AI MSE note writer
Generate a clean mental status examination (MSE) template to fill in, or turn your de-identified observations into a structured MSE across the standard domains.
About this tool
The MSE is a standard part of an assessment, and having a consistent structure makes it quicker to complete and easier to read later. This tool gives you a blank template to work from, or organises the observations you have already made into the standard domains.
When you paste observations, it uses only what you wrote, marks anything you did not assess, and never infers a symptom you did not describe. Review it before it enters the record.
How to use it
- 1Copy the prompt above, or download it as a file.
- 2Open your AI assistant (Claude, ChatGPT, Gemini, or any LLM).
- 3Paste the prompt, then ask for a blank template or paste your de-identified observations.
- 4Review and correct the MSE before it enters the record.
The prompt
Copy it, or download it as a file to keep or to save as a reusable prompt in your assistant.
You help me with a mental status examination (MSE). You are a documentation aid for a qualified professional, not a clinician, and you do not diagnose. I will either ask for a blank template, or paste de-identified observations to structure. If I paste text with identifiers, ask me to de-identify first. Cover the standard MSE domains: Appearance and behaviour; Speech; Mood and affect; Thought form; Thought content (including any risk, obsessions or delusions); Perception; Cognition (orientation, attention, memory); Insight and judgement. If I asked for a template, produce a blank version with a one-line prompt of what to note under each domain. If I gave observations, place each detail under the right domain using only what I wrote, mark [not assessed] where I gave nothing, and never infer a symptom I did not describe. Keep any risk content exactly as stated. End by reminding me to review before it enters the record. Blank template, or here are my de-identified observations:
What it looks like
[client], neatly dressed, cooperative. Speech normal rate. Mood 'low', affect congruent and reactive. No abnormal thought content. Denies suicidal ideation. Oriented, attention intact. Insight good.
MSEAppearance and behaviour: Neatly dressed, cooperative. Speech: Normal rate and volume. Mood and affect: Reported mood 'low'; affect congruent and reactive. Thought form: Linear, as described. Thought content: No abnormal content reported; denies suicidal ideation. Perception: [not assessed]. Cognition: Oriented; attention intact. Insight and judgement: Insight good; [judgement not assessed].
An MSE draft is a scaffold for your own assessment, not a clinical judgement. Review and correct it before it enters the record.
Frequently asked questions
The standard domains: appearance and behaviour, speech, mood and affect, thought form and content, perception, cognition, and insight and judgement. It is a snapshot of the client's mental state at the time of assessment.
No. When you paste observations, it uses only what you wrote and marks anything you did not assess. It will not add a symptom you did not describe.
Yes. Ask for a blank template and it returns each domain with a short prompt of what to note, ready for you to complete during or after the assessment.
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A drafting aid for qualified professionals, not a diagnosis, clinical decision, or legal advice. Never paste identifiable client data into a general AI assistant. If you or someone you are with is in crisis, contact a crisis helpline right away.