MT Training > Terminology > Psychiatric or Mental status

PSYCHIATRIC OR MENTAL STATUS PHRASES & WORDS:

 Explanation of Axis I to V:

 Axis I:     Clinical disorders, syndromes and/or other areas of concern

Axis II:   Personality disorders and mental retardation

Axis III: Medical conditions (which may impact emotions)

Axis IV:  Psychosocial stressors (death, divorce, loss of job, etc.)

Axis V:    Global assessment of functioning.

 COMMON PHRASES AND WORDS: 

 3-step command

 able to spell "world" backwards

 able to provide a correct year, month, date, day of the week, correct state, city

 able to recite alphabet correctly in a timely manner and count backwards

 able to maintain attention on the task at hand

 able to name 2 out of 2 common objects and 5 out of 5 body parts

 able to comprehend presented questions and commands correctly

ankle jerks

able to name objects, repeat phrases

able to process information

able to recall 3 out of 3 words

able to spell the word "world" backwards

affect was appropriate to content and normal in range

affect was blunted / affect was full range

affect was tearful / affect was euthymic

all 3 spheres

anhedonia

antisocial behavior

apathy, indifference

aphasia

ataxia

attention and concentration

auditory or visual hallucinations

awareness of current events

bradykinesia

bradyphrenia, bradykinesia, rigidity, psychomotor slowing

Broca's aphasia

buccofacial and ideomotor apraxia

cogwheeling, rigidity, spasticity

coordination and gait are intact

deep tendon reflexes are brisk and equal

delusional

demonstrated good recall

despondent

difficulty establishing and switching cognitive sets

disheveled

dysarthria

dysgraphia

dyskinetic movement

dysnomia, jargon or paraphasic errors

dysphoric mood

emotional dyscontrol, lability, over-excited behavior and irritability 

expressive and receptive language

expressive aphasia

flight of ideas

Folstein Mini Mental status Exam

formal thought disorder

Frontal release signs such as sucking, snout reflex, grasp, palmomental reflex, nuchocephalic and self-rasping were not elicited on testing

fund of knowledge

gait is narrow based or wide based

glabellar reflex

good vocabulary

grandiose ideation

grandiosity

grip strength

groomed

ideas of reference

impulse control

impulsivity, disinhibition

incoherent

insight and judgment

internally preoccupied

judgment and problem-solving abilities

knee jerks

knows the city and state

letter perception was intact

maintains eye contact  / does not maintain eye contact

memory abstractions

mental status is intact in all four spheres

mental status is intact in all four spheres

mood appears depressed

mood was labile

new learning and delayed recall

no field cut to gross confrontation

no field cut to gross confrontation

no strange or odd posturing or mannerism

nonpressured speech

normal tone, bulk and power in all extremities

Novel motor programming

object perception

oriented to time, place, and person

palate moves symmetrically

palate moves up in the midline

paranoid

paresthesias

passive death wishes

paucity of thought

perceptual abnormalities

persecutory delusions

perseverations or stimulus bounded behavior

plantar reflexes are flexor bilaterally

plantar responses

poor historian

postictal confusion

postural tremor

poverty of content

poverty of speech

psychomotor dysfunction

psychotic symptoms

pupils are _____ (2, 3, or 4) mm and reactive

rapport seemed adequate

rate, volume and prosody of speech

reaction time to questions

reality testing was intact

recent and remote memory

recognition of low-level words

redirectable

reduplicative paramnesia

response to internal stimuli

responses were linear

restraints

Romberg

sense of hopelessness

sensorium

Sensory exam:  All modalities are intact

serial 3s

serial 7s

shoulder shrugs

somatic delusions

speech was clear, coherent, and goal directed

speech was normal rate, tone, volume

staring into space

stream of mental activity was logical, relevant, coherent

stressors

suicidal or homicidal ideation

switching cognitive sets

tactile discrimination

tangential thoughts

thought process was goal directed

thought blocking

tongue protrudes to the midline

trend of thought

trouble with word finding

unintelligible and illogical

vision was notable for floaters

visual fields are full to threat

visual fields were full and tactile localization was intact

visual withdrawal

visuoconstruction and visuomotor integration

Wernicke's aphasia

word salad and loose associations

word substitution

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