When I meet a new patient I write out “The Mental Status Exam”, which is the psychiatric equivalent to a physical exam.

It includes a person’s dress, behaviors, thought form and flow, their mood and their affect, and cognition.

For fun, I sometimes use a fancy word in place of a common one.

For example: Rather than a writing the patient is irritable, I describe him as irascible.

This can go too far…..

A patient might be vociferous, which implies loud and unrestrained shouting or crying out. But if the tone is a positive one, a patient

might be boisterous, which implies noisy exuberance or high-spirited rowdiness (or mania).

A patient who wants something is likely to be clamorous, which suggests an urgent or insistent vociferousness in demanding or protesting something.

If I do not meet their demand,  he or she might become obstreperous, which means noisy in an unruly and aggressive way, usually in defiance of authority.

By now the patient is becoming strident which suggests a harsh, grating loudness that is particularly distressing to the ear.

When patients leave I am often corybantic.

Oh go look it up.