stay on the bed. He said that typically they quarrel about
things especially when he comes up with assumptions rather than talk things through
with the wife. But he mentioned that compared to before, he gets to understand her
more and is looking for ways to communicate better with her.
The client was not elaborate when asked about his early childhood experiences. And
can only recall the time when his Kowa gave him a huge amount of money while in
vacation as the happiest during his childhood (he was in 3rd year highschool then). He
was into collecting toys as a child and changed mobile phones frequently as a
teenager. He mentioned that the most negative moment he can recall was not a just a
past experience but a recurring occurrence at home where his father would get
annoyed with everybody in the house even when he is angry with only one particular
person. He said, in a way it was very discouraging to show him any good deed
because he will end up looking for mistakes anyways. And since it was a regular
scenario at home, he just got used to it. With an interview with his sister, she said that
he was very quiet and aloof when they were kids. He also said he didn’t have a lot of
friend in school and would always prefer to play videogames alone at home.
MW recalled that growing up, his father always reminded him not to trust people
because most people will only do bad things. His father also reminded him that it’s
better to be cautious, rather than regretting something in the end. Although there was
never a time when he directly experienced people taking advantage of him or his
father, these statements he remembers and lives by. MW thinks there’s nothing wrong
with not being able to please anyone. He says that one has to be careful with whom
he’s dealing or making friends with, because if something goes wrong it’s difficult to
come up with back-up plan.
MW also talked about his aunt in his father’s side whom he called “kowa” who he
described as “tagabigay ng luho”. She was considered the mediator when he and his
father or his brothers were not in good terms. He also recalled that while growing up he
was almost always spending his days with his aunt. She was considered a second
mother already as she would constantly talk to MW and provide guidance or emotional
support. MW said she dreams of giving not just her immediate family but even his
nieces and nephews comfortable and successful lives. She gives some financial
support to him and his family as well.
With an interview with his mother, she said that when her daughter was born, she had
to stop breastfeeding MW to attend to the younger daughter. When this was mentioned
to the client, he said his mother was always busy with whoever the youngest sibling
was. When asked about some memorable experiences with his mother, he was not
able to point to a single experience with her aside from an instance when his parents
were fighting in the middle of the night. He was a kid then and his mother wanted to
leave the house and bring her children. He said at that time, he didn’t want to talk, but
if given the chance, he would choose his father over her mother.
MW says that the most important thing in his life is his family. An interview with his wife
revealed that he almost never spend any money for himself just to be able to buy what
his son wants and to provide the wants and needs of his wife. With this, MW doesn’t
have too many friends and that he keeps his circle small. He explains that he does not
have many friends because his time is more centered on his family. He said that one of
his goals in life was to be financially stable, and with this he meant very rich that he’d
be able to get whatever he or his family want and need. He had always wanted his
family to have a happy and comfortable life, one that is better than the present.
Currently, MW is planning to start up businesses of his own that would allow him to
stay at home with his family.
iv. Physical and Behavioral Observation
MW is 5’9’’ in height with a medium physique and a fair complexion. He was wearing
casual shirt and shorts which appeared to have holes in them. When the client arrived
at the meeting place, he was looked very at ease and calm since he smiled a lot and
sat on the chair very comfortably. However during the initial minutes of the interview,
he had difficulty expressing himself in words that he would answer in short sentences,
sometimes with only yes or no, and would pause for quite a few seconds before
answering. As the interview progressed he became more opened and relaxed as he
would laugh at memories he was retelling. He maintained eye contact during most
parts of the interview. However, whenever his mother would be the topic of
conversation, it was noticed that he became more ill at ease and would turn away his
gaze or bite his fingers while talking about her.