Professional Documents
Culture Documents
Chief Complaint
Past Illness
C. Appropriateness of
affect
III. Speech Characteristics
Amount
Talkative, garrulous, voluble, taciturn,
unspontaneous, normally responsive
to cues from the interviewer
Tone, monotone, rhythmic
Rate of production
Rapid or slow, pressured, hesitant,
staccato
Quality
Emotional, dramatic, loud, whispered,
slurred, mumbled, accent
Speech impairment
stuttering, dysprosody
IV. Perception
Hallucinations
Sensory system involved
Auditory
Visual
Tactile
Gustatory
Olfactory
Command
Content of hallucinatory experience
Time of occurrence
Circumstances
Hypnogogic
Hypnopompic
Illusions
Déjà vu
Jamais vu
Hypersensitivity to light, sound,
smell
Distorted perceptions of time
Misconception of movement,
perspective and size
Changes in body perceptions
Depersonalization and
derealization
V. Thought content and
mental trends
A. Thought process
Loosening of associations
Flight of ideas
Racing thoughts
Tangentiality
Circumstantiality
Word salad or incoherence
Neologisms
Clang associations
Punning
Thought blocking
Vague thought
B. Thought content
Delusions
Persecution
Reference
Influence
Thought broadcasting
Grandiose delusions
Somatic delusions
Delusional love
Nihilism
Capgras syndrome
(belief that people
have been taken
away & replaced by
duplicates
Preoccupations
Obsessions
Compulsions
Phobias
Plans
Intentions
Suicide/homicidal ideas
Hypochondriacal symptoms
Specific antisocial urges
Ideas of reference
Poverty of content
VI. Cognition and
sensorium
A. Consciousness
Clouded
Somnolence
Stupor
Coma
Lethargy
Alertness
fugue state
obtunded
B. Orientation and
memory
Orientation to time, place & person
Concentration
Attention
F. Abstract Thought
complete denial
slight awareness of being sick
blaming others for the illness
illness is caused by something
unknown
Intellectual insight (no
application to future
experiences)
True emotional insight
IX. Reliability
In percent, poor, good
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