🧭 Cognition & Orientation
Knows name, location, date, and situation
What is alert and oriented x4?
Client reports feeling “down”
What is depressed mood?
Very little verbal output, short answers
What is impoverished speech?
Logical, clear, organized thinking
What is coherent/linear thought process?
Repeated intrusive thoughts causing distress
What are obsessions?
Difficulty focusing during conversation
What is a concentration problem/distractibility?
Observed flat, no visible emotional expression
What is flat affect?
Speech is rapid, loud, and difficult to interrupt
What is pressured speech?
Jumps quickly between loosely related topics
What is flight of ideas?
Repetitive behaviors performed to reduce anxiety
What are compulsions?
Cannot recall recent events
What is a short-term memory deficit?
Rapid emotional shifts from laughing to crying
What is labile affect?
Speech lacks tone variation
What is monotone speech?
Responses go off-topic and don’t return to the question
What is tangential thinking?
Hearing voices that others do not hear
What are auditory hallucinations?
Poor decision-making ability
What is impaired judgment?
Client reports anxiety, but is smiling and joking throughout
What is incongruent affect?
Slowed speech with long pauses before answering
What is slow speech?
Repeats same idea or phrase multiple times
What is perseveration?
Belief that others are out to harm them
What is a persecutory delusion?
Does not recognize need for treatment
What is poor insight?
Client describes mood as “fine,” but appears irritable, tense, and guarded
What is mood/affect incongruence or limited insight into mood?
Speech is difficult to understand due to articulation issues
What is slurred speech?
Ideas are unrelated and difficult to follow
What is loose associations?
Belief of having special powers or importance beyond reality
What is a grandiose delusion?