Mental Status Exam for Social Worker Mommy

SWM is a middle aged  young and vibrant 40 yr old white female who currently resides with her husband and 3 hellions boys.  Client's appearance, grooming and hygiene were abnormal as she states she hasn't showered in three days (longer since she shaved her legs).  Although oriented to person and place she seemed confused regarding the time and spoke only of nap times, bed times, and meal times..actual hours on the clock seemed to hold little meaning for her.
SWM's thinking and perception were within normal limits, although at times she appeared hypervigilant regarding germs using hand sanitizer excessively and offering baby wipes to everyone in the office.  All the while she was muttering "not one more cold this year, cannot take one more cold."   SWM's speech was inappropriately sing songy and at times she was given to making exclamations that were inappropriate to the setting- pointing out shiny cars or repeating "Use gentle hands."  
SWM complains of interrupted sleep patterns, abnormal eating patterns (only little debbie cakes and chicken nuggets in last 36 hours),  


Recommend girl's night out immediately.  Place SWM on 72 hour hold in a spa/quiet room.