Two cases are presented where the emphasis is on understanding the symptoms and progress of the illness. In case one the patient describes her psychotic experiences, typical of those seen in this condition. At the case presentation one of the doctors describes the mental state examination and this is a good example of the standard expected in an examination setting.
In case two the patient is seen in three interviews spread over a period of time and it is instructive to see the changing mental state. Florid thought disorder is seen in the first interview, and in the second and third she is much improved. Discussion is wide ranging and also touches on the importance of the doctor patient relationship.