Mental State Examination Terms
Writing up your latest MSE but just can't think of the right term? Those mental blanks getting a bit more frequent? Fear not, for here is a list of terms used in the MSE and psychiatric history and the one you need might just be amongst them..
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
alcohol-induced psychotic disorder with hallucinations
all three spheres / all 3 spheres
anhedonia
antisocial behavior
antisocial traits (personality disorder with antisocial traits)
apathy, indifference
aphasia
appears detached and aloof
ataxia
attention and concentration
attention deficit hyperactivity disorder, combined type
auditory or visual hallucinations
awareness of current events
bipolar affective disorder, type II
borderline personality disorder with obsessive-compulsive features
bradykinesia
bradyphrenia, bradykinesia, rigidity, psychomotor slowing
Broca's aphasia
buccofacial and ideomotor apraxia
capacity for self-introspection
chronic schizophrenia, paranoid type
chronological order
cluster B traits
cocaine-induced mood disorder
cogwheeling, rigidity, spasticity
command hallucinations
constricted affect
conversion disorder
coordination and gait are intact
deep tendon reflexes are brisk and equal
delayed grief
delusional
demonstrated good recall
depressive disorder, not otherwise specified (NOS = not otherwise specified)
despondent
difficulty establishing and switching cognitive sets
dishevelled
dysarthria
dysgraphia
dyskinetic movement
dysnomia, jargon or paraphasic errors
dysphoric mood
dysthymic disorder
emotional dyscontrol, lability, over-excited behaviour 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-grasping were not elicited on testing"
fund of knowledge
fund of general knowledge
gait is narrow based or wide based
glabellar reflex
good vocabulary
grandiose and expansive
grandiose ideation
grandiosity
grip strength
groomed
hallucinatory disturbances
hygiene and grooming (are fair / good / poor, etc)
hypothetical judgment
ideas of reference
illusionary experience
immediate recall / short-term recall
impulse control
impulse control disorder, not otherwise specified
impulsive reasoning
impulsivity, disinhibition
incoherent
insight and judgment
intermittent explosive disorder
internally preoccupied
judgment and problem-solving abilities
knee jerks
knows the city and state
limited vocabulary
letter perception was intact
loosening of association or flight of ideas
maintains eye contact / does not maintain eye contact
memory abstractions
mental status is intact in all four spheres
mood appears depressed
mood was labile
narcissistic and histrionic features
narcissistic personality disorder with antisocial traits
new learning and delayed recall
no field cut to gross confrontation
no field cut to gross confrontation
no strange or odd posturing or mannerism
noncommand hallucinations
nonpressured speech
normal tone, bulk and power in all extremities
Novel motor programming
object perception
opioid-induced anxiety disorder
oriented to time, place, and person
palate moves symmetrically
palate moves up in the midline
panic attack
panic disorder
panic disorder without agoraphobia
paranoid
paranoid ideations
paresthesias
passive death wishes
paucity of thought
perceptual abnormalities
persecutory delusions
persecutory ideas of reference
perseverations or stimulus bounded behavior
plantar reflexes are flexor bilaterally
plantar responses
poor historian
postictal confusion
postural tremor
poverty of content
poverty of speech
prodromal symptoms of schizophrenia
proverb interpretation is concrete
proverb interpretation is fair
psychomotor dysfunction
psychopathology
psychotic symptoms
psychotic disorder, not otherwise specified
pupils are _____ (2, 3, or 4) mm and reactive
rapport (good, bad, etc.)
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
remembered 0/3 objects after 5 minutes
remembered 1/3 objects after 5 minutes
remembered 2/3 objects after 5 minutes
remembered 3/3 objects after 5 minutes
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
social phobia
somatic conversion symptom
somatic delusions
speech was clear, coherent, and goal directed
speech was normal rate, tone, volume
speech was rambling
staring into space
stream of mental activity was logical, relevant, coherent
stressors
suicidal or homicidal ideation
suicidal or homicidal ideas
switching cognitive sets
tactile discrimination
tangential thoughts
thought process was goal directed
thought blocking
thoughts, plan or intent (e.g. - suicidal, homicidal thoughts, plan or intent)
tongue protrudes to the midline
trend of thought
trouble with word finding
unintelligible and illogical
unresolved grief
uses rationalization and denial to explain
verbally contract for safety
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
voluminous details
Wernicke's aphasia
word salad and loose associations
word substitution
Can you think of any more? Please send them in. Thank-you to those who have contributed to this ever-growing list.
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